Supporting Families During Wise Healthcare Consumer Month
Discover how payers can empower families to make smarter healthcare choices with clear benefits, price transparency, digital health tools, and preventive care support.
Is Transparency Key to Gaining Trust? 5 Actionable Practices
Transparency is not just a regulatory requirement for healthcare payers; it’s a key factor in fostering trust, improving relationships, and driving collaboration. By focusing on clear communication, data integrity, financial openness, and regulatory compliance, payers can create a more reliable and cooperative environment with providers.
Medical Director Legal Risks
Medical directors face novel legal risks for professional liability, regulatory compliance, licensure board complaints, and careless communication habits. A more thoughtful understanding of the distinct obligations and potential medical director legal risks may help medical directors and their employers avoid unnecessary stress and minimize the chances of legal entanglements.
Survey Results Define CMO Responsibilities
Health reform puts healthcare organizations at more financial risk than ever for care costs and quality, both inside and outside their workplace. But it doesn't change the fundamental fact that physicians, even employed physicians, remain the final arbiters of what care actually is provided. CMO responsibilities evolve with need and business acumen grows as a vital need.
Successful Medical Director Characteristics
The Medical Director role takes on a dramatic evolutionary shift in responsibility and scope due to healthcare reform (and re-reform) and an industry which is now focused on efficiently driven quality care.
Stretching Medical Directors Too Far?
As healthcare continues to change, so do some of the roles within the industry, but no role has perhaps experienced a shift quite as significant as the Medical Director. This position has taken on a dramatic evolutionary shift in responsibility and scope. The roles and responsibilities now require stretching medical director skills into contract negotiations, group dynamics, organizational development, team management, and many areas not covered in a traditional medical curricula.
1 Day Left to Sign up For BHM’s Free WebClinic “Components of a Great Peer Review Program”
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!
5 Key Elements of the Peer Review Process
Lately we have been talking about the important of Independent Review Organizations (IROs) and peer reviews in the healthcare ecosystem. Today we continue this discussion and delve deep into the importance of the peer review process. We know that peer reviews are a crucial part of healthcare because they hold medical professionals and organizations accountable in addition helping to build a world of trust between patient and physician. The peer review process is one that consists of high levels of property technology and superior customer service. By boosting transparency in healthcare, peer reviews have become an essential standard helping to make healthcare safer and more efficient. So let’s take a look at the 5 core building blocks of the peer review process.
Connected Care Evaluation Program Pilot (NCQA)
The National Committee for Quality Assurance (NCQA) is searching for early adopters of its newest delivery system evaluation program, the Patient-Centered Connected Care Recognition (PCCC).
What You Need to Know About HIPAA Violations
With HIPAA Phase 2 audits looming on the horizon, many organizations are gearing up for the audits with internal assessments. We've already talked about how your organization might be unwittingly violating HIPAA, but what penalties are you really facing?