Health insurance claim denials cause many healthcare organizations to lose a significant amount of money each year. In fact, large health organizations frequently lose millions of dollars per year due to ineffective denial strategies.
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.
Would you like to learn how Workers' Compensation Organizations and Departments like yours are creating cost savings, improving efficiency, and decreasing claim costs? Join us Wednesday, April 13 at 12:00 PM EDT for a free lunch and learn event titled: Workers Compensation - Keeping Claims on Track. If you can’t make the event, don’t worry! Simply register for the web event to receive a recording of the event as well as a copy of the presentation after it is finished.
In recent years there have been exciting innovations around the Independent Review Organization industry. Recognized by the Affordable […]
Over the past year we have seen many changes in healthcare at the local, state, and federal level. […]
BHM's webclinic “Components of a Great Peer Review Program” goes live Wednesday, November 18th from 12:00pm to 1:00pm EST. You don't want to miss this great opportunity to receive expert advice related to Peer Review Services. Don't worry you still have time to sign up!
According to the NC Rural Health Research Program there have been 56 rural hospital closures since 2010. The reasons behind the closures may vary but the message rings true, rural hospitals are struggling and something needs to be done. From difficulties implanting new HER systems to the re-evaluation of Medicare reimbursements, rural hospitals are looking for new ways to stay afloat. We’ve selected 4 trends that we’ve seen buzzing in the rural healthcare sector this year and that have been helping rural hospitals make the changes they need to succeed.
2015 has been a big year of change for many healthcare systems. With this change, healthcare leaders have been faced with many challenges, including complying with new federal regulations and making strategic moves towards better care. We've compiled a list of the five biggest challenges we've found healthcare leaders facing this year.
According to a 2015 report, more than 24% of users of EHR systems say that their current systems are "too faulty or cumbersome." This trend in EHR dissatisfaction seems to be on the rise, too. So what's causing the exodus from traditional systems?
The NCQA's Patient Centered Medical Home program has been running since 2008 but over the past few years it has gone through some substantial revisions. Now the NCQA is asking for people in field, both who are providing care and receiving care, to help make the PCMH program the best it can be. Here are the basics you need to know: