Previous risk models hadn’t considered functional impairments, as they aren’t generally available in registries and trials.
Category: Healthcare Finance News
Profitability holds steady as revenues and expenses converge, Moody’s finds
The rate of revenue growth in 2018 eked ahead of expenses for the first time since 2015.
Doctor On Demand, Humana team up on new virtual care model
The telemedicine company and insurer have developed a new virtual care model that lets patients access an in-network primary care doctor with no copay.
Providers looking to reduce costs need to address the social determinants, Humana says
A Medicare Advantage member who is food insecure can have up to 26.6 unhealthy days a month, correlating to 10 hospital admissions per thousand, or $15.64 per member per month in higher medical costs.
Amazon markets PillPack and offers one-day delivery for Prime members
The company’s earnings more than doubled this quarter over the same period last year, rising to $3.6 billion.
Maintaining a healthy revenue cycle means tapping into the consumer mentality
Increasingly, revenue cycle health now requires meeting patients halfway or more, with convenience and access at the center.
CMS nursing home star ratings overhaul sees 37% of skilled nursing facilities losing 1 or more stars
Hospitals use the ratings on quality measures as they seek skilled nursing facilities for inclusion in their preferred networks.
Electronic health records decision support saves money, reduces inappropriate use of GI test
Asking physicians to reconsider the appropriateness of testing via hardwired alerts saves money without compromising care quality.
Many seniors can’t afford healthcare despite paying billions, finds Gallup
Seniors also reported their concern that rising healthcare costs will result in significant and lasting damage to the economy.
Modifications to Medicare rules could support care innovation for dialysis
Medicare spends approximately $35 billion annually on care for beneficiaries with end-stage renal disease.
