Billing and Collections
The healthcare industry is on notice: Fraud recoveries in the healthcare sector are on the rise and whistle-blowers are the biggest weapon in the fight against fraud.
The Bipartisan Policy Center (BPC), Heritage Provider Network (HPN), and The Advisory Board Company have launched the Care Transformation Prize Series, a national contest to address the most daunting data problems US health care organizations face as they implement new delivery system and payment reforms.
University Hospitals, a healthcare system in northeast Ohio, has joined up with three smaller health systems in the state to create a new purchasing collaborative to save money on supplies and improve the efficiency and effectiveness of care delivery.
Hospitals make more of a profit when surgical patients develop complications finds a new study published Wednesday in JAMA.
Patients are often confused by the medical bills they receive from providers and have difficulty matching them up with the so-called Explanation of Benefits (EOB) forms they get from health plans.
The Federal Bureau of Investigation estimates that healthcare fraud costs are approximately $80 billion annually. To prevent some of the billions from being siphoned from the healthcare system, many organizations are turning toward analytics.
My long-time self-paying patient opined that the end of fee-for-service payments was imminent. I lightheartedly asked her how physicians would be paid. Would they be housed in military barracks and given vouchers for necessaries?
Field testing of new models of healthcare delivery and payment often reveal unanticipated challenges and benefits in efforts to achieve targeted outcomes.
One of the business pain points for physicians is collecting payments from patients for their services, which often involves lots of customer service call time on the phone. An online payment platform for healthcare, called Money2, from Citi aims to make that process easier, more efficient and consumer-friendly, according to those involved with the tool.
On April 1, Highmark Inc. unveiled a group health plan aimed at larger employers and self-insured businesses that provides incentives for members to use providers that exhibit higher quality outcomes, fewer complications and reduced readmissions.