John Olkowski, CIC, CRM, AAI’s Post

Some strategies to reduce health costs may appear like a good idea at the surface level, but taking a deeper dive is important to determine if they make good sense for your organization.

With rising #operationalcosts, fluctuating #patient volumes, and complex billing regulations, healthcare providers face significant challenges in maintaining financial stability. Effective #revenuecycle management can help mitigate these #challenges, providing a clear forecast of #financial inflows that sustain #healthcare services. Read more- https://lnkd.in/dz_pHeuz

Both Trump and Biden administration policy heads agree on the permanence of price transparency in healthcare. This sentiment was echoed by former U.S. Department of Health and Human Services (HHS) Secretary Alex Azar, emphasizing the need for providers and health plans to comply to avoid penalties. Although initial compliance hurdles were evident, hospitals are gradually adapting, with approximately 70% now compliant. Despite progress, there are areas ripe for improvement. Azar highlighted the need for usable data, suggesting tools to make information easily accessible. Challenges persist, such as the rise in disputes due to the No Surprises Act and gaps in coverage, notably in ground ambulance services. While transparency is a crucial step, its efficacy alone is limited in addressing the overarching issue of high medical costs. Elisabeth Rosenthal emphasized the need for broader reforms to ensure patients have access to affordable care beyond transparency initiatives. Our team of professionals can facilitate the implementation of processes by providing comprehensive support, including analyzing existing workflows, identifying areas for improvement, designing tailored solutions, and offering guidance throughout the implementation phase. With our expertise and collaborative approach, we ensure successful integration and optimization of new processes. We are the One! #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner Fierce Healthcare

Snapshot: what major healthcare components are likely to look like under each candidate. Make sure you do your homework before Nov. 5!

To combat rising denials, ensure faster reimbursements, and improve the revenue cycle, healthcare providers need new claims technology that focuses on efficiency

Recent updates to Medicare Advantage Star Ratings highlight the growing importance of call center performance in shaping patient experiences and influencing reimbursement outcomes. This Healthcare Dive article dives into the implications of these changes, offering valuable insights for healthcare leaders striving to adapt to evolving standards.

Every year, we hear about rising healthcare costs. This trend has led to costs tripling and quadrupling over decades. In 2024, the expected family healthcare cost is $32K. Where does it go from here? Employers let’s break this cycle and innovate to manage one of your largest liabilities together.

Streamlining healthcare processes is crucial for better patient outcomes, and Electronic Prior Authorization (ePA) is making a significant impact. Our recent blog dives into how ePA reduces wait times, minimizes paperwork, and enhances efficiency across healthcare systems. 📉🖥️ Check it out here - https://lnkd.in/gtxJSBX8 #HealthcareTech #ElectronicPriorAuthorization #EfficiencyInHealthcare #PatientCare"

The Healthcare Industrial Complex© has many layers, and this piece exposed one that ultimately sticks patients with large out-of-network bills as plans arbitrarily cut out-of-network payments to providers. https://lnkd.in/gcBN8Cxs

Are you interested in controlling your healthcare costs and having a plan that's custom tailored to your needs? If so, check out our latest blog about Captives!