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Finance

What Do We Really Know About Patients?

September 28, 2014 by Tim Kilpatrick

Patient data

While EMR data, patient claims data, pharmacy data and lab results are critical to stratify patient populations based on need, much of patient intelligence can only be gathered by talking to the patient. The clinical data we have is designed to treat conditions and get reimbursement for a CPTs and DRGs – not ensure patient recovery.[read more]

Unbundling the Bundled Payment Program

September 28, 2014 by Andy Salmen

The bundled payment program is an attempt to expand the DRG reimbursement concept and extend it to a whole “episode of care” as opposed to a particular “length of stay” as a hospital inpatient. As structured by the CMS, the bundled payment program has four different models for implementation.[read more]

Healthcare Spending: Administrative Costs out of Control

September 27, 2014 by Abby Norman

Administrative healthcare costs

When we talk about healthcare spending being “out of control” does anyone ever say why? The Commonwealth Fund survey breaks down the costs of healthcare administration - which make up a quarter of all healthcare spending in the U.S.[read more]

Watch Your Back! Surprise Medical Bills May Await

September 26, 2014 by David E Williams

photo: Darcie / photopin cc

Dr. Richard Amerling, writing from New York, had this to say in yesterday’s Wall Street Journal: "A patient recently asked, 'What would happen if there was no health insurance?' I responded, 'The prices for all medical goods and services would immediately plummet.'" But this is naive at best.[read more]

How Cleveland Clinic Builds Brand Recognition via Multichannel Marketing

September 24, 2014 by Stewart Gandolf, MBA

Cleveland Clinic

In today’s podcast, Stewart Gandolf and Paul Matsen discuss how the world-renowned Cleveland Clinic has successfully built a widely recognized and trusted brand…without a dependence on traditional or large media advertising budget.[read more]

5 Trends in Healthcare Reimbursement

September 24, 2014 by Abby Norman

reimbursements

The subject of physician compensation is a hot one as of late. With all the changes in the financial sector of healthcare, and the push to save money, there has likewise been a focus on how- and how much- physicians are being compensated.[read more]

Have ACOs Failed to Incentivize Providers?

September 23, 2014 by Abby Norman

incentives / shutterstock

We should recall that the initial incentive of ACOs, when they were being designed at the Dartmouth Institute, was that they would be an alternative payment style to incentivize the reduction of Medicare spending – where providers and hospitals would be responsible for achieving this in their geographic region.[read more]

Why Do I Only Get 10 Minutes with My Doctor?

September 22, 2014 by Stephen Schimpff

The doctor asks a few questions, does a brief exam, gives you a prescription, suggests you see the specialist and off you go, all within 8-12 minutes. No time for delving deeply into your issues. No time to build trust. No time for compassion. No time for actual healing. Why so quick? It is all in the numbers.[read more]

Will Physicians Ever Embrace ACOs?

September 21, 2014 by Abby Norman

ACOs

Saying goodbye to HMOs, which were not all bad, and welcoming ACOs onto the scene has been a bit of a bitter pill for physicians and payers alike to swallow. ACOs shift the concept of “being choosy” from physician and payers to patients.[read more]

How to Protect Your Hospital Marketing Job and Career

September 19, 2014 by Stewart Gandolf, MBA

“Hospitals across the nation are being swept up in the biggest wave of mergers since the 1990s,” reports The New York Times. “In fact, Booz & Company, a consulting firm, predicts that 1,000 of the nation’s roughly 5,000 hospitals could seek out mergers in the next five to seven years.” So…where does that leave your marketing job?[read more]

Why Outsourcing Your IRO Is a Good Idea

September 18, 2014 by Abby Norman

Outsourcing IROs

In any industry there are times when an outside perspective is the difference between progress and an impasse. In healthcare, where the bottom line of can be at odds with the wants and needs of the patients and payers, a third-party perspective can help to untangle the web of miscommunication.[read more]

Is NCQA Accreditation Right for You?

September 16, 2014 by Abby Norman

NCQA accreditation

In the alphabet soup of healthcare accreditation, chances are there are at least one or two accrediting bodies that you aren’t entirely sure about – one of those might be NCQA. Who are they, what do they accredit and do you need their accreditation in your organization?[read more]