Kevin H. Walters

The latest Kaufman Hall National Hospital Flash Report reveals stable financial and operational hospital performance in October. While expenses declined on a volume-adjusted basis as discharges increased, supply and drug costs continued to rise. Stay informed on the latest hospital financial trends. #healthcareconsulting #hospitalperformance #healthcaremanagement #hospitaldata

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Are you prepared for the coming additions to The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage (MA) Star Ratings Measures? Beginning January 1, 2025, CMS is implementing additions and changes that will impact 2027 Star Ratings. MA Plans and providers must ensure they are fully prepared to identify beneficiaries for which these new measures apply and develop strategies to address their care needs — and time is ticking. Learn more: https://lnkd.in/eyW4qVgG #FTIHealthcare Key Contacts: Mark Van Ert and Krunal Patel

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Are you prepared for the coming additions to The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage (MA) Star Ratings Measures? Beginning January 1, 2025, CMS is implementing additions and changes that will impact 2027 Star Ratings. MA Plans and providers must ensure they are fully prepared to identify beneficiaries for which these new measures apply and develop strategies to address their care needs — and time is ticking. Learn more: https://lnkd.in/etwwres4 #FTIHealthcare Key Contacts: Mark Van Ert and Krunal Patel

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With so many hospitals trying to "more with less" in 2025, this is a great, quick read by Brad Robinson highlighting the value how to optimize your facility's #revenue cycle through maximizing your #Nursing Leaders! If there's a specific hospital department or RN Leadership role that is negatively impacting your facility's bottom line, let's talk! HealthLinx® can help! #PerformanceImprovement #FinancialBenefitGuarantee #ROI #TransitionalLeadership

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This latest #PwC study notes that "...GLP-1s in particular as a driver to watch. Costs per member on GLP-1s have risen steadily over the past several years, reaching $23.16 in the first half of 2023 compared to $8.99 in 2021." No surprise there and expect both demand and costs to continue. #Obesity is one of the significant drivers of GLP-1 demand. Click on this on-demand #IQVIAInstitute webinar to learn more: Rethinking Obesity: Impact on Healthcare Economics and Clinical Practice (on24.com)

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The Two-Midnight rule for inpatient care now applies to #MedicareAdvantage plans, which has led to revenue cycle challenges for providers. Learn from Forvis Mazars US how to improve clinical documentation to demonstrate medical necessity for extended hospital-level care and potentially reduce denials and payment delays: https://lnkd.in/gSrzjNpF

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Proud to Share Another Strong Quarter for Sienna Senior Living! Our third quarter marked another period of progress and success as we continue to grow and strengthen our impact on senior living: 🔹 Operating results improved for the seventh consecutive quarter 🔹 Recent capital-raising initiatives were met with overwhelming demand from investors 🔹 Our recent $182 million acquisition in Alberta marks a successful step in our expansion, enabling us to serve even more seniors across Canada These accomplishments did not happen by chance. They are the result of a continued commitment to improving our operating platforms, strengthening team member engagement, and driving forward our growth strategies. As we expand the number of seniors we serve, we are more committed than ever to prioritizing team member engagement and retention as a cornerstone of our success. Our 12,500 team members are the reason why we can care for nearly 12,000 seniors, and as owners of the company, they are deeply aligned with Sienna's success. David H., Jennifer Anderson, Geoff McIlmoyle, CFA, CPA, CA, Teresa Fritsch, MBA, MA, ICD.D, Olga Giovanniello M.Ed, C.Dir., Adam Walsh, Nancy A. Webb and I look forward to continuing our growth trajectory with them.

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If I asked you to choose between Trader Joe's or Target, which would you choose? It's a silly question, really. Because both offer unique benefits. As major GPOs shift in the market, exclusive agreements are becoming common. But are they truly driving value for health systems and patients? Exclusive GPO contracts limit choice. It's like forcing someone to choose between Trader Joe’s and Target. At Advantus Health Partners, we offer diverse vendor partnerships and PPI contracts, enhancing both economic benefits and patient care. By rethinking exclusivity, we prioritize patients and empower health systems with choice. Ready to supplement your supply chain with value-added partnerships? Contact Advantus today to learn more about our non-exclusive contracts. https://lnkd.in/deiYRgfE #SupplyChainStrategy #GPOExclusivity

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Love this! Change is often necessary for growth and adaptation, especially in today's fast-paced world. It can lead to new opportunities, innovations, and improvements that wouldn't be possible otherwise. How are you managing change in your organization?

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Blue Cross Blue Shield of Texas will terminate its Medicare Advantage and Medicaid contracts with MD Anderson Cancer Center starting November 1. MD Anderson emphasized its intent to ensure continuity of care for patients in active treatment, collaborating with BCBS to support affected individuals. The exact number of impacted patients remains unknown, but BCBS has over 9,200 Medicare Advantage HMO members statewide and manages Medicaid plans in Texas’s Travis and Central regions, including Austin and Waco. Importantly, Medicare Advantage retirees from the The University of Texas System and Texas A&M University systems will not be affected, as MD Anderson will continue accepting certain other Medicare Advantage plans, such as those from Kelsey-Seybold Clinic and BCBS affiliates in Illinois, Montana, New Mexico, and Oklahoma. BCBS Texas, part of Health Care Service Corporation, stated it made this “necessary” decision to optimize care access and cost-effectiveness, promising to assist affected members in finding alternative in-network providers or qualifying them for in-network rates if eligible. The BCBS Texas and MD Anderson split impacts healthcare entities by limiting patient options, disrupting treatment continuity, and increasing administrative burdens as patients seek in-network alternatives. Communities face reduced access to specialized care, especially in critical cancer treatments. Our RCM team assists by coordinating transitions, ensuring accurate billing, and supporting patients and providers in navigating network changes for optimal care continuity. We are the One! #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner Becker's Healthcare

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Download Mindsets 2024 from Forvis Mazars to see the results from a survey of 120 healthcare leaders on current trends and challenges in the industry: https://bit.ly/3KVndA8

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Ready to plan your business exit? Our guide covers setting clear goals, identifying buyers, and proactive tax planning. Achieve your ideal exit with LBMC! #BusinessExitStrategy #ExitPlanning #LBMC

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What a great day for our team and community! Quint always provides such valuable insight to leaders at every level of an organization and his research and knowledge on employee retention and trust is so valuable in today’s healthcare environment. To learn more from Quint, subscribe to his weekly newsletter at https://lnkd.in/gQ8RRzZ6. #TheHumanMargin;Quint Studer

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The Two-Midnight rule for inpatient care now applies to #MedicareAdvantage plans, which has led to revenue cycle challenges for providers. Learn from Forvis Mazars US how to improve clinical documentation to demonstrate medical necessity for extended hospital-level care and potentially reduce denials and payment delays: https://lnkd.in/eyEkHzJc

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Join the conversation HIMSS Central Texas Chapter!

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RCM Connections - Fee Schedule Updates for 2025 right around the corner! Connect with me here, let's talk about data management and streamlining your organizations management of your fees, contract allowances and the power it provides when creating estimates for your patients!

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The time is now: Why addressing your revenue cycle challenges is critical in 2025 for healthcare leaders. Take a look at our eguide in the link below.

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