Cartoon – The Corporate Trust
Tag Archives: Transparency
2016 Edelman Trust Barometer – Leadership in a Divided World
Cartoon – Corporate Transparency Today
Why clinical documentation is the missing link to value-based reimbursement
The key to successfully making the jump from the old era of healthcare — one where fee-for-service is king — to the new era of healthcare — one where transparency, consumerism and value dominate — may actually be as simple as improving clinical documentation, according to Anthony Oliva, DO, vice president and CMO of Nuance Healthcare.
“For those who thought, ‘Maybe we can just hold out and [value-based care] will all go away,’ it’s never going to go away; it’s only going to get worse,” Dr. Oliva said at the Becker’s 2nd annual CIO/HIT + Revenue Cycle Conference in Chicago.
Healthcare is a classic example of a model explained in Ian Morrison’s book The Second Curve, according to Dr. Oliva. This two-curve model posits that any market undergoing transformation has two curves: the old and the new. Companies must ride the first curve and learn how and when to jump to the second, Mr. Morrison explains in the book.
6 tips for maximizing a CIO’s relationship with the board and C-suite
ProPublica: For-profit southern hospitals host to most industry payments
The subject raises debate due to studies that have identified an association between industry payments and higher rates of brand-name prescribing, ProPublica reported, with some advocates arguing for limits or transparency to allow consumers to make informed decisions about providers who may be weighing outside factors in their care.
One in Five U.S. Hospitals Fail to Adopt Crucial “Never Events” Policies
“Never Events are egregious and they truly should never happen, but at the very least if they do happen, we expect hospitals to take the most humane and ethical approach,” said Leah Binder, president and CEO of Leapfrog. “Unfortunately, many hospitals still won’t commit to doing the right thing, including apologizing to the patient or family and not charging for the event. We should see 100% of hospitals with the Leapfrog policy.”
Top 10 supply chain challenges of 2016, according to MHI and Deloitte
Advanced Analytics: A Triple Win for Payers
http://www.healthcarefinancenews.com/sponsored/advanced-analytics-triple-win-payers
Virtually every organization working in healthcare – payers, hospitals, physicians, and employer group health plans – must do more with fewer resources. That’s especially true for payers.
The Affordable Care Act may have created what Gartner Research estimates to be a $33 billion opportunity for payers in the form of new individual customers, but it also generated new demands. For starters, payers are now held to a higher standard for administrative spend. The ACA’s Medical Loss Ratio (MLR) provisions require payers to spend at least 80 percent and 85 percent of premium dollars, for individuals/small groups and large employer group health plans respectively, on medical care and quality activities or issue a rebate to customers. As intended, this limits profits, salaries and broker commissions and administrative spend on business activities such as customer service, network and product development, and information technology.
In many markets, premium pressures have increased. As the result of the ACA and healthcare exchanges, there is a much higher level of transparency about individual and small group premiums, often leading to price competition. Large employer group health plans too have more options, including contracting directly with provider groups, all of which translates to premium challenges for most payers.
Cartoon – Governance Today
HENRY KOTULA 