Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 6, 2017

Payers need to choose between automated payment and accurate automated payment By Amy Larsson RN, BSN, MBA The U.S. healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes precious resources, worsens miscommunication and mistrust among all stakeholders, and inhibits the ability to transition to value-based approaches that achieve better outcomes. We need to rethink our industry’s disjointed and siloed approach in order to solve a very integrated problem. Despite billions invested in achieving efficient claims payment, more than 7% of claims are not paid correctly the first time, the…

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Leveraging Data Analytics To Streamline Revenue Cycle Processes And Improve Patient Experience

Leveraging data analytics to streamline revenue cycle processes and improve patient experience

  • May 9, 2017

Revenue cycle management challenges are proliferating, as patients become more informed and demanding about the costs they’re responsible for. But Becker’s Hospital CFO reports on a recent round table discussion that offered the industry ideas on how to gain and act on insights into patient satisfaction and behavior through data analytics. The result can be a better patient experience and a positive impact on the bottom line. Read the article

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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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From Pay Kiosks To Data Analytics: 4 Experts Talk RCM Strategies

From pay kiosks to data analytics: 4 experts talk RCM strategies

  • May 5, 2017

Revenue cycle management is top-of-mind among healthcare professionals in today’s fast-moving environment, as a recent round table discussion covered by Becker’s Hospital CFO revealed. Reporter Mackenzie Bean noted some of the highlights of the discussion, including the struggles of hospitals getting proper reimbursement for rendered care, and how analytics can play a bigger role in the overall revenue cycle. Read the article

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From Silos To Services For Value-Based Care

From Silos to Services for Value-Based Care

  • March 31, 2017

Morning Consult covered the evolution of HIT interoperability and how, despite industry advances, most systems aren't working together. The article reports on how interoperability facilitates value-based care and reimbursement, and why that's crucial to the future of HIT. Read the Article

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Clinical And Payment Option Released

Clinical and Payment Option Released

  • October 25, 2016

McKesson Health Solutions launched ClaimsXten Policy Management, a new clinical and payment management solution.  The software allows complex policy changes to be updated in weeks instead of months, helping payers achieve ensure fast, accurate payment. Read the article

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McKesson Health Solutions Unveils ClaimsXten Policy Management

McKesson Health Solutions Unveils ClaimsXten Policy Management

  • October 17, 2016

McKesson Health Solutions launched a new clinical and payment management solution, ClaimsXten Policy Management, to help streamline and automate advanced policy rules and clinically sourced edits. The solution helps promote fast, accurate payment on the first pass, reducing the potential of retrospective recovery and third-party audits and appeals. Read the article

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