How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 1, 2017

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  

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Revenue Cycle Payment Clarity

Revenue Cycle Payment Clarity

  • January 1, 2017

The increasing prevalence of high-deductible health plans, along with higher patient out-of-pocket expenses, is leaving more and more patients unable to pay their bills and providers unsure about reimbursement. To maintain payment flow, providers need visibility into when and how much they will be paid, and by whom. They also need to get better at navigating obstacles to payment. This Revenue Cycle Payment Clarity white paper describes how providers can implement the tools and processes to help provide payment clarity and accelerate revenue. Read now or download and read later

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Credible, Defensible Estimates

Credible, Defensible Estimates

  • January 1, 2017

Believe it or not, patients actually notice and care about the billing process. A recent survey found the higher a patient's satisfaction with the billing process was, the higher their overall satisfaction with the hospital and the clinical treatment received. Credible, Defensible Estimates explains why hospitals should help patients gain a realistic expectation about their financial responsibility up front, and how to make that happen on a consistent, reliable basis. The white paper also describes RelayHealth's Estimation Maturity Model (EMM) for creating estimates. Read now or download and read later

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Ten Steps To Reduce Denials, Win More  Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • January 1, 2017

Providers face tremendous pressure to reduce denials. Although many issues can lead to denials, there’s one area that denial management programs can easily overlook: issues related to medical necessity. This white paper focuses on 10 gaps that can cause medical necessity denials and how to address them, from beefing up emergency department case management to improving level of care management. Read now or download and read later

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The Top 10 Things Payers And Providers Can Do Today To Start Aligning With VBR Tomorrow

The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow

  • January 1, 2017

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 letter

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Journey To Value: The State Of Value-Based Reimbursement In 2016

Journey to Value: The State of Value-Based Reimbursement in 2016

  • January 1, 2017

There's no turning back from value-based care and value-based reimbursement. Payers are 58% along the continuum to VBR, up from 48% in 2014. And Providers are now 50% down the road to value. That's according to a national study of 465 payers and hospitals conducted by ORC International and commissioned by McKesson. Yet despite tremendous growth in capitation/global payments, pay for performance, and episode of care/bundled payments, many payers and providers still face obstacles in the transition to value-based care. See where healthcare stands in its journey to value and what it means for the industry in Journey to Value: The State…

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McKesson’s RelayHealth Teams With Emergency Recovery

McKesson’s RelayHealth Teams with Emergency Recovery

  • December 13, 2016

Hospitals dislike going after unpaid claims, especially when it means chasing down money from patients. So McKesson's RelayHealth Financial teamed up with Emergency Recovery Inc. to help providers find and recover millions in unrecovered revenue, without having to bother their patients. Read the article

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RelayHealth Financial Teams With ERI For Revenue Recovery Services

RelayHealth Financial Teams with ERI for Revenue Recovery Services

  • December 12, 2016

Today McKesson's RelayHealth Financial announced that it has teamed up with Emergency Recovery Inc. (ERI)  to provide revenue recovery services for its provider customers. The service can help providers find and recover millions in otherwise unrecovered revenue, without contacting patients or charging up-front fees. Read the news release

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