Learn: Financial Empowerment
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在2022年医疗金融领域打胜仗:How to Tackle Lower Volumes, Higher Costs, and Big Competition
How can traditional providers adapt and thrive in this new healthcare landscape? They must start by recognizing the impending challenge as a business problem, not a technology or care problem. This means leveraging their CFOs and financial leaders to play a more collaborative role in empowering clinicians to make better decisions and operationalizing health systems’ key differentiator—data.
Success Story
Innovative Care Management Program Avoids Nearly $16M in Costs and Transforms Lives of Super-Utilizers
Nearly 60 percent of patients who visited The Queen’s Medical Center’s emergency department (ED) in Hawaii were experiencing homelessness—and some visited the ED every day. A disparate number of resources went towards treating these patients, and they would have received better care for their needs outside the ED. To improve patient outcomes and reduce costs, The Queen’s Health Systems developed a program to improve outcomes for this unique patient population, leveraging its analytics platform, payer data, and patient flow data to evaluate the system’s success and efficiency.
Insights
Deliver a First-Class Patient Experience with Five Financial Tactics
Healthcare organizations continually strive to improve each patient’s experience to ensure quality care delivery and qualify for financial reimbursements. Health systems try to optimize the patient experience through traditional methods, including better access and appointment reminders. However, organizations can improve the patient journey and deliver a first-class experience by taking a different approach—by targeting the following five aspects of the billings and collections process, providers can proactively inform patients about their financial expectations and avoid surprise bills.
Insights
A Five-Step Audit for Peak Charge Capture Performance
As health systems strive for financial growth and stability in a pandemic and shifting healthcare market, leaders often overlook a key opportunity to maximize profit margins for services rendered—a charge capture audit. A charge capture audit takes a deep dive into the charge capture process, exposing root causes of costly errors and suboptimal processes. These five steps derive critical insight to help health systems apply interventions and restore revenue integrity.
Success Story
Population Health Analytics Enables Improved Quality Increasing Revenue by Nearly $1M
先进的支付模式激励问责制护理组织(ACOs)提供高质量的护理，缩小成员在护理方面的差距，从而获得共享的储蓄和增加利润。然而，为了取得成功并发现护理方面的差距，aco必须能够依赖可靠的数据和分析，以避免损失收入，这些收入可以投资回患者护理。利用其分析平台和质量测量解决方案，医院姐妹卫生系世界杯厄瓜多尔vs塞内加尔波胆预测统(HSHS)可以缩小护理差距，提高ACO质量测量性能，并提高报告的准确性和有效性。
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