More than 60% of providers struggle to derive optimal value from their EHRs and 85% believe consumer self-pay will continue to impact their organizations, according to an annual HFMA/Navigant survey of 108 provider CFOs and revenue cycle executives.
Preparing for today's challenges. Presentation includes key components and industry trends, organizational success factors, key performance indicators, and a client case study.
Healthcare providers are ready and planning to assume increased levels of risk through commercial payer and Medicare contracting models and Medicare Advantage, according to a new Navigant analysis based on a survey conducted by HFMA.
Preparing for today's challenges. Presentation includes key components and industry trends, organizational success factors, key performance indicators, and a client case study.
Healthcare providers are ready and planning to assume increased levels of risk through commercial payer and Medicare contracting models and Medicare Advantage, according to a new Navigant analysis based on a survey conducted by HFMA.
Provides an overview of the current revenue cycle management and its processes and offers a point-of-view on today’s RCM trends and areas of transformation.
Why Healthcare Costing Matters to Enable Strategy and Financial PerformanceHealth Catalyst
According to Moody’s Investment Service Analysis, not-for-profit hospital margins are at an all-time low of 1.6% while the American Hospital Association has found that 30% of all hospitals have negative margins. Financial pressures are continuing to increase in an environment of rising costs, lower payments, an aging population, higher patient responsibility and changing consumer demands. Now more than ever healthcare providers need to have an accurate picture of their costing information to enable precise, strategic decisions that will improve financial performance.
Activity-based costing has the power to do just that. In this webinar Steve Vance, SVP, Professional Services, Health Catalyst explores different costing methodologies and discusses why activity-based costing is the preferable method to manage margins because it directly ties services to their costs. Many healthcare organizations base their costs on generalized drivers such as relative value units (RVUs) through their chargemaster rather than on specific activities associated with their services, leading to inaccurate assumptions and poor decisions.
View this webinar to learn:
- Why activity-based costing should be your core tool for improving financial performance.
- The differences and implications between costing methodologies.
- How to leverage data from an Electronic Data Warehouse (EDW) and automate processes while improving accuracy.
- Ways that you can make strategic decisions using clinical and operational data when tied to costing data.
- Activity-based costing use cases such as contract negotiations, pricing decisions, population health management (PHM), and process improvement efforts
We hope that you will view the webinar and learn from the depth and breadth of Steve’s extensive financial experience.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
Provides an overview of various ACO models existing in U.S. healthcare, their evolution and performance over last 5-6 years and provide a perspective on each of the model
Mastering Descriptive Analytics to Empower the Revenue Team to SucceedApttus
Descriptive analytics are essential for keeping on top of your business and understanding how to continuously improve your Quote-to-Cash processes. Learn how to master the competency of capturing insights from data to strengthen line-of-sight and decision making to drive profitable revenue growth.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Why Payers, Providers and Life Science/Pharma Must Join Forces to Achieve Tru...Health Catalyst
Is value-based care (VBC) the path to reducing the 18% of GDP that is spent on healthcare? It just may be, but all parties must play their part. Iya Khalil, chief commercial officer & co-founder at GNS Healthcare argues that in order for VBC to reach peak levels of performance and adoption, there must be a convergence of understanding between three key players: payers, providers and the life science industry.
These three parties have developed lifesaving innovations, tech-enabled new procedures, and advanced medical training that have all contributed over the last half century to push the US economy to spend an unsustainable amount on healthcare. Data and analytics are key to fixing this problem and are transforming the way that healthcare is delivered, however, VBC implementation remains complex. In this webinar Iya and Elia Stupka, SVP and general manager, life sciences business at Health Catalyst discuss how the healthcare industry reached this tipping point, why the move to VBC is so important, and how these parties can jointly work together to make healthcare sustainable.
View the webinar and learn:
- How you can make the move to VBC
- The importance of AI and data to drive VBC
VBC will happen and presents an unprecedented moment for payers, providers and life science groups to work together.
A Reference Architecture for Digital Health: The Health Catalyst Data Operati...Health Catalyst
There are essentially four strategic options to address the enterprise data platform requirements of today’s healthcare systems: (1) build your own, (2) buy from EHR vendors, (3) look to a Silicon Valley high-tech startup, and (4) partner with Health Catalyst or a handful of similar companies.
