About 12 million Californians are enrolled in Medi-Cal, the state’s Medicaid program. But many providers find that Medi-Cal claims are challenging to manage, leading to claim denials and lost or delayed revenue. The good news: RelayHealth Financial’s research revealed five actions hospitals can take to improve Medi-Cal claim processing, speed reimbursement, and reduce denial rates. Learn more about these five actions and how to implement them. Read now or download and read later
Today we announced that Health Plan of San Joaquin has licensed McKesson Contract Manager to help automate its contracting and better engage providers. Health Plan of San Joaquin serves more than 300,000 Medicaid members in California's Central Valley. Get the full story here. Read the news release
Download and share the white paper now We knew value-based reimbursement models had momentum. Now they have a mandate. In January, the US Department of Health and Human Services announced an initiative to make alternative payment the standard for 50% of Medicare reimbursement by 2018. HHS wants 30% of payments to be tied to quality or value by 2016, increasing to 50% by 2018. Is your organization ready? If not, what do you have to do to get ready? And where can you turn for resources that will help you make the transition from volume to value? We've answered those questions…
CMS set a goal of having value-based payments account for 50% of Medicare reimbursement by 2018. It's equally ambitious and daunting for many payers. But in this new white paper, The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow, McKesson offers a proven 10-step plan that can help payers and providers work together to accelerate their journey to value and improve their odds of achieving these regulatory goals. Read now or download and read later
Our recent announcement about new releases of McKesson Provider Manager™ and McKesson Contract Manager™ was picked up by Becker's Health IT and CIO Review. Read Becker's coverage here.
Today we announced that eight health plans representing over 8.5 million lives started using new releases of McKesson Provider Manager™ and McKesson Contract Manager™ last year. As part of our Network Management suite, these solutions help health plans efficiently implement, scale, and synchronize provider networks, contracts, and reimbursement models. Read today's news release get the full story.
As we move from fee-for-service to value-based care, payers and providers struggle to contend with the many reform models being tested and implemented. To successfully make the transition, stakeholders need to address these five critical pieces: • Shared risk for all stakeholders • A robust primary care foundation • The alignment of payment models and incentives • Information technology that supports such alignment • Strong regional collaboration Experts from McKesson Health Solution describe how to get it done in How We Can Make Healthcare Payment and Delivery Reform Work. Read now or download and read later
There is a cascading inefficiency problem in many network management approaches today. Chances are your network management is using multiple data sources, still relying on paper-driven processes, struggling with long cycle times, or built on an older platform that has not integrated multiple systems well. Worse still, these administrative mistakes and nuisances may be holding you back from the solid foundation your systems need to enact successful value-based reimbursement in the future. As the industry changes, one of the keys to success is putting the technology in place to have more flexible financial and network systems. Due to government reform,…
When it comes to bundled payments, you have questions. And we've been listening. We compiled the top questions our customers ask about bundled payments and posed them to Francois de Brantes, Executive Director of the Health Care Incentive Improvement Institute (a-k-a HCI3). In this unscripted, unrehearsed live interview, Francois provides answers to the following questions: How bundled payments work How is the member benefit and product design handled for bundled payments? How is the member obligation handled in bundled payments? How is risk adjustment managed in prospective bundled payments? Who takes responsibility of costs incurred by patients going outside of the care team?…
How fast are payers and providers adopting new value-based payment models? According to the first industry study of its kind, more than two-thirds of payments are expected to be based on value measurements by 2020. Remarkably, 90% of payers and 81% of providers are already using some mix of value-based reimbursement and fee-for-service, according to the new report, The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014. Read now or download and read later