Happy ICD-10 Anniversary!

Happy ICD-10 Anniversary!

  • October 1, 2014

Here's a commemorative cartoon for your office refrigerator!   But don't thank us for it. Thank our colleagues at RelayHealth Financial, where you'll find more revenue cycle management cartoons and expertise on ICD-10 readiness to boot. In fact, RelayHealth Financial's full suite of financial connectivity solutions were ready for ICD-10 -- including support for true end-to-end testing -- a full two years ahead of the U.S. government deadline. So enjoy the anniversary. And hop on over to RelayHealth Financial to learn more about ICD-10 readiness, because the final countdown to ICD-10 has begun.      

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How Do You Pay For Value-based Care?

How Do You Pay for Value-based Care?

  • October 1, 2014

"Although no one yet knows where the sea change of value-based payment is headed, there's no doubt that this is a trend with longevity," writes Amber Taufen, a writer for Benefits Pro. In her thorough look at value-based models, she examines the trends, the challenges and new strategies for lowering the nation's medical bill. Taufen also quotes leading experts on value-based reimbursement, including McKesson VP and Medical Director David Nace, MD, who explains what's driving the shift to value based care: "We know so clearly that higher-value care—more preventive care, more evidence-based care, more patient-centered care where the patient is engaged—is usually…

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ICD-10 Questions That Still Need Answers

ICD-10 Questions That Still Need Answers

  • October 1, 2014

October 1st was supposed to be the day that ICD-10 went live. Instead, it was delayed as part of the SGR "patch" bill until 2015. RelayHealth's ICD-10 cartoon, "Wait for it ...", added a touch of humor to Carl Natale's commemoration of the launch that wasn't on ICD10Watch. See it here

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How Do You Pay For Value-based Care?

How Do You Pay for Value-based Care?

  • September 25, 2014

An article in Benefits Pro bemoans the lack of unified metrics to determine how to define value in value-based care. McKesson VP and Medical Director David Nace, MD, said in the article: “Every payer has different metrics and different methods of payment. That’s the wild cowboy market economy we’re in, and we need to move toward alignment.” The article asks who is leading the standardization and covers other issues such as the need for metrics on which to base measurement of care value. Read the full article 

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A Year Away From ICD-10, What To Do Now To Prepare

A Year Away from ICD-10, What to Do Now to Prepare

  • September 22, 2014

Even though we're a full year away from the ICD-10 deadline, payers and providers should not take an "ICD-10 readiness break." That's according to Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, who shared his three steps to ICD-10 preparedness -- readiness, transparency, and testing -- with Becker's Hospital Review readers. Read the full story

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ICD-10 Is Around The Corner, For Real This Time

ICD-10 is Around the Corner, for Real This Time

  • September 18, 2014

Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, tells McKnight's why the ICD-10 delay is not a license to sit back and relax. Providers need to continue testing or get moving now if they haven't started, or risk not being ready to go next October. Aside from testing, Berman urges providers to get their coders trained "asap." Read the full article here

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The Progression Of Value-Based Payment Models

The Progression of Value-Based Payment Models

  • September 18, 2014

To smoothly transition from volume- to value-based models in healthcare, success will require a shift in mindset, tools to support tracking and analyzing clinician behavior, and a solid infrastructure to ensure usability, according to an article on HiTech Answers. McKesson's Matthew Zubiller, Vice President, Corporate Strategy & Business Development and Andrei Gonzales, MD, Director, VBR Initiatives, both weigh in about the leading reimbursement models, the obstacles they present, and ways to overcome those challenges. Read the full article      

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Value-based Health Care Drives Debate

Value-based Health Care Drives Debate

  • September 17, 2014

In the first of a series, reporter Amber Taufen of Benefits Pro takes a broad look at the issues payers and providers face when transitioning to value-based care. The article led with McKesson's benchmark study, “The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014," and quoted VP and Medical Director David Nace, MD, about how value-based care can help reduce costs and improve care.  Read the full article

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Everything You Ever Wanted To Know About Bundled Payments

Everything You Ever Wanted to Know about Bundled Payments

  • September 15, 2014

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?…

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How Fraud And Waste Can Help ICD-10 Advocates

How Fraud and Waste Can Help ICD-10 Advocates

  • September 13, 2014

In Carl Natale's Week in Review over at ICD-10 Watch, he draws a connection how getting ICD-10 done on time can help reduce fraud and waste. As part of this, Natale lists some of our own Josh Berman's "Joshisms," such as "providers get in the most trouble not by the problem, but by not knowing the problem fast enough." Read the full story

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