An increasing number of hospitals are turning to outsourced providers of complex claims management to help manage their hardest to collect dollars. The number of complex claims outsourced to specialists reached 39.8% in the 3rd quarter of 2016 – up from 20.4% in 2014. These complex claims typically take up an outsized portion of in-house […]
Outsourcing of Complex Claims on the Upswing Read More »
Geisinger Health System, a leading health system in Eastern Pennsylvania, has begun realizing tremendous benefits from a data analytics program established in 2015. The hospital’s Unified Data Architecture (UDA) collects and stores data from electronic medical records and other data sources to provide a holistic view of a patient’s health. Benefits of the UDA so
How One Hospital Uses Advanced Analytics to Drive Savings and Improve Outcomes Read More »
The Department of Health and Human Services’ Office of Inspector General (OIG) recently released the report of its findings from an audit conducted at Abbott Northwestern Hospital in Minneapolis, MN. Based on a review of 162 claims from 2013 and 2014, the OIG found a potential of $933,991 in over payments. Extrapolated over the 2-year
OIG Audit of Abbott Northwestern Hospital Turns Up $8 Million in Medicare Overpayments Read More »
Putting surgeons in the know regarding their OR spend can help hospitals reduce costs drastically. This is the main finding from a study published in JAMA Surgery by a study team at the University of California, San Francisco. A test group of surgeons who received monthly feedback on their OR costs reduced their spend by
How Physician Feedback Can Save Millions In Your OR Read More »
Disposable medical supplies are responsible for over 2,000 tons of physical waste per day, and they are making a huge impact on OR profits. A recent study by University of California, San Francisco noted that an average of nearly $1,000 of disposable medical supplies per procedure were wasted in their neurosurgical department. This equated to
How Operating Rooms Are Throwing Millions of Dollars Away Each Year Read More »
Moving to buying medical devices direct from manufacturers can yield huge financial benefits for hospitals. Loma Linda University Medical Center in California drastically eliminated reps in orthopedics after a long internal struggle to do so. They reported savings of about $1 million annually, or 50 percent on the cost of the devices, without affecting outcomes.
Moving to the ‘Rep-Less’ Model For Medical Devices to Save Money and Reduce Risk Read More »
What is Case Mix Index (CMI)? Medicare and Medicaid created a CMI score to help properly reimburse hospitals for services provided to inpatients (CMI doesn’t apply to outpatients). The CMI is an attempt to measure the resources needed to provide proper care for patients. An article from Health Leaders Media titled CDI Programs Drive Up Case
Increase Surgical Revenue – Part 3 of 3 (Case Mix Index) Read More »
I attended a fascinating session at the Becker’s Roundtable conference for CEO/CFO/CIO’s. Being a technology geek, I love hearing and seeing how technology is improving the cost of providing healthcare. The power of data can truly be amazing as in this example! For years, hospitals have been isolated from each other on how much they
If you haven’t yet attended one of Scott Becker’s “CEO/CIO Roundtable” Conferences, do try to make one of his next semi-annual meetings. Becker assembles a disparate group of speakers and powerhouse hospital luminaries to share best practices in a rather intimate environment, and attendees are absolutely unafraid to challenge moderators and speakers during sessions. After
Move it or Lose It!! Read More »
There is no doubt that the approach for delivering healthcare in America is in change mode. In 2016, the level and quality of personalized experiences will be a key factor as it relates to who wins patients and revenues that they bring. Healthcare leaders are looking to leverage systems to deliver customer intelligence to the
Improving the Customer Experience Read More »