In this webinar, Health Catalyst’s CTO, Dale Sanders, comments on all four approaches, hoping to help you to assess your organization’s strategy against the options and vendors in each category.
It’s been exactly three years since Health Catalyst embarked on a major investment in its next-generation technology, the Data Operating System (DOS™) and its applications. This webinar is an update on the progress, less about marketing the technology, but rather offering DOS as a reference architecture that can support analytics, AI, text processing, data-first application development, and interoperability, as an all-in-one agile cost-savings architecture.
In addition to the successes, Dale comments on the challenges that Health Catalyst has faced under a very ambitious DOS development plan. In its current state, DOS has made some significant improvements to overcome early mistakes, and is now a very solid enterprise data platform. In the interests of industry-wide learning, Sanders will talk transparently about those mistakes and how those learnings are being applied to the DOS platform, positioning it to evolve gracefully over the next 25 years.
View the webinar to learn how the DOS reference architecture:
- Helps manage the 2,000+ compulsory measures in US healthcare
- Enables applications as varied as a real-time patient safety surveillance system, and an activity-based costing system in one platform
- Can ingest data of any type or velocity from over 300 healthcare source systems and growing
- Bundles tools, applications, and analytics that would cost 3-6x more to build on your own
- Compares to EHR vendors as an option to serve as an enterprise data and analytics platform
- Is a performant, sustainable, and maintainable platform for deploying AI models in the natural flow of the healthcare data pipeline
- Provides curated data content and models while still allowing for the agility of a late binding design option
- Functions as a reference architecture that all healthcare organizations and vendors will ultimately have to build in their pursuit of digital health
Using Advanced Analytics for Value-based Healthcare DeliveryMichael Joseph
Promoting Value-based Healthcare Delivery
The fundamental principles of the Affordable Care Act recognize that the volume-based, fee-for-service payment model is unsustainable and that a value-based healthcare delivery system is essential. With the emergence of Accountable Care Organizations (ACOs), providers are incentivized to implement payment reforms and participate in shared savings programs that seek to balance quality of care, access to care and cost of care.
Our healthcare analytics payment model uses predictive analytics to assist ACOs in patient attribution, budget development, bench-marking and performance monitoring to maximize incentives through shared savings and quality improvements.
Convert with Confidence: Barriers and Benefits of the EHR Switchathenahealth
Is your current electronic health record not working the way you want it to? Switching to a new system can be difficult without the right partner with the knowledge and support to help.
Healthcare Consumerism and Cost: Dispelling the Myth of Price TransparencyHealth Catalyst
The world of healthcare costs is confusing and messy for both patients and providers. Many providers don’t fully understand their costs and therefore struggle to meet the increasing pressure for greater price transparency for consumers. With price transparency rules finalized and implementation looming, many providers are racing against the clock to adapt business practices to meet regulations and communicate the implications to consumers. And each organization’s financial health depends on transparency, as uncertainty about costs keeps many patients from seeking care.
Deb Gordon, seasoned healthcare executive and author of the book, “The Health Care Consumer’s Manifesto: How to Get the Most for Your Money,” and Pat Rocap, Director of Cost Management Services at Health Catalyst, examine the relationship between cost and pricing as the path to transparency for consumers. Deb and Pat provide expert analysis and practical advice to help you become a savvier provider and consumer when it comes to healthcare pricing and spending.
- The implications of federal price transparency regulations.
- The connection between healthcare costing and pricing.
- How to start your organization’s journey to understand costs and why it matters.
- Why price transparency is important to both patients and providers.
Medicare Access and Chip Reauthorization Act (MACRA) is the law that changes how Providers are to be reimbursed. One of the key characteristics is that it rewards Providers based on value and not volume.
PYA Principal Carol Carden and Senior Manager Angie Caldwell presented “Hot Topics in Physician Compensation” at the Kentucky Society of CPAs (KY CPA) Health Care Conference, May 18, 2016. The presentation explored the latest developments in physician compensation structure, as well as considerations related to stacking compensation elements, the role and impact of quality incentives, the latest in affiliation models, and population health initiatives.
