Analytics

For many healthcare providers, this shift from fee-for-service payments requires a number of strategic and systemic changes that, even if implemented efficiently, could put stress on their revenue cycles.

Illinois-based RSA Medical provides analytics to health and life insurance companies that enables plans to identify medical conditions and other risk factors among enrollees and direct them to proper care.

Analytics firm Zephyr Health, a San Francisco-based startup that bills itself as an "insights-as-a-service" company for the healthcare industry, closed on a $17.5 million third round of funding, led by Google Ventures.

Risk-O-Meter has an 82 percent accuracy in forecasting 30-day readmissions.

Experts say existing systems are not really capable of dealing with the revenue cycle shift.

According to the company, the analytics service will be especially helpful as the ACO prepares to expand its value-based care model to other insurers and suppliers.

Clinical documentation improvement at Henry Ford Health System includes nurses serving as translators between physicians and coders and analytic tools that have added 2 percent to revenue cycle bottom line.

As the healthcare industry moves from volume to value, tech vendors including Cerner, Craneware, Premier Revenue Solutions LLC and ZirMed Inc. are attempting to fill the need in the market by working with hospitals to integrate their revenue, clinical and operational systems.

Healthcare Finance showcases its top five most popular videos from the first half of the year.

Revenue cycle company Emdeon this week announced plans to acquire Altegra Health, an analytics firm, for $910 million, a move the companies said will better position them as the industry moves to a value-based model.