Analytics
Revenue cycle company Emdeon this week announced plans to acquire Altegra Health, an analytics firm, for $910 million, a move the companies said will better position them as the industry moves to a value-based model.
"There can be a snowball effect, where you have more and more costs that often could have been prevented by just doing better primary care." - James A. Colbert, MD, Instructor in Medicine at Harvard Medical School.
Clinical analytics, benchmarks and patient experience data now just as important as financial metrics, insiders say.
Lancaster General Health Community Care Collaborative will be accessible by the payer's Medicare Advantage members in the Pennsylvania region.
That promise of savings has a lot of health care specialists taking a harder look at predictive computer formulas.
The top 100 inpatient stays are associated with approximately $62 billion in Medicare payments and over 7 million hospital discharges, according to data the department just made public as part of its transparency push.
Top services include upper airway endoscopy and nerve injections.
Infections treatments lead to millions in medical charges.
Healthcare financial planning is more complex than ever, evolving from a function-focused activity into integrated financial and operational planning that touches the entire organization.
Perhaps the biggest value-based challenge on the finance side is the lack of a single set of metrics by which to gauge quality.