Financial Archives - Page 8 of 23 - BHM Healthcare Solutions - Experts in Healthcare Financial Management

Value-Based Payment Models and the Future of Healthcare

2023-09-11T15:28:00-04:00By BHM Marketing|Financial, Health Care Reform, Uncategorized|

The Centers for Medicare & Medicaid Services (CMS) has been pushing value based models that focus on quality of care rather than quantity. This means that most traditional incentive based payment models are being put phased out. The CMS hopes to tie 90% of all Medicare payments to alternative payment methods by 2018. Unlike fee-for-service models, value based models tie quality and cost together. By doing this they can encourage providers to give the best possible care at the best possible cost.

Understanding Value Based Reimbursement

2023-09-08T14:50:53-04:00By Eric Duchinsky|Financial, Financial Analysis, Health Care Reform, Health Insurance|

The healthcare industry has undergone major changes since the rollout of the Affordable Care Act and now a new type of reimbursement model is putting traditional incentive based payment models on the shelf for good. Value based reimbursement, which ensures that providers are rewarded for performance, quality, and cost reduction (instead of number of services provided), is a model that will help shape the future of healthcare.

Opioid Epidemic Fueling Hospitalizations, Hospital Costs

2023-10-12T11:12:26-04:00By Eric Duchinsky|Financial|

A new study sheds light on another repercussion of the opioid epidemic, and how it is adding to the nations ballooning health care costs and who is shouldering that burden.

Centers for Medicare & Medicaid Services Testing New Payment Models for Drugs

2017-04-02T13:28:07-04:00By Eric Duchinsky|Financial, Medicare and Medicaid, Webinars|

The Centers for Medicare & Medicaid Services is testing some new reimbursement and payment models for drugs, some of which mirror models currently used in the private sector. Medicare hopes working with providers, like many private payer networks, will lead to more efficiencies in prescriptions and eventually to lower costs.

Independent Review Organization Can Save You Money 3 Ways

2023-10-31T15:03:44-04:00By Eric Duchinsky|Financial, IRO, URAC Accreditation|

The role of the Independent Review Organization (IRO) in the appeals process is to provide an unbiased 3rd party opinion on complicated reviews, helping to assure that all reviews are given the time and care they deserve. It’s a common illusions in the healthcare industry that taking care of things in house is the best and easiest way to save money—however this isn’t true when it comes to claim reviews. If you are trying to manage your denials in-house, it can actually be counterproductive if you’re trying to save money and even time. Let’s take a look at how outsourcing your IROs can save you time and money.

California Insurance Marketplace Imposes New Quality, Cost Conditions On Plans

2017-04-02T13:28:07-04:00By BHM Marketing|Financial, Health Insurance, Health Insurance Exchange, Quality Improvement Programs|

Moving into a realm usually reserved for health care regulators, the California health marketplace Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers. The attempt to impose quality and cost standards on health plans and doctors and hospitals appears to be the first by any Obamacare exchange in the nation. Among the biggest changes: Health plans will be required to dock hospitals at least 6 percent of their payments if they do not meet certain quality standards, or give them bonuses of an equal amount if they exceed the standards.

5 Healthcare Industry Issues of 2016: Part 1

2023-07-28T16:26:20-04:00By BHM Marketing|Financial, Healthcare IT, Strategic Planning, Telehealth and Telemedicine|

It’s only the beginning of 2016 but here at BHM Healthcare Solutions we have been keeping a close eye on the upcoming healthcare trends for the year. So far we’ve discussed the important trends of Pharmacy and Behavioral Health and how each of those industries is expected to make great strides in the New Year.

Rural Hospitals Face Financial Pressure

2017-04-02T13:28:07-04:00By BHM Marketing|Financial, Health Care Reform, Learning Series, Medicare and Medicaid, Population Health, Uncategorized|

Rural Hospitals Face Financial Pressure

Rural Hospitals Face Financial Pressure according to a recent article

MOUNT VERNON, Texas—Despite residents’ concerns and a continuing need for services, the 25-bed hospital that served […]

Expert Learning Series: The Affordable Care Act – Impact on Hospitals & Healthcare

2023-10-06T13:00:35-04:00By BHM Marketing|Financial, Health Care Reform, Learning Series, News and Events, Webinars|

The Affordable Care Act (ACA) has begun to revolutionize healthcare, but even bigger changes are on the way, and those in the Hospital industry are dealing with everything from an increased emphasis on customer satisfaction to decreased reimbursement and rapidly changing payment models. Find out the critical components you need to know to be successful in the new healthcare environment. Join us 12/19 for the free webinar The Affordable Care Act - Impact on Hospitals & Healthcare.

One Month – Four Exciting Healthcare Web Events: Take Your Organization to the Next Level

2017-04-02T13:28:09-04:00By BHM Marketing|Accreditation, Care Coordination, Compliance, Financial, Financial Analysis, NCQA Accreditation, PCHCH Accreditation, Physician Advisor/Peer Review, Specialty Pharmacy Accreditation, Uncategorized, URAC Accreditation|

End of the Year Healthcare Web Events You Won’t Want to Miss!

The end […]

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