Thomas O. Marshall
Anaheim, California, United States
2K followers
500+ connections
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About
Dynamic, forward thinking, visionary client/customer success leader with extensive…
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Matt Koslosky
Navigating the reimbursement landscape poses significant challenges for NEMT providers, and can impact their ability to deliver consistent and reliable transportation. Complex reimbursement models, delayed payments and regulatory compliance are just a few challenges faced on a daily basis. So how might we address these issues? ➡ Advocate for Policy Reform: Unite to push for more transparent and equitable reimbursement policies that recognize the critical role of NEMT. ➡ Enhance Operational Efficiency: Invest in technology and training that can streamline processes, reducing errors and improving turnaround times for claims. ➡ Foster Collaboration: Build partnerships with healthcare providers and payers that create a more integrated system that supports patient needs. Let's drive change, and ensure that patients have the reliable transportation they need! #NEMT #ReimbursementChallenges #PatientTransportation
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Sheila Tillman
For over 40 years, Advisory Board's 200 experts have guided 4,500+ healthcare organizations through major challenges. Stay ahead of shifting care settings with their annual update! Preview the latest report here: https://optumin.co/l3tdy8 #Optum #AdvisoryBoard #Healthcare #SiteofCare #Healthplan #Healthcaredata #Healthcaretrends
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Tom Navasero
Philhealth Partners with SwiftClaims to Revolutionize Healthcare Reimbursements Through AI Technology In a groundbreaking initiative to transform healthcare services, Philhealth has announced its collaboration with the local AI firm, SwiftClaims, to introduce a revolutionary real-time reimbursement system for healthcare claims. This collaboration aims to drastically reduce processing times, claim denials, and combat fraudulent claims, marking a significant advancement in healthcare technology. Until now, healthcare providers and patients have faced extensive delays in the reimbursement process, sometimes extending up to two years. However, with SwiftClaims' innovative AI technology, this will soon be a thing of the past. The new system is designed to reduce the typical 30-day processing period dramatically, with an aim to handle claims almost instantaneously. Key improvements from this partnership include: - Real-Time Processing: Claims will be processed in real-time, allowing for immediate reimbursements. - Reduction in Claim Rejections: Advanced AI algorithms will help reduce claim rejections by 99%, ensuring most claims are processed smoothly and efficiently. - Fraud Detection and Prevention: The AI system is equipped with capabilities to identify and prevent fraudulent claims, enhancing the integrity of healthcare transactions. - Cost Reduction: With enhanced efficiency and reduced fraud, the overall cost of healthcare will decrease, making services more affordable for patients. SwiftClaims Advisor commented, “Our AI-driven platform is not just a technological upgrade; it’s a transformative tool for improving patient care by reducing administrative burdens and financial stress for both healthcare providers and recipients.” Philhealth's adoption of this advanced AI technology from SwiftClaims underscores a pivotal shift towards applied AI, reflecting a broader global trend towards harnessing AI to enhance the quality of life. As AI continues to mature, its applications across various sectors promise to bring about significant improvements in efficiency and effectiveness. This initiative is expected to set a new standard in healthcare administration, underscoring Philhealth’s commitment to leveraging cutting-edge technology to better serve its constituents. About Philhealth Philhealth is dedicated to providing accessible and affordable healthcare services to all Filipinos, ensuring comprehensive health coverage and innovative solutions to healthcare challenges. About SwiftClaims SwiftClaims is a leading AI firm specializing in real-time data processing and analytics solutions aimed at enhancing efficiency and accuracy in various industries, including healthcare.
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David Lubarsky
Excited that Becker's Healthcare will air its “CEO + CFO Virtual Forum tomorrow and our panel’s discussion titled, “Hospital Financial Strategy Reboot: How to Proceed as Healthcare Exits the Hospital.” As I noted, UC Davis Health is optimizing the most effective and wise ways to balance care for inpatient, outpatient and at-home contexts, while always putting our patients at the center of everything we do. https://lnkd.in/ebbkH4Ws
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Clark Cameron
Most sales pitches overemphasize the benefits of the shiny new object while minimizing the frictional cost (financial and otherwise) of implementing the shiny new object. But that change friction is real. In the pursuit of savings, you can easily burn out your team and leave employees feeling overwhelmed or confused by something new which was intended to "help". For companies large or small, switching health insurance carriers isn’t just a minor tweak—it’s a complex, often disruptive process that can create significant operational headaches and employee frustration. And let’s be honest: maybe you like your current health plan carrier. Your employees are satisfied with the coverage; they’re just frustrated by the rising costs. New alternative health plans are emerging, with many promising savings—but most requiring a complete platform overhaul, essentially a full “chassis change” to your entire benefits structure. Some of these plans might save on paper, but they often come with a steep learning curve and operational disruption that impacts both your team and employees. So why not take a different approach? Instead of replacing a health plan carrier that already works for you, imagine staying with your preferred plan but simply guiding employees to the highest-quality, most cost-efficient care options available within your existing health plan network. It’s about maximizing value where you are, leveraging smarter care choices that reduce costs and improve outcomes—without costly disruption or forcing employees to navigate a new system. Garner Health doesn't ask you to reinvent the wheel. Garner sits on top of any plan network and surfaces the top performing doctors from a cost and quality view in a simple and elegant way. Zero disruption. Garner works within your current health plan to achieve real savings, improve member care and deliver value without the friction. For companies that want true impact minus the operational upheaval, Garner is the way forward. Curious how you can make the most of your existing benefits and improve care for your employees while still driving down costs? Let’s connect. https://lnkd.in/d7Rm5JVB