The Roadmap to Becoming a Top Performing Organization in Managing IT OperationsDigital Enterprise Journal
Research study - the key findings of Digital Enterprise Journal's research study based on insights from more than 800 organizations.
Author: Bojan Simic, President and Chief Analyst, Digital Enterprise Journal
To assess the current state of digital process automation within the federal government, Accenture engaged Market Connections to survey 200 federal government executives across both defense and civilian agencies. The survey was fielded in February-March 2018. These were program leaders with mission, business or operational responsibilities for business processes and service delivery within their agency. Read more https://accntu.re/2D9Kj3B
Provides an overview of the current revenue cycle management and its processes and offers a point-of-view on today’s RCM trends and areas of transformation.
Why Healthcare Costing Matters to Enable Strategy and Financial PerformanceHealth Catalyst
According to Moody’s Investment Service Analysis, not-for-profit hospital margins are at an all-time low of 1.6% while the American Hospital Association has found that 30% of all hospitals have negative margins. Financial pressures are continuing to increase in an environment of rising costs, lower payments, an aging population, higher patient responsibility and changing consumer demands. Now more than ever healthcare providers need to have an accurate picture of their costing information to enable precise, strategic decisions that will improve financial performance.
Activity-based costing has the power to do just that. In this webinar Steve Vance, SVP, Professional Services, Health Catalyst explores different costing methodologies and discusses why activity-based costing is the preferable method to manage margins because it directly ties services to their costs. Many healthcare organizations base their costs on generalized drivers such as relative value units (RVUs) through their chargemaster rather than on specific activities associated with their services, leading to inaccurate assumptions and poor decisions.
View this webinar to learn:
- Why activity-based costing should be your core tool for improving financial performance.
- The differences and implications between costing methodologies.
- How to leverage data from an Electronic Data Warehouse (EDW) and automate processes while improving accuracy.
- Ways that you can make strategic decisions using clinical and operational data when tied to costing data.
- Activity-based costing use cases such as contract negotiations, pricing decisions, population health management (PHM), and process improvement efforts
We hope that you will view the webinar and learn from the depth and breadth of Steve’s extensive financial experience.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
Provides an overview of various ACO models existing in U.S. healthcare, their evolution and performance over last 5-6 years and provide a perspective on each of the model
Mastering Descriptive Analytics to Empower the Revenue Team to SucceedApttus
Descriptive analytics are essential for keeping on top of your business and understanding how to continuously improve your Quote-to-Cash processes. Learn how to master the competency of capturing insights from data to strengthen line-of-sight and decision making to drive profitable revenue growth.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Why Payers, Providers and Life Science/Pharma Must Join Forces to Achieve Tru...Health Catalyst
Is value-based care (VBC) the path to reducing the 18% of GDP that is spent on healthcare? It just may be, but all parties must play their part. Iya Khalil, chief commercial officer & co-founder at GNS Healthcare argues that in order for VBC to reach peak levels of performance and adoption, there must be a convergence of understanding between three key players: payers, providers and the life science industry.
These three parties have developed lifesaving innovations, tech-enabled new procedures, and advanced medical training that have all contributed over the last half century to push the US economy to spend an unsustainable amount on healthcare. Data and analytics are key to fixing this problem and are transforming the way that healthcare is delivered, however, VBC implementation remains complex. In this webinar Iya and Elia Stupka, SVP and general manager, life sciences business at Health Catalyst discuss how the healthcare industry reached this tipping point, why the move to VBC is so important, and how these parties can jointly work together to make healthcare sustainable.
View the webinar and learn:
- How you can make the move to VBC
- The importance of AI and data to drive VBC
VBC will happen and presents an unprecedented moment for payers, providers and life science groups to work together.
A Reference Architecture for Digital Health: The Health Catalyst Data Operati...Health Catalyst
There are essentially four strategic options to address the enterprise data platform requirements of today’s healthcare systems: (1) build your own, (2) buy from EHR vendors, (3) look to a Silicon Valley high-tech startup, and (4) partner with Health Catalyst or a handful of similar companies.
