Healthcare RCM, Patient Collections Solutions Launch At HIMSS17

Healthcare RCM, Patient Collections Solutions Launch at HIMSS17

  • February 23, 2017

At HIMSS17, healthcare IT companies showcased a range of solutions to manage the changing landscape in healthcare reimbursement. McKesson launched the Healthy Hospital program, which uses analytical tools to benchmark hospital revenue cycles, as well as a payment assurance consulting program that uses data to develop value-based reimbursement strategies. The company also previewed a financial clearance tool that helps revenue cycle management staff manage patient collections with data, and a clinical clearance tool that makes medical record reviews more efficient. Read the article

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McKesson Reinventing Revenue Cycle Management For A Value-Based World

McKesson Reinventing Revenue Cycle Management for a Value-Based World

  • February 20, 2017

McKesson Health Solutions is showcasing its suite of new and revamped products at HIMSS17 in Orlando. McKesson has invested in a reinvention of revenue cycle management, from financial and clinical clearance to payment integrity and analytics in order to help the healthcare industry transition to a value-based world. Solutions, services, and new programs highlighting advancements and expertise across the provider reimbursement process will be on display at HIMSS17 at McKesson’s booth #3479, including: Analytics: Healthy Hospital is a new program that uses advanced analytics to help providers benchmark key revenue cycle metrics. Financial Clearance: RelayHealth Financial will be previewing an upcoming…

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Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • February 17, 2017

It's time to bring utilization management into the 21st century. A more collaborative, automated UM model could create a bridge between the current system, where authorizations happen after care decisions, and real-time communication between payers and providers that provides immediate decisions at the point of care. That bridge is what we call an "exception-based utilization management model." New technology can help payers identify which providers are getting approvals, for which care events, and how often. Then, using that knowledge, most care events can be automatically authorized, letting the payer limit their focus to the outliers. And even then, many of those…

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Four Steps To Develop, Implement, And Operationalize A Bundled Payment Strategy

Four Steps to Develop, Implement, and Operationalize a Bundled Payment Strategy

  • February 17, 2017

Health plans and hospitals see bundled payment as the fastest growing value-based payment model. They predict that the model will account for 17% of reimbursements in the next five years. But where do you begin? Start with this four-step guide, Bundled Payment 101: A Guide to Getting Started Quickly. The steps include analyzing data to identify episodes of interests, defining quality and savings targets, creating a transparent collaboration between payers and providers, and pulling it all together with a cloud-based claims analytics tool. Read now or download and read later

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McKesson To Launch Analytics-as-a-Service At HIMSS17

McKesson to Launch Analytics-as-a-Service at HIMSS17

  • February 15, 2017

McKesson revealed plans to debut a cloud-based analytics-as-a-service offering at HIMSS17 in Orlando next week. Called HQX Analytics, the consulting service helps providers and payers collaborate to develop successful value-based strategies as they transition from volume to value. Read the article

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Andrei Gonzales On Value-Based Care Innovations

Andrei Gonzales on Value-Based Care Innovations

  • February 10, 2017

The transition to value-based care has been helpful in getting providers to examine their own performance and find ways to improve quality. It allows providers to look at care as an episode of care, which is how patients experience it, and see where they can improve their care, says Andrei Gonzales, of McKesson Health Solutions. See the video

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BPCI Bundles Don’t Fuel Volume Increases: Analysis

BPCI Bundles Don’t Fuel Volume Increases: Analysis

  • February 8, 2017

New research found no evidence that bundled payment models increase the volume of procedures. Researchers compared major lower joint replacement rates among participants in Medicare’s Bundled Payment for Care Improvement (BPCI) program with rates of all other Medicare hospitals from 2011 through 2015. They found procedures at BPCI hospitals increased by 2.5% compared to a 9.7% increase among other hospitals. Read the article

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McKesson HealthQx First To Be Certified On Latest Version Of PROMETHEUS Care Episodes

McKesson HealthQx First to be Certified on Latest Version of PROMETHEUS Care Episodes

  • February 8, 2017

Today McKesson Health Solutions announced that HealthQx became the first healthcare analytics platform to earn Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics model. HealthQx helps health plans and health systems simplify the design, implementation, and monitoring of value-based models such as bundled care. HealthQx was certified by Altarum Institute’s Center for Payment Innovation. Read the news release

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Two New Federal Interoperability Rules: What You Need To Know

Two New Federal Interoperability Rules: What You Need to Know

  • January 12, 2017

Federal agencies finalized two new rulings aimed at accelerating the pace of interoperability in health IT.  The ONC just released its 2017 Interoperability Standards Advisory and final rulings were made on MACRA. In the first of a series of white papers on interop policy, we review what these regulations mean for the industry. Taken together, the rulings demonstrate the government’s commitment to pushing the industry towards a fully open and connected health information infrastructure. Read now or download and read later  

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