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How ACOs Could Become the Norm for Medicaid

Value over volume is the thing of the future. Individual fee-for-service methods are gradually giving way to more integrated, coordinated patient-centered care. Over the years, this shift to value-based care has prompted hospitals, healthcare providers, and the Center for Medicare and Medicaid Services (CMS) to come up with alternative ways…

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Posted In: Future of Healthcare, General On: Tuesday, 11 April, 2017

Could Scribes Reduce the Hidden Costs of Your EHR?

EHRs are taking a heavy financial toll on the healthcare industry. You know the upfront costs are significant, and there are also ongoing “hidden” costs that aren’t always obvious. Initial and continuous training, implementing upgrades, hiring additional staff and dealing with periodic outages are all expensive. But those may be…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 4 April, 2017

Why Readmissions Happen, and What You Can Do to Prevent Them

Readmission rates have long been considered a key metric for measuring hospital quality of care. But for the last few years, hospitals have had a substantially greater incentive for reducing them. These days, when patients who have been treated for certain specific conditions are readmitted within 30 days, hospitals get…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 14 March, 2017

What One State’s Efforts Can Teach Us About Successful ACOs

There are now nearly 500 Medicare accountable care organizations (ACOs) participating in the Shared Savings Program and the Pioneer ACO Model combined. About one-third of Centers for Medicare and Medicaid Services (CMS), fee-for-service payments are tied to these alternative payment models saving over $411 million for Medicare in just one year….

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Posted In: Best Of, General On: Tuesday, 21 February, 2017

Old versus New: How You Can Update the Revenue Cycle

  Improving the efficiency of the revenue cycle is still being refined through technological advancements and by restructuring the documentation and billing procedures. Before the advent of integrated data collection technologies and real-time communication, the old way of generating claims and receiving payment was a much longer process than it…

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Posted In: General, Quality, Efficiency, Utilization, Queuelogix On: Tuesday, 14 February, 2017

3 Ways to Put a Positive Spin on CPC+

  Shared savings from the Comprehensive Primary Care (CPC) initiative’s second round are up. To be exact, the Centers for Medicare and Medicaid Services (CMS) report a total of $57.7 million in gross savings were generated in 2015 by 481 primary care practices serving more than 376,000 Medicare beneficiaries. Although three of…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 7 February, 2017

How Hospitals Are Reducing Readmissions

  Hospital readmission rates have dropped 8% between 2010 and 2015 — a big step toward more cost-effective, higher-value care. The big driver has been the Hospital Readmissions Reduction Program (HRRP), which targets avoidable hospital readmissions occurring within 30 days of initial patient discharge. With HRRP, the Centers for Medicare and Medicaid…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 31 January, 2017
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