Tag: value-based reimbursement

Experian Health helps organizations remain compliant with laws and regulations while improving population health and ensuring collections.

To maximize reimbursement rates, healthcare providers must take control and optimize three particular areas: estimates, claims, and collections.

There has been a lot of uncertainty with regards to what the future holds for healthcare in the U.S., but the reality is that the move away from transaction-based services where providers are paid by transaction or by interaction with their patients, into a world where some of those services will be paid as bundles, is a reality. At Experian Health, our perspective is that there isn’t going to be one single form of payment. There isn’t going to be only fee for transaction or only fee for value type payments.  There is going to be a variety.  And our solutions can help providers handle that. When we talk to our largest providers, they want to make sure that they are prepared for the future of healthcare, and that their payment and revenue cycle is robust enough that they can handle whether it is a fee for transaction interaction with the provider or with the patient as well as fee for value. In order to do that, they have to optimize their operations. There is a lot of belt tightening happening in the industry and people are trying to see and understand how best to organize, how best to analyze and facilitate that payment cycle. We believe that data and analytics are two of the key ways to do that. Our software tools as well as the data that we embed into that software helps optimize the revenue cycle. Listen to the complete podcast

Episode management, particularly the 30-90 days post-discharge, is incredibly important for all types of healthcare entities seeking to succeed under value-based reimbursement. Millions of dollars in revenue, shared savings, and bundled payment contracts are at-risk when hospitals, ACOs, bundled payment conveners, and others don’t have visibility into their patient’s care after hospital discharge. Leading health care organizations are realizing the solution is not simply to hire an army of care managers, but rather, to supplement a care management team with focused automation to double or triple their productivity by sharing workflow and care management with the patient’s community providers, including independent MD offices, skilled nursing facilities (SNFs), home health agencies (HHAs), and others. Having the right care solutions in place is critical to ensuring successful episode management. View our on demand webinar to learn care coordination best practices and find out how Experian Health’s innovative solutions can help your organization: Reduce readmissions and manage episode/post-acute costs Maximize Medicare reimbursement, minimize Medicare penalties and, hopefully, earn bonuses Profit at and contract for bundled payments Maximize commercial reimbursement Improve outcomes and lower costs for greater fee for value (FFV) in the future Learn how Experian Health can help you success in the new FFV environment. Access our on demand Episode Management webinar.