In this webinar, Health Catalyst’s CTO, Dale Sanders, comments on all four approaches, hoping to help you to assess your organization’s strategy against the options and vendors in each category.
It’s been exactly three years since Health Catalyst embarked on a major investment in its next-generation technology, the Data Operating System (DOS™) and its applications. This webinar is an update on the progress, less about marketing the technology, but rather offering DOS as a reference architecture that can support analytics, AI, text processing, data-first application development, and interoperability, as an all-in-one agile cost-savings architecture.
In addition to the successes, Dale comments on the challenges that Health Catalyst has faced under a very ambitious DOS development plan. In its current state, DOS has made some significant improvements to overcome early mistakes, and is now a very solid enterprise data platform. In the interests of industry-wide learning, Sanders will talk transparently about those mistakes and how those learnings are being applied to the DOS platform, positioning it to evolve gracefully over the next 25 years.
View the webinar to learn how the DOS reference architecture:
- Helps manage the 2,000+ compulsory measures in US healthcare
- Enables applications as varied as a real-time patient safety surveillance system, and an activity-based costing system in one platform
- Can ingest data of any type or velocity from over 300 healthcare source systems and growing
- Bundles tools, applications, and analytics that would cost 3-6x more to build on your own
- Compares to EHR vendors as an option to serve as an enterprise data and analytics platform
- Is a performant, sustainable, and maintainable platform for deploying AI models in the natural flow of the healthcare data pipeline
- Provides curated data content and models while still allowing for the agility of a late binding design option
- Functions as a reference architecture that all healthcare organizations and vendors will ultimately have to build in their pursuit of digital health
Using Advanced Analytics for Value-based Healthcare DeliveryMichael Joseph
Promoting Value-based Healthcare Delivery
The fundamental principles of the Affordable Care Act recognize that the volume-based, fee-for-service payment model is unsustainable and that a value-based healthcare delivery system is essential. With the emergence of Accountable Care Organizations (ACOs), providers are incentivized to implement payment reforms and participate in shared savings programs that seek to balance quality of care, access to care and cost of care.
Our healthcare analytics payment model uses predictive analytics to assist ACOs in patient attribution, budget development, bench-marking and performance monitoring to maximize incentives through shared savings and quality improvements.
Convert with Confidence: Barriers and Benefits of the EHR Switchathenahealth
Is your current electronic health record not working the way you want it to? Switching to a new system can be difficult without the right partner with the knowledge and support to help.
Healthcare Consumerism and Cost: Dispelling the Myth of Price TransparencyHealth Catalyst
The world of healthcare costs is confusing and messy for both patients and providers. Many providers don’t fully understand their costs and therefore struggle to meet the increasing pressure for greater price transparency for consumers. With price transparency rules finalized and implementation looming, many providers are racing against the clock to adapt business practices to meet regulations and communicate the implications to consumers. And each organization’s financial health depends on transparency, as uncertainty about costs keeps many patients from seeking care.
Deb Gordon, seasoned healthcare executive and author of the book, “The Health Care Consumer’s Manifesto: How to Get the Most for Your Money,” and Pat Rocap, Director of Cost Management Services at Health Catalyst, examine the relationship between cost and pricing as the path to transparency for consumers. Deb and Pat provide expert analysis and practical advice to help you become a savvier provider and consumer when it comes to healthcare pricing and spending.
- The implications of federal price transparency regulations.
- The connection between healthcare costing and pricing.
- How to start your organization’s journey to understand costs and why it matters.
- Why price transparency is important to both patients and providers.
Medicare Access and Chip Reauthorization Act (MACRA) is the law that changes how Providers are to be reimbursed. One of the key characteristics is that it rewards Providers based on value and not volume.
PYA Principal Carol Carden and Senior Manager Angie Caldwell presented “Hot Topics in Physician Compensation” at the Kentucky Society of CPAs (KY CPA) Health Care Conference, May 18, 2016. The presentation explored the latest developments in physician compensation structure, as well as considerations related to stacking compensation elements, the role and impact of quality incentives, the latest in affiliation models, and population health initiatives.
The Roadmap to Becoming a Top Performing Organization in Managing IT OperationsDigital Enterprise Journal
Research study - the key findings of Digital Enterprise Journal's research study based on insights from more than 800 organizations.
