Insist that the expected value of improvements in information quality is expressed in dollar figures
Hospitals & Providers Strategy
After New York State Attorney General Cuomo's industry-wide investigation of allegations that insurers saddle consumers with too much out-of-pocket costs, UnitedHealth says it will develop a new, independent database. Consultants say this is emblematic of a more persistent problem: the relationship among payers, patients, and providers.
MCO execs should be looking at payment changes that are win-win for the payer, consumer
ASCs are gaining in popularity due to their convenience, but acute-care hospitals are losing patients and profits.
Critical information doesn't follow an elderly patient from one point of care to the next. CMS is looking at the issues via a pilot project will examine readmission rates of elderly patients to hospitals, especially within 30 days, from the same diagnosis.
Some plans are responding to disruptive innovations with innovative delivery strategies
Payers miss opportunities to reduce costs during times of transition between levels of care for hospitalized patients
Some green goals are consistent with functional requirements of the healthcare facility, but others may require trade-offs, including possible compromises on the project budget and schedule
Because of their physical size, obese patients often cannot use standard wheelchairs, waiting-room armchairs, blood pressure cuffs, hospital beds and gowns, or M.R.I. and CAT scan machines.
Insurers follow updated CMS rules regarding financial responsibility for egregious medical mistakes, do not pay list and never events