A Tale Of Two Communities: How A Payer And A Provider Each Experienced The “Best Of Times” With MHS

A Tale of Two Communities: How a Payer and a Provider Each Experienced the “Best of Times” with MHS

  • December 16, 2014

How a national general acute care hospital and a national managed health care company each saw the “best of times” with McKesson   Community Health Solutions (payer) and Community Healthcare System (provider) each shared a struggle on how to bring more transparency and information to their care and payment workflows. Automated and robust solutions from McKesson helped them improve the quality and cost of healthcare their organizations provide.  The Payer Community Health Solutions: Improving care quality, cost with more robust clinical standards Without a stricter tie to evidence-based guidelines while making medical necessity decisions, payers face potential inconsistency in the…

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Throw The Forms Away: CMS Relaxes Inpatient Certification

Throw the Forms Away: CMS Relaxes Inpatient Certification

  • November 25, 2014

By Steve Silverstein, MD, FACEP, Vice President, Chief Clinical Architect, McKesson Health Solutions Have you heard the news? The Centers for Medicare & Medicaid Services (CMS) eliminated the need for two-midnight certifications at the time of inpatient admission as part of updates included in the final Outpatient Prospective Payment System (OPPS) Rule for calendar year 2015, effective January 1. A requirement for certification for prolonged inpatient stays of 20 days or more is also included in the rule but does not affect the now eliminated admission certification requirement. While the requirement for a separate written certification at the time of…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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ICD-10 Readiness: Countdown Considerations

ICD-10 Readiness: Countdown Considerations

  • November 4, 2014

ICD-10 Watch's Carl Natale invited Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, to write a series on the ICD-10 transition and what payers and providers need to do starting now. In this first installment, Berman reviews the three key areas: testing, training and key performance indicators. Look for his piece on the perils of procrastinating coming soon. Read his full story here

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The Pulse Of Preventative Care

The Pulse of Preventative Care

  • October 20, 2014

Benefits Pro tackles lingering questions about the Affordable Care Act's mandate to cover preventive care. The article quotes Dr. David Nace, vice president of clinical development and medical director at McKesson, on which procedures constitute preventive care versus treatment. Dr. Nace also discusses concerns physicians have about the value of offering preventive care when patients are not incentivized to follow through with healthy behaviors. Read the full article

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Happy ICD-10 Anniversary!

Happy ICD-10 Anniversary!

  • October 1, 2014

Here's a commemorative cartoon for your office refrigerator!   But don't thank us for it. Thank our colleagues at RelayHealth Financial, where you'll find more revenue cycle management cartoons and expertise on ICD-10 readiness to boot. In fact, RelayHealth Financial's full suite of financial connectivity solutions were ready for ICD-10 -- including support for true end-to-end testing -- a full two years ahead of the U.S. government deadline. So enjoy the anniversary. And hop on over to RelayHealth Financial to learn more about ICD-10 readiness, because the final countdown to ICD-10 has begun.      

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ICD-10 Questions That Still Need Answers

ICD-10 Questions That Still Need Answers

  • October 1, 2014

October 1st was supposed to be the day that ICD-10 went live. Instead, it was delayed as part of the SGR "patch" bill until 2015. RelayHealth's ICD-10 cartoon, "Wait for it ...", added a touch of humor to Carl Natale's commemoration of the launch that wasn't on ICD10Watch. See it here

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A Year Away From ICD-10, What To Do Now To Prepare

A Year Away from ICD-10, What to Do Now to Prepare

  • September 22, 2014

Even though we're a full year away from the ICD-10 deadline, payers and providers should not take an "ICD-10 readiness break." That's according to Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, who shared his three steps to ICD-10 preparedness -- readiness, transparency, and testing -- with Becker's Hospital Review readers. Read the full story

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ICD-10 Is Around The Corner, For Real This Time

ICD-10 is Around the Corner, for Real This Time

  • September 18, 2014

Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, tells McKnight's why the ICD-10 delay is not a license to sit back and relax. Providers need to continue testing or get moving now if they haven't started, or risk not being ready to go next October. Aside from testing, Berman urges providers to get their coders trained "asap." Read the full article here

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