Author: Bojan Simic, President and Chief Analyst, Digital Enterprise Journal
To assess the current state of digital process automation within the federal government, Accenture engaged Market Connections to survey 200 federal government executives across both defense and civilian agencies. The survey was fielded in February-March 2018. These were program leaders with mission, business or operational responsibilities for business processes and service delivery within their agency. Read more https://accntu.re/2D9Kj3B
The State of the CFO - Brainyard ResearchRick Buijserd
166 Chief Financial Officers across 23 different industries participated in Brainyard’s inaugural CFO survey. The goal
of these surveys is to understand CFO perceptions regarding future technology, challenges, concerns, performance
tracking and priorities.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Ready, Willing and Able: A New Era for Finance in Social Services - USaccenture
Social services and CFO must think proactively. From leveraging organizational assets and building infrastructure to partnerships with private enterprise, the future of finance is here.
Disruptive outsourcing leaps to the front. Our 2018 survey of more than 500 executives from leading organizations indicates that disruptive outsourcing solutions—led by cloud and automation—are fundamentally transforming traditional outsourcing. https://deloi.tt/2x7zxb8
Unleashing Innovation: A Closer Look at Impacts & Benefitsaccenture
Using our Innovation Framework, Accenture conducted a global study of government innovation. Here we focus on the Strategy pillar of Impact & Benefits. Learn more: https://accntu.re/2IzGkSP
How Automation is Driving Efficiency Through the Last Mile of ReportingAggregage
https://www.corporatefinancebrief.com/frs/26690636/how-automation-is-driving-efficiency-through-the-last-mile-of-reporting
As organizations strive for agility and efficiency, it's imperative for finance leaders to embrace innovative technologies and redefine traditional processes. Join us as we explore the pivotal role of digitalization and automation in reshaping what is commonly referred to as the “last mile of reporting”.
We’ll deep-dive into why digitalization is no longer a choice, but a necessity for finance departments to stay competitive in a fast-paced environment touching on:
• 2024 trends for the Office of the CFO: A review of today’s automation revolution within the finance department as it faces evolving internal and external challenges.
• Leveraging automation for efficiency and accuracy: Learn how automation tools and technologies can streamline repetitive tasks, reduce manual errors, and free up valuable resources for more strategic initiatives.
• Enhancing transparency and stakeholder confidence: See how robust disclosure management practices contribute to increased transparency, fostering trust among stakeholders, including investors, regulators, and internal decision-makers.
• Overcoming challenges and embracing change: Gain practical strategies and best practices for overcoming common barriers to digital transformation within finance departments and learn how to effectively manage change to maximize the benefits of automation.
Think Bold to Lead: Digital Finance Enables the Leapaccenture
Digital finance is transforming ‘how’ and ‘what’ services are being delivered to business leaders. New processes are enabling a cross-functional, collaborative workforce capable of delivering greater insight in the oil and gas industry.
Accenture engaged a third-party research agency in 2017 to conduct a global study of chief financial officers (CFOs) in 80 oil and gas companies.
Five key insights emerged about the potential billions in value to be gained through new services, redefining the finance workforce, adjusting areas of investment and surmounting barriers to successful implementation.
The survey "Challenges and Opportunities of Small and Medium Enterprises in Greece" is taking place for the second consecutive year by the ELTRUN lab of the Athens University of Economics and Business, in collaboration with the Douleutaras.gr Professional Finding Platform, with representation from more than 200 professionals.
Hey Nineteen: Procurement’s Playbook for 2019Zycus
This video is a recording of the webcast “Hey Nineteen: Procurement’s Playbook for 2019“ that was hosted by Zycus in association with The Hackett Group and SIG. The webcast features a presentation by Christopher Sawchuk, The Hackett Group on the findings of the recent Hackett study “Procurement Key Issues 2019” and a case study presentation by Brittany Muirhead, Brookdale Senior Living on the application of “Assisted Sourcing” as a part of their digital transformation journey. The webcast also features insights from Richard Waugh, Zycus on application of technologies like AI, RPA in procurement for greater compliance, visibility and savings.
