Finance, Revenue Cycle

Striving Forward, Atrius Health Focuses on ACO-Driven Learning

October 20, 2014     Mark Hagland
At Atrius Health, a non-profit alliance of six community-based medical groups in Massachusetts, mastering the ins and outs of the Pioneer ACO Program is part of a long-term strategic plan

Aetna’s Dr. Kennedy Opens the Health Plan ACO-Strategy Kimono

October 14, 2014     Mark Hagland
What does it mean when a prominent health insurer picks sole integrated health systems to partner with in individual healthcare markets? And will such single-health-plan-single-health-system partnering become a trend?

Pioneer ACO Results: A Big Numbers Salad Right Now

October 10, 2014     Mark Hagland
What do the first- and second-year Pioneer ACO Program results just published by CMS really mean?

Readmissions: The Numbers Are In, and They Are Dramatic for Hospitals

October 4, 2014     Mark Hagland
The folks at the Kaiser Health News service have done a phenomenal job in examining what’s going on with Medicare readmissions penalties on hospitals, and the numbers are in—and they are dramatic for hospital leaders nationwide.

Geisinger Study Finds Telemedicine to Cut Readmissions, Costs for Heart Failure Patients

October 3, 2014     Rajiv Leventhal
A Geisinger Health Plan (GHP) telemonitoring program significantly reduced hospital readmissions and cost of care for members diagnosed with heart failure, according to a recent study published in the journal, Population Health Management.

At Swedish Medical Center, Clinical Documentation Integrity is Paramount

October 2, 2014     Rajiv Leventhal
In the era of healthcare reform initiatives aimed at increasing transparency, accurate clinical documentation has become vital. One medical center in Seattle has implemented a comprehensive strategy for better documentation—with proven results.

Optum Moves into Physician Group Space with Acquisition

September 30, 2014     Gabriel Perna
Optum, an Eden Prairie, Minn.-based clinical analytics firm, will acquire Irving, Texas-based physician practice management and revenue management software firm, MedSynergies.

Moving the Collections Process Up Front

September 30, 2014     John DeGaspari
If there is one constant in the ever-changing world of U.S. healthcare, it’s that there is a huge squeeze on profit margins—a fact that affects even not-for-profit hospital systems, which need operating funds to continue their mission of providing care. That’s...

Striking a Balance Between Cost and Quality of Care

September 30, 2014     John DeGaspari
Although labor ranks among the highest-cost items in the budgets of most healthcare organizations, tight budgets and the lack of time and resources from tackling of too many initiatives have posed significant challenges to healthcare provider organizations...

ZirMed Acquires Analytics Provider MethodCare

September 29, 2014     Rajiv Leventhal
The Louisville, Ky.-based ZirMed, a cloud-based business and clinical performance management solution provider, has acquired Chicago-based analytics provider MethodCare.

Survey: Interoperability, Cost Continue to Hold Back ACOs

September 25, 2014     Rajiv Leventhal
A recent survey of 62 ACO participants revealed that 100 percent of respondents have trouble gaining access to data outside of their organizations. On a press call, health IT executives dug deeper into the survey’s findings.

SPi Healthcare Bought by Conifer for $235 Million

September 24, 2014     Gabriel Perna
The year of mergers and acquisitions in healthcare IT continues as Frisco, Texas-based Conifer Health Solutions has bought revenue cycle management (RCM) and health information management (HIM) software vendor, SPi Healthcare (Tinley Park, Ill.) for $235 million.
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