Hospital
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Building Post-acute Relationships in ACOs Is a Complicated Journey
For accountable care organization arrangements to succeed, healthcare organizations need good working relationships and continual communication.
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Opioid Addiction in Medicaid Population Calls for New Case Management Strategies
In recent years, the opioid epidemic has created new challenges for healthcare organizations seeking to improve population health.
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Using Risk Analysis Model, Health System Cuts Readmissions
A risk stratification tool identifies members of a Medicaid population that need targeted case management interventions. The eventual goal is self-management, as well as reducing costs.
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How to Avoid Financial Disasters
Here are three things patient access must do well.
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Know Patients’ Propensity to Pay
Connecting patients with affordable payment options and/or financial assistance in advance of services is essential in today’s healthcare environment.
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Guide Physicians Through Peer-to-Peer Requests
It’s not easy to persuade a busy physician to engage in a time-consuming conversation with an insurance company representative.
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Expect Payers to Demand ‘Peer-to-Peer’ for Many More Claims
These requests require the patient’s physician to consult with the payer’s physician before a claim is approved.
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‘Efficient’ Registrars Can Trigger EMTALA Violation
A registrar who’s simply trying to save the patient some time actually might cause a problem.
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Does Patient Lack ID or Insurance Card?
It can lead to fraud, theft, or worse.
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Patients Didn’t Know Registration Was Complete
One health system made a small change in how it gauges patient satisfaction, which paid big dividends for all parties.