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Mark Crawford, MBA
🚨 The Future of Healthcare Finance: Balancing Cost & Quality 🚨 Healthcare finance is at a critical crossroads. Rising costs, regulatory changes, and shifting patient expectations demand that organizations find new ways to balance cost control without compromising quality care. Here are 3 key strategies to navigate the road ahead: 1️⃣ Value-Based Care Models: The shift from fee-for-service to value-based care is pushing healthcare organizations to focus on patient outcomes rather than service volume. Embrace models like ACOs and bundled payments to improve efficiency and quality. 2️⃣ Leverage Technology: AI, automation, and telemedicine are transforming healthcare. These tools not only streamline operations but also enhance patient care while reducing administrative costs. 3️⃣ Operational Efficiency: Reducing administrative waste and adopting lean management practices can significantly cut costs without affecting patient outcomes. Optimize workflows and use data analytics to make informed decisions. The future of healthcare finance is challenging but full of opportunity. By investing in innovation and staying adaptable, organizations can thrive while delivering high-quality care. 💡 How is your organization preparing for the future of healthcare finance? Let's discuss strategies in the comments! 👇 #HealthcareFinance #ValueBasedCare #HealthcareInnovation #CostManagement #OperationalExcellence
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Adriaan Epps
The Future of Healthcare Strategy: Preparing for Emerging Disruptions Healthcare is at a crossroads; rapid technological advancements, shifting patient expectations, and evolving regulatory landscapes force organizations to rethink their strategies. The question is no longer if the disruption will occur; it’s when and how prepared your organization will adapt. Emerging disruptions are reshaping the industry: - Technological innovations like AI, telehealth, and wearable devices are pushing the boundaries of care delivery. - Consumer-driven care is demanding transparency, convenience, and personalized experiences. - Value-based care models are replacing fee-for-service, prioritizing outcomes over volume. - Regulatory shifts are introducing both opportunities and compliance challenges. Healthcare leaders must adopt proactive, future-focused strategies to thrive in this new era. Here are four ways to prepare: 1️⃣ Embrace Technology as a Strategic Asset: Advanced analytics, AI, and digital health tools can optimize operations, enhance patient care, and lower costs. Start small, but think big. Pilot innovative solutions and scale them strategically to avoid disruptions during implementation. 2️⃣ Build a Patient-Centered Model: Today’s patients expect healthcare to mirror their experiences in other industries, seamless, accessible, and tailored to their needs. Invest in improving the patient journey, from online scheduling to post-care follow-ups. It’s not just good practice; it’s a competitive advantage. 3️⃣ Foster Agility in Your Organization: Change is accelerating, and rigid structures can’t keep up. Encourage cross-functional teams, adaptive decision-making, and a culture that embraces innovation. The organizations that thrive will be those that can pivot quickly in response to new challenges. 4️⃣ Collaborate Across the Ecosystem: The future of healthcare lies in partnerships. Providers, payers, and technology companies must work together to deliver integrated, cost-effective solutions. Shared goals and data transparency will be key to successful collaborations. Healthcare’s future is as exciting as it is unpredictable. Leaders who anticipate change, innovate boldly, and focus on delivering value will define the next healthcare era. What’s your organization doing to prepare for these disruptions? #HealthcareStrategy #Innovation #FutureofHealthcare #Leadership #ValueBasedCare
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Gerry Blass
⚠️ Top High-Risk Compliance Zones in Healthcare ⚠️ Do you know where your compliance risks are highest? Our comprehensive guide identifies the top high-risk zones in healthcare and provides strategies to mitigate them. 🧐 Assess your preparedness and gain actionable insights to enhance your compliance efforts. 📖 Read more: Top High-Risk Compliance Zones in Healthcare. https://lnkd.in/eRwkU3Qn
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Steve Lutfy, FHFMA
The key to patient engagement is simplifying the patient care experience - but how does one do that? In this article, my colleagues highlight ways to streamline the patient care experience, the evaluation and implementation of new technologies, and how to balance cost efficiency and innovation: https://lnkd.in/dzTMXKjF
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Brian Roy
Time is getting close see the agenda link below with the speakers - If you are wondering how they are handling their Benefit, Provider and general data and compliance issues this is the conference for you! Connect 2024 — Sparking INNOVATION. Crafting the FUTURE. (simplifyhealthcare.com)
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Inna Sheyn
According to the CMS, Accountable Care Organizations (ACOs) saved Medicare $2.1 billion in 2023, marking the largest annual savings in the program's history. This follows a net savings of $1.8 billion in 2022, representing the seventh consecutive year of savings from the Medicare Shared Savings Program (MSSP). ACOs received $3.1 billion in performance payments, the highest since the program's inception, and demonstrated improved quality measures for diabetes control, cancer screenings, and cardiovascular care. The program, which involves 480 ACOs and over 608,000 clinicians caring for nearly 11 million beneficiaries, rewards organizations that provide quality care while reducing costs. ACO participants reduced Medicare spending by an average of 4% per beneficiary, resulting in a total savings of $5.2B. CMS is also proposing a “prepaid shared savings” option, allowing ACOs to invest in supplemental benefits for beneficiaries.
