Our Blog
14
Nov
Preserving the Hospital’s Net Revenue Stream
Today’s health care has more initiatives and directives than ever before, thus it’s easy to get lost in the weeds of change and process. A recent survey of CFO’s again confirmed the importance of securing the hospital’s net revenue stream moving forward. An article last week in a leading health care online newsletter explained why […]
Read More
20
Oct
An ACA fix?
The Senate seems poised to vote for what leadership is calling a fix to ensure the stability of the federal exchanges, yet it appears to be little more than a continuation of the ‘hand-outs’ to insurers. It will extend the subsidies for 2018 through 2019, long enough to get through the coming 2018 Congressional election […]
Read More
13
Oct
A Tale of Two Changes
President Trump signed an Executive Order yesterday that enables the sale of health insurance across state lines. This is designed to expand choice in purchasing health insurance at a time when many of the state-run and federal insurance exchanges have only one insurer and rates are increasing dramatically. The Executive Order also allows individuals to […]
Read More
10
Oct
Timing?
When is the best time to implement a new CDM strategy? CFO’s have tackled charge master changes, reviews, and bench-marking exercises at different times of the fiscal cycle with varying degrees of success. Having well-defined goals, a reasonable timeline (to avoid “mission creep”), and effective tasking are key. The short answer to the first question […]
Read More
20
Sep
Charge Master Strategies
The ACA has succeeded in changing the national conversation about health care despite not achieving its stated goals. The ACA’s purposeful shift in paradigm from Fee-for-Service (FFS) to value (patient outcomes) is underway, albeit at a slower pace than predicted. Some have advocated abandoning the charge master altogether, saying it is no longer relevant since […]
Read More
29
Jun
News
Health care is undergoing enormous change again and it’s far from complete. Industry senior executives who led their hospitals through the transition to the Federal DRG system in 1982 acknowledge that change from the Affordable Care Act is substantially greater. The full impact of the employer and individual mandates is still evolving and the Cadillac […]
Read More
1
Feb
Making Sense of The New Landscape
The next generation of revenue cycle tools should help you tackle today’s problems and speak directly to a vastly different landscape, but will deliverables meet expectations? Much of the revenue cycle is evolving. ICD-10 is here, but it’s much too early to know how this affects receivables, physician productivity, coders, patient engagement, and patient satisfaction. […]
Read More
27
Oct
What’s in a Blue Sheet Analysis?
It’s here. The feds, states, and even some insurers (the Big Three) are piling on. Consumers can’t make sense of hospital pricing they claim. You know achieving true pricing transparency is difficult because of third party involvement in health care. The charge master is complicated in part because of this unique construct. Let’s face it […]
Read More
20
May
Why Ask Questions?
All businesses need to create goals, establish priorities, and flesh-in a pathway forward as part of a business plan. Most organizations engage in a purposeful examination of performance (results), structure, markets served, potential new opportunities, positives, negatives, and anything else germane to strategic planning and positioning. Who is your organization (not what)? What are your […]
Read More
Preserving the Hospital’s Net Revenue Stream
Today’s health care has more initiatives and directives than ever before, thus it’s easy to get lost in the weeds of change and process. A recent survey of CFO’s again confirmed the importance of securing the hospital’s net revenue stream moving forward. An article last week in a leading health care online newsletter explained why […]
Read More
An ACA fix?
The Senate seems poised to vote for what leadership is calling a fix to ensure the stability of the federal exchanges, yet it appears to be little more than a continuation of the ‘hand-outs’ to insurers. It will extend the subsidies for 2018 through 2019, long enough to get through the coming 2018 Congressional election […]
Read More
A Tale of Two Changes
President Trump signed an Executive Order yesterday that enables the sale of health insurance across state lines. This is designed to expand choice in purchasing health insurance at a time when many of the state-run and federal insurance exchanges have only one insurer and rates are increasing dramatically. The Executive Order also allows individuals to […]
Read More
Timing?
When is the best time to implement a new CDM strategy? CFO’s have tackled charge master changes, reviews, and bench-marking exercises at different times of the fiscal cycle with varying degrees of success. Having well-defined goals, a reasonable timeline (to avoid “mission creep”), and effective tasking are key. The short answer to the first question […]
Read More
Charge Master Strategies
The ACA has succeeded in changing the national conversation about health care despite not achieving its stated goals. The ACA’s purposeful shift in paradigm from Fee-for-Service (FFS) to value (patient outcomes) is underway, albeit at a slower pace than predicted. Some have advocated abandoning the charge master altogether, saying it is no longer relevant since […]
Read More
News
Health care is undergoing enormous change again and it’s far from complete. Industry senior executives who led their hospitals through the transition to the Federal DRG system in 1982 acknowledge that change from the Affordable Care Act is substantially greater. The full impact of the employer and individual mandates is still evolving and the Cadillac […]
Read More
Making Sense of The New Landscape
The next generation of revenue cycle tools should help you tackle today’s problems and speak directly to a vastly different landscape, but will deliverables meet expectations? Much of the revenue cycle is evolving. ICD-10 is here, but it’s much too early to know how this affects receivables, physician productivity, coders, patient engagement, and patient satisfaction. […]
Read More
What’s in a Blue Sheet Analysis?
It’s here. The feds, states, and even some insurers (the Big Three) are piling on. Consumers can’t make sense of hospital pricing they claim. You know achieving true pricing transparency is difficult because of third party involvement in health care. The charge master is complicated in part because of this unique construct. Let’s face it […]
Read More
Why Ask Questions?
All businesses need to create goals, establish priorities, and flesh-in a pathway forward as part of a business plan. Most organizations engage in a purposeful examination of performance (results), structure, markets served, potential new opportunities, positives, negatives, and anything else germane to strategic planning and positioning. Who is your organization (not what)? What are your […]
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