Evolution Of An Episode Of Care

Evolution of an Episode of Care

  • June 12, 2017

What does it take to bridge the gap between precision medicine, population health, and episodes of care? That's a question that can only be asked in a world moving to value. The answer was shared with attendees at AHIP Institute last week by Lili Brillstein, MPH, Director, Episodes of Care, Market Innovations, Horizon Blue Cross Blue Shield of New Jersey; and Andrew L. Pecora, MD, FACP, CPE, President, Physician Enterprise and Chief Innovations Officer, Hackensack Meridian Health; Professor of Medicine and Oncology, Georgetown University. Change Healthcare's Amy Valli asked Ms. Brillstein and Dr. Pecora for a preview of their session before…

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AHIP Social Media Ambassador Mandi Bishop Shares Her Views At This Year’s Expo

AHIP Social Media Ambassador Mandi Bishop Shares Her Views at This Year’s Expo

  • June 12, 2017

As we all know, our industry is abuzz with change. And AHIP social media ambassador Mandi Bishop has her finger on the pulse of change. Bishop is CEO and founder of Lifely Insights, bringing life context to healthcare decision-making with her active Twitter (@MandiBPro) and other social media channels. At the recent AHIP Institute & Expo 2017, she took a few minutes out of her packed schedule to speak with John Hallock, Change Healthcare VP of External Communications and Media Relations. The duo discussed value-based reimbursement, alternative payment methodologies, and how she views market consolidation. Mandi and John appeared live on…

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Reinventing Utilization Management

Reinventing Utilization Management

  • June 12, 2017

When utilization management works effectively in healthcare, everything runs better. That was the message delivered by Nilo Mehrabian, VP of Product Management at Change Healthcare, in the presentation she delivered at the AHIP Institute and Expo 2017, in Austin, Texas. Nilo discussed her session with Ian Gilbert, Senior Product Marketing Manager, Decision Management at Change Healthcare, in a live Twitter broadcast from the expo show floor. They discussed the importance of transforming UM, improving processes overall, and how to best utilize technology to help create trust between payers and providers. Get the synopsis of Nilo’s presentation, “Reinventing Utilization Management: Faster,…

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Why Financial Engagement Is The Linchpin Of Consumer Engagement

Why Financial Engagement is the Linchpin of Consumer Engagement

  • June 12, 2017

It’s happening more and more: Once medical treatment is rendered, the customer gets the bill and calls their provider asking, “What  does this mean?” At the recent AHIP Institute and Expo 2017, two leaders in the field of medical payments broke it down for attendees in their presentation, “Why Financial Engagement is the Linchpin of Consumer Engagement.” Stuart Hanson, SVP and GM of Consumer Payment Solutions for Change Healthcare, was joined by Jack Gehrke, Head of Digital Consumer Payments at Aetna. They shared statistics that reflect the challenges customers face in making sense of their coverage and invoices, and why…

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ZeOmega And InterQual Bring Prior Auths Up To Speed

ZeOmega and InterQual Bring Prior Auths Up To Speed

  • April 29, 2017

Every provider would like prior auths to be faster and easier, so they can focus on delivering appropriate patient care instead of pushing paper. Now ZeOmega, developer of the Jiva population health management platform, has integrated InterQual Connect to help make automated authorizations a reality. In this new webinar, ZeOmega demonstrates how Jiva and InterQual Connect work together to streamline and automate auth requests, making exception-based UM a reality.

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Making Metrics Matter At HIMSS17

Making Metrics Matter at HIMSS17

  • February 20, 2017

Today at HIMSS17 in Orlando, McKesson RelayHealth Financial took the wraps off of MyHealthyHospital.com, a unique program that lets hospital revenue cycle leaders benchmark their organization's fiscal fitness against peers nationwide. By simply entering their own hospital's data in the areas of Claim Quality, Reimbursement, Payment Velocity, and Productivity/Quality, visitors can learn if they are underperforming, on track, or exceeding averages in each revenue cycle area. They can use this information to identify areas for improvement that can improve revenue cycle performance. Watch the video to learn more about how RelayHealth Financial's revenue cycle expertise and claims database can help providers…

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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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Andrei Gonzales Advocates For Experimenting With New Payment Models

Andrei Gonzales Advocates for Experimenting With New Payment Models

  • October 23, 2016

The Affordable Care Act mandated that payers experiment with value-based care models and scale up those that showed promise. That's brought the industry some promising alternative payment models that are now being successfully scaled. The American Journal of Managed Care cornered McKesson's Andrei Gonzales for his take on the ACA's present and future impact on value-based reimbursement. Watch the video

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Don’t Be Denied At HFMA ANI 2016!

Don’t Be Denied at HFMA ANI 2016!

  • June 26, 2016

McKesson Health Solutions' Decision Management team will be at the 2016 Healthcare Financial Management Association National Institute (HFMA ANI 2016) in Las Vegas to share some unique tools and tips that can help your hospital reduce denials. Connect with us at booth 214 to see how you can use InterQual evidence-based criteria, coupled with some essential best practices, to help reduce denials related to medical necessity. If you can't make it to ANI this year, don't fret. We've just published several new resources that capture our recommendations and can help providers reduce medical necessity denials as well as improve their…

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Patient Access Groundhog Day

Patient Access Groundhog Day

  • June 24, 2016

This new video from RelayHealth Financial takes a humorous jab at the constant ID requests that patients have to provide along every step of their healthcare journey. Watch the video  

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