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Bethany Everest
In today's healthcare landscape, workforce retention has become a critical issue, directly impacting both financial stability and the quality of patient care. Yet, we don’t traditionally treat our healthcare workforce like an irreplaceable asset. Truly, that’s what they are. Recent studies indicate that 40% of healthcare professionals are considering leaving their roles within the next two years. This is a stark reality that calls for immediate action. To address this urgent issue, it's essential to implement a robust retention strategy that not only enhances employee satisfaction but also ensures the delivery of high-quality patient care. Healthcare is constantly evolving, and our ability to adapt is crucial. Equip your organization with strategies designed to ensure long-term stability and continued excellence in patient care. This blueprint is not just a document—it's a step towards a brighter, more sustainable future for your organization. 👇 Download the Retention Strategy Blueprint for free today and take a powerful step towards retaining your team and strengthening the heart of healthcare.👇 🔗 https://lnkd.in/ewMtwRVM #healthcare #leadership #workforce #retention #strategy
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Avinash Jayaswal, MD, MS
🎙️ Exciting Podcast Episode Alert! I am thrilled to announce the latest episode of our podcast, where we dive deep into the challenges and opportunities facing independent medical providers in New York. This week, we have the honor of hosting Rohit Vashisht, Co-Founder and CEO of WhizAI! With an impressive background in software product management and entrepreneurship, Rohit brings a wealth of knowledge from the tech and life sciences sectors. He has been instrumental in leveraging AI to transform how healthcare providers and pharmaceutical companies interact with data. In this episode, we explore the transformative role of AI in healthcare analytics, navigating regulatory challenges for independent practices, bridging the gap between pharma and healthcare providers. He shares insights on emerging technologies that can revolutionize patient care and the future of medicine. This conversation is packed with valuable insights you won’t want to miss! https://lnkd.in/ehKS3dMn Share in the comments below! 👇#Podcast #Healthcare #AI #LifeSciences #Innovation #IndependentProviders #WhizAI #Pharmaceuticals #TechnologyInHealthcare
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Seth Edwards
Healthcare workforce issues continue to challenge many hospitals and health systems. My Premier Inc. colleague, Thomas Flynn, MSN RN CWCN CSSBB CPHQ CPPS, recently wrote a fantastic article that outlines the key workforce trends to watch in 2025. Please check it out via the link below! #healthcare #workforce #trends #insights
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Daniel Brazell
Really interesting article. ASC operations are proving crucial for the successful adoption of value-based payment systems and evolving healthcare as we know it. Strong operational foundations inherently lead to economic success and greater flexibility in adopting new care models, which in turn improves patient outcomes. #ASCs #Healthcare #PatientCare
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Christian Milaster
Since 2019, Telehealth Tuesday has published over 270 articles. Periodically, I like to highlight curated collections that explore specific themes. This collection, The Value of Telehealth, examines how telehealth transforms healthcare delivery: 💡 Unlock financial and strategic benefits, including revenue growth and cost reduction. 📈 Quantify telehealth ROI through improved operational efficiency. 🌐 Expand access to underserved populations while enhancing patient experience. 👨⚕️ Improve provider satisfaction by reducing burnout and enabling better workflows. 🚀 Leverage telehealth for innovation and long-term competitiveness. Explore these insights today: 🔗 Explore the Collection: https://buff.ly/4f8bTNT #Telehealth #HealthcareLeadership #ROI #Innovation
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Ian Bongaardt
🌟 Exciting Insights from the Q1 2024 Home-Based Care M&A Report 🌟 The home-based care sector continues to evolve rapidly, and the latest M&A report for Q1 2024 is out, shedding light on the trends and figures that are shaping the industry. 🔍 Key Takeaways: - A notable increase in transaction volumes, indicating robust industry growth and investor confidence. - Strategic shifts as companies adapt to changing healthcare demands and demographic shifts. - Emerging opportunities for businesses looking to innovate and expand their services. 📈 This report is a must-read for industry professionals, investors, and anyone interested in the future of healthcare. Understanding these trends will help us better prepare and adapt to the ongoing changes in the market. 👉 Check out the full report here for detailed insights and analysis: https://hubs.li/Q02wZ-FS0 Let's discuss! What are your thoughts on these trends? How do you see them impacting the industry in the long run? #HomeCare #HealthcareIndustry #MergersAndAcquisitions #BusinessGrowth #MarketTrends
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