How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 9, 2015

By David Nace, MD, Vice President and Medical Director, Change Healthcare Powerful incentives and inertia remain intact, limiting stakeholders’ willingness to experiment with the range of innovative reimbursement models that promise to make the effort and cost of reform worthwhile. The result: growing agreement that transition to a system that fosters experimentation with mixed reimbursement schemes is required to ease away from the existing FFS model and the entrenched processes and technologies that are already in place. It’s said that imminent execution concentrates the mind. It could also be said that the looming specter of draconian cuts to healthcare, and…

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Unlocking The Human Genome: New Challenges And Opportunities For Health Plans

Unlocking the Human Genome: New Challenges and Opportunities for Health Plans

  • October 28, 2013

Molecular Diagnostics (MDx), the next wave of innovation in healthcare technology, is arriving. Exciting, challenging, transformational, hopeful, complex, alarming, terrifying and expensive are all descriptions that are being used to describe the dawn of this new world. In an earlier post, I discussed the need to build a new diagnostic testing vocabulary that can be shared across payer, provider and lab stakeholders in order to improve collaboration and processing in diagnosis and claims. Following several generations of emerging technology involving digital imaging in the ‘80’s, 90’s, and ‘00’s, Molecular Diagnostics is now arriving with an entirely new view of our genetic…

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Credible, Defensible Estimates

Credible, Defensible Estimates

  • October 14, 2013

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 Change Healthcare's Estimation Maturity Model (EMM) for creating estimates. Read now or download and read later

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