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How the Affordable Care Act Changed the Face of Health Insurance

HealthPayerIntelligence The Patient Protection and Affordable Care Act (ACA) has revolutionized the health insurance industry in a number of ways. Its impacts have been vast and wide. One of the most significant impacts of the landmark legislation is the upward...

What Are the Benefits of Accountable Care Organizations?

HealthPayerIntelligence Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare...

How Ransomware Affects Hospital Data Security

HealthITSecurity Ransomware is a type of malware that typically prevents organizations from accessing certain parts of its system. For example, an entity and its users could be locked out from critical systems, such as EHRs, and may be unable to get in...

How Patient Portals Improve Patient Engagement

PatientEngagementHIT What are patient portals? Patient portals are an online website that is connected to the EHR, centrally focused on patient access to health data. These tools give patients a look into various data points, including lab results,...

Using Revenue Cycle Analytics for Effective Value-Based Care

RevCycleIntelligence The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers. There has been a much greater...

What We Know About Value-Based Care Under MACRA, MIPS, APMs

RevCycleIntelligence The Medicare Access and CHIP Reauthorization Act of 2015 has many parts tied to Medicare and other federal health plan beneficiaries, but first and foremost it is a bill that brings an end to the sustainable growth rate and a beginning to...

Key Ways to Improve Claims Management and Reimbursement in the Healthcare Revenue Cycle

RevCycleIntelligence Reimbursement is changing in healthcare. Even before elements of the Affordable Care Act began to go into effect, a growing focus on value- based care versus volume has led many healthcare organizations and providers to consider...

Increased EHR Adoption Raises Need for Robust Security

HealthITSecurity EHR security is one small piece to the larger data security puzzle that healthcare organizations, especially those of a larger size, are becoming increasingly aware of and looking to address. Under HIPAA, covered entities have the...

Time, Commitment Required for ACO, Value-Based Care Success

HealthPayerIntelligence In healthcare, as in so many other areas of life, patience is a virtue. Providers and payers pursuing ACO development will need to have plenty of it before their care transformation efforts pay off with significant cost savings. As...

Why Healthcare Needs Value-Based Supply Chain Management

RevCycleIntelligence Healthcare supply chain — the holistic flow of relationships between suppliers and customers — is about efficiently delivering low cost care as goods and supplies, such as a pair of doctor’s gloves, move from point of...