Value-based care reimbursement

Managing revenues in a value-based care environment

Improve efficiency and increase reimbursement. In this webinar, Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan, provides insight into the data-driven technologies that help providers meet the demands of the changing healthcare environment.

Data-driven technology

Experian Health, powered by the strong healthcare heritage of our legacy companies and the deep data and analytics capabilities of Experian, is leading the way in next-generation revenue cycle management solutions that automate patient access, contract management, claims management and collections.

Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan

Most US-based providers still grapple with low operating margins, resulting from poor accounts receivable (A/R) performance and high average denial volumes. Many health systems attribute this inefficiency to their suboptimal knowledge and implementation of value-based RCM pathways that require important investments in RCM IT.

As a result, new growth opportunities involving external RCM solutions have gained precedence among many hospitals and physician practices. Most are willing to invest in advanced RCM capabilities that can streamline financial performance by paving the way for seamless payer-provider communications.

Revenue Cycle Management: Aligning RCM with the Shifts Driving Change in Provider Organizations

In this white paper, learn best practice recommendations to effectively benchmark financial performance to make needed improvements, as well as improve claims and contract management efficiency to stabilize finances.

Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan

Most patient portals in use today fail to incorporate patient-specific financial information from various payer organizations, which then prohibits providers from effectively pre-adjudicating claims to optimize collection of payments.

Using data-driven solutions, healthcare providers can assist in financial planning for patient payments.

Patient Engagement/Experience: 
An Opportunity to Empower the Patient and Consumer

In this white paper, learn best practice recommendations to create an individual engagement strategy that is beneficial to the person and the provider organization.

Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan

Best-in-class providers are keen to opt for vendor-neutral and corss-enterprise master patient index (XMPI) solutions. These solutions are ideal for managing patient identity and consent within and outside of any healthcare network that interfaces with multiple disparate clinical workflows. 

A recent study by RAND Corporation revealed that somewhere between 8 to 16% of patient records generated by US providers can be defined as duplicate. More importantly, for each duplicate record, a mid-size health system absorbs an additional cost of $96. Standard health IT products (electronic health records, health information exchanges, or analytics systems) often fail to protect the business and health interest of providers and patients, respectively, as they typically identify and highlight only 10% of total duplicate records.

Identity Management:
The Key to Delivering the Right Information to the Right Person at the Right Time

In this white paper, learn best practice recommendations to utilize a multi-matching methodology approach that eliminates duplicate and erroneous data through comprehensive search and alert processes

Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan

Today, most providers initiate care coordination for transiting patients manually. Implementing IT-driven solutions that are interoperable but cost effective can support better patient communications across primary, in-patient and long-term care facilities. Simple communication tools such as email exchanges provide automated and frequent updates that keep the various provider entities in the care continuum informed and stimulate needed interventions. These tools can also support holistic episodic care management, which is key to successfully meeting goals of better outcomes and lower costs.

Care Management:
It’s More Than Population Health

In this white paper, learn best practice recommendations to implement care coordination tools to track, predict and manage the cost of patient care.