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Value-Based Reimbursement

The Lighter Side of Revenue Cycle Management

HFMA ANI 2015 and the Lighter Side of Healthcare Reimbursement

June 22nd, 2015

[ DOWNLOAD your free copy of the ebook now ] Here’s a little something we’ve put together for all of our industry colleagues descending on HFMA ANI 2015, in Orlando this week. The Lighter...

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Clean claims, price quotes and many miles to go

Clean claims, price quotes, and many miles to go

June 4th, 2015

Healthcare Payer News just showcased our Lighter Side of Healthcare Reimbursement ebook, saying the cartoons “illuminate an industry in transition.” Enjoy their coverage and a chuckle...

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2015-06-03 13_06_05-Time for a kinder, smarter utilization management _ Healthcare Payer News

Time for a Kinder, Smarter Utilization Management

June 2nd, 2015

Our proposal for a new utilization model continues to spark conversation. Today Healthcare Payer News featured an article by Matthew Zubiller and Tammie Phillips that paints a picture of a world...

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The Lighter Side of Healthcare Reimbursement

AHIP 2015 and The Lighter Side of Healthcare Reimbursement

June 1st, 2015

[ DOWNLOAD your free copy of the ebook now ] Here’s a little something we’ve put together for all of our industry colleagues descending on AHIP’s Institute 2015, in Nashville this...

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The New UM

McKesson’s Zubiller and Phillips to Propose New Utilization Management Model at AHIP’s Institute 2015

May 28th, 2015

Today McKesson Health Solutions announced that Matthew Zubiller, vice president and general manager for Strategic Growth and Innovation, and Tammie Phillips RN, vice president of Business Consulting,...

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Prior auths are here to stay - Managed Healthcare Executive

Prior Auths are Here to Stay

May 21st, 2015

Does the transition to value-based care mean the end of prior auths? Managed Healthcare Executive posed that question to several industry leaders, including our own Laura Coughlin, vice president...

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Becker's Hospital May 20 2015

Top 10 things payers and providers can do today to start aligning with value-based reimbursement tomorrow

May 19th, 2015

Becker’s Hospital Review just featured our advice to help payers and providers address the new CMS initiative, which calls for 30% of payment to be based on measures of quality or value by...

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Managed Care Value-Based Reimbursement Coming on Strong while the Fall of FFS Medicine Accelerates

Value-Based Reimbursement Coming on Strong while the Fall of FFS Medicine Accelerates

April 1st, 2015

In its April issue, Managed Care magazine takes a look at the expert outlook for reimbursement and concludes that fee-for-service will not be the dominant model in five years. Read the article here.

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Hot zones/dead zones: Local factors produce patchy national shift to ACOs

March 21st, 2015

Modern Healthcare reports some areas of the country are moving to value via ACOs much faster than others. How can providers thrive while transitioning to value? Modern Healthcare asked McKesson’s...

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HFM_Aligning0320

Aligning with value-based reimbursement

March 20th, 2015

HHS is moving to tie 50% of payment to quality or value by 2018. What can payers and providers do to prepare? Healthcare Finance News published McKesson SVP Carolyn Wukitch’s ten steps to better...

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