Strategies for balancing cost containment and quality care in healthcare. Explore methods executives can employ to optimize resources, enhance efficiency, and sustain financial stability while delivering exceptional patient outcomes.
The integration of wearable technology in the healthcare sector has transformed the way health insurance payers assess risk, engage customers, and manage costs. Devices like fitness trackers, smartwatches, and biosensors provide real-time data that helps payers make informed decisions while enhancing customer engagement. Today, we’re exploring the impact of wearable technology on health insurance payers, supported by statistical data, case studies, and comparative analysis of predicted and actual developments.
An exploration of evidence based strategies and policy implications that may reduce hospital readmission rates. Readmission rates, defined by the frequency with which patients return to the hospital within 30 days of discharge, are influenced by multiple factors ranging from socio-demographic attributes to the quality of post-discharge care.
The rising costs of healthcare make finding new, effective strategies critical for hospitals, insurance payers, and other healthcare organizations. Efforts for reducing healthcare costs not only aim to control expenses but also improve patient care quality.
Discover the art of denial management in healthcare with our practical guide. Master best practices to optimize revenue and enhance operations.
Elevate your payer operations with BHM's latest Insight. Unveil a proven process to maximize efficiency & minimize effort. Perfect your strategy and lead the way in healthcare management.
Discover how BHM’s Clinical Peer Review Software revolutionizes healthcare quality and safety. Read our comprehensive guide now.
Collaboration between healthcare providers and payers is instrumental in navigating the complexities of medical necessity criteria. By fostering a cooperative environment, both parties can work together to ensure that medical decisions align with the best interests of the patient.
Corporate Integrity Agreement (CIA) is a legally binding contract, established between a healthcare provider and the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG), and plays a significant role in upholding ethical standards in the corporate landscape. In this comprehensive guide, we'll delve into the intricacies of Corporate Integrity Agreements, understanding their significance, and how they contribute to ensuring ethical excellence in corporate practices.
Clinical review, a vital component of the healthcare landscape, serves as a key mechanism for assessing and enhancing the quality of care provided to patients. In this comprehensive guide, we will explore the intricacies of mastering the clinical review process to ensure top-notch quality and patient satisfaction.