Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • June 6, 2017

How an automated exception-based approach can make UM more efficient and effective By Nilo Mehrabian How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to value-based care requires the deft combination of value-based delivery (enabled through actionable intelligence and new care delivery models) and value-based payment (enabled through select provider networks and new reimbursement models). Providers and payers must operate across a transparent, administratively simple, shared ecosystem. This giant leap from today’s world in which healthcare stakeholders currently operate might…

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McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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The Perfect Pairing: Patient Access And Analytics

The perfect pairing: Patient access and analytics

  • March 28, 2017

While more providers are taking advantage of technology to improve front-end revenue cycle processes, analytics lags behind. But when applied to patient access, analytics can help identify issues with registration and eligibility accuracy, and reduce downstream denials. A recent article in Multibriefs outlines the benefits of using analytics to improve patient-access processes in a value-based world. Read the Article

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Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

Pre-authorization is time consuming, costly, can delay care, and is a major source of claims denials. Those are just a few of the pre-authorization pain points reported in a survey of C-suite provider executives nationwide. This white paper reports and ranks pre-authorization problems, delves into the issues, and provides a path forward  to improve pre-authorization to create more automated and streamlined system. Read now or download and read later

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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

  • June 27, 2016

Pre-authorizations can be costly, time-consuming, frustrating for all involved, and can account for a large percentage of denials. It's no surprise that health care networks are increasingly turning to technology to automate the process. "Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model" lays out how automation and other necessary components can transform the pre-auth process to be faster, more efficient, and more economical. Read now or download and read later

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