What is Going on in the GovCon Market? Benchmarks and Trends for Government C...Unanet
What is Going on in the GovCon Market? Benchmarks and Trends for Government Contractors Presented by Kim Koster, Unanet.
Uncover the insights and tips to grow your government contracting business.
* Plan & strategize for next fiscal year.
* Focus on internal control best practices and standards.
* Insights to create internal roadmaps and manage controls.
* Drive value in your overall organization.
The Fall, and Likely Rise, of Unpaid Medical Bills
Hospitals have experienced improvements in uncompensated care revenue, primarily due to the ACA. But reform and economic uncertainty are creating a perfect storm that could erase this momentum.
Reining in Corporate Overhead
“No margin, no mission” emphasizes the need for strong fiscal management for providers to fulfill their missions. With a Navigant analysis showing provider operating margins dropping, 2018 may be the year of reining in corporate overhead.
Managing Up Physician Acquisitions
Integrating acquired physician practices has been an ongoing struggle for health systems. To overcome this challenge, providers need to manage up return on these acquisitions, rather than manage down the losses.
Medicare Advantage’s Rising Star
Ongoing reform uncertainty has payers saturating an already crowded Medicare Advantage (MA) market. A Navigant analysis shows how MA star ratings improvements can grow plan enrollment and revenue.
Re-evaluating Value-based Investments
While the future of Medicare value-based contracting is murky, providers should stay the course on their value-based care journey.
The fourth quarter of 2017 was marked by Department of Justice (DOJ) policy change announcements, robust international cooperation, and a challenge to the conventional wisdom that Foreign Corrupt Practices Act (FCPA) enforcement will be diminished under the current administration.
Frequency of lawsuits has increased dramatically in recent periods, with over 50% more in the last two quarters than in the three previous review periods combined, accounting for 12% of all actions in the last year. This trend of financial institutions refusing to settle and forcing regulators to sue is evident in several high-visibility suits.
During the recently completed third quarter of 2017, the Department of Justice resolved one matter and the Securities and Exchange Commission resolved two matters. While this was a slow quarter in terms of the number of enforcement actions, the financial impact was significant as the Telia global settlement involved financial penalties and disgorgement of approximately $965 million to be allocated between U.S., Dutch, and Swedish authorities.
The second quarter of 2017 was relatively quiet from an enforcement perspective. Two Magyar Telekom executives settled cases that the Securities and Exchange Commission had filed against them, and two entities received declination letters from the Department of Justice.
During the first quarter of 2017, the Department of Justice and the Securities and Exchange Commission resolved a combined six matters with penalties and disgorgements exceeding $257 million. The cases spanned over five industries, highlighting that no industry is immune to regulatory scrutiny.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Reduce Supply Chain Expenses While Maintaining Care QualityGuidehouse
A Navigant analysis magnifies the opportunity that U.S. hospitals have to save billions of dollars by further streamlining supply chain processes and associated product use — without affecting quality. According to the study, hospitals nationwide could reduce their supply chain budgets by 17.8 percent on average.
Jan Vrins, leader of Navigant's global energy practice, examines the state and future of the power industry, including megatrends, tipping points, future state, and the path forward.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
QA Paediatric dentistry department, Hospital Melaka 2020
HFMA Navigant 2019 RCM Survey
1. REVENUE CYCLE
TECHNOLOGY
TRENDS
A survey of provider executives about the impact of EHRs,
consumer self-pay, and IT budgets on revenue cycle operations
September 2019
Lead. Solve. Grow.
2. 2 Revenue Cycle Technology Trends | September 2019
62% of executives say
EHR RCM adoption challenges
equal to/outweigh benefits,
up from 56% in 2018
More challenges
than benefits
Challenges and
benefits are equal
More benefits
than challenges
EHR Adoption Challenges Still Outweighing Benefits
38%
31%
31% 62%
More hospital-based and small hospital executives
cite challenges equal to/outweigh benefits:
vs. vs.67%
Hospital-
based
43%
Health
System
71%
Small
Hospital
<200 BEDS
56%
Large
Hospital
500+ BEDS
3. 3 Revenue Cycle Technology Trends | September 2019
Struggles Continue to Optimize Available
EHR Functions, Upgrades
41%
UNDERUTILIZE
available EHR functions
44%
QUICKLY ADAPT
to EHR functional releases
15%
CAN’T KEEP UP
with EHR functional releases
56%
of providers can’t keep
up with EHR upgrades or
underuse EHR functions,
equal to 2018, but up from
51% in 2017
4. 4 Revenue Cycle Technology Trends | September 2019
Offering comprehensive
financial counseling/
payment plans
Offering online portals
for price estimates/
payment
Consumer Self-Pay Concerns Not Going Away
MODERATE TO
SIGNIFICANT IMPACT
LITTLE TO NO
IMPACT
85%
2019
81%
2018
85% of executives
believe consumer
self-pay will affect
their organizations,
up from 81% in 2018
100% of large hospital
executives predict moderate to
significant consumer self-pay impact
91%
81%
85%
2017 2018 2019
9%
19%
15%
2017 2018 2019
40% 32%
5. 5 Revenue Cycle Technology Trends | September 2019
18% of health systems
executives predict a
decrease vs. just 1% of
hospital-based executives
Revenue Cycle IT Budget Growth Steady
Executives projecting their
RCM IT budgets will grow
in the next year:
Significantly more
hospital-based
executives are projecting
a spending increase
74%
HOSPITAL-BASED
55%
HEALTH SYSTEMS
68%
2018
74%
2017
69%
2019
6. 6 Revenue Cycle Technology Trends | September 2019
of these areas
involve or are
enabled by
technology
Maintaining Focus on IT, Revenue Integrity to
Drive Future RCM Improvements
87%
8%
5%
6%
8%
5%
7%
17%
22%
28%
2%
6%
7%
8%
9%
11%
12%
21%
24%
0%
4%
5%
18%
6%
13%
18%
15%
22%
Robotic process
automation
Staff training &
incentives
Labor
utilization
Business intelligence/
analytics
Coding Self-pay
management
Physician/clinician
documentation
EHR
optimization
Revenue
integrity
2019
2018
2017
Revenue integrity
the top area of
focus for the third
straight year, up
21% vs. 2017
15% of health system
executives targeting
robotic process
automation (RPA)
vs. 0% in 2018
21%
7. 7 Revenue Cycle Technology Trends | September 2019
1-in-4 health system and
large hospital executives
cited advanced health IT,
including RPA
Leveraging External Resources, RPA to Increase
Economies of Scale
46%
collaboration with external
entities, including
outsourcing (24%) and
vendor partnerships (22%) 11% 11%
17%
22%
24%
Non-Organic
Growth
(Acquisitions)
Organic
Growth
Advanced IT
(Predictive
Analytics,
AI, RPA)
Vendor
Partnerships
Outsourcing
Strategies providers have successfully implemented to decrease revenue cycle costs,
increase economies of scale
8. 8 Revenue Cycle Technology Trends | September 2019
“It was anticipated that EHRs would be the main driver of broad
performance improvement, but that has not occurred in many cases.
Instead, providers are now taking other steps, including looking outside
their organizations to collaborate with external entities and leveraging
advanced technology solutions, and they’re seeing successes.”
— Timothy Kinney, Managing Director, Navigant
9. 9 Revenue Cycle Technology Trends | September 2019
“New technologies leveraging RPA, artificial intelligence, and machine
learning have unlocked significant opportunities to reach previously
unattainable levels of revenue cycle performance. As we’ve learned
with EHR implementations, there are no silver bullets. These tools are
not ‘plug and play,’ and the ability to integrate operational and technical
expertise remains key to provider success.”
— Kent Ritter, Director, Navigant
10. 10 Revenue Cycle Technology Trends | September 2019
About Navigant
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control
of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an
enterprising approach to help clients build, manage, and/or protect their business interests. With a focus on markets
and clients facing transformational change and significant regulatory or legal pressures, the firm primarily serves
clients in the healthcare, energy, and financial services industries. Across a range of advisory, consulting, outsourcing,
and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and
delivers powerful results. More information about Navigant can be found at navigant.com.
healthcare@navigant.com
linkedin.com/company/navigant-healthcare
twitter.com/naviganthealth