Whitepapers & E-Books

More than two-thirds of provider executives plan to use more care navigators in 2021. As health systems look for ways to recover after the pandemic, why are so many executives focused on navigation and care coordination? The answer lies in exploring how effective navigation addresses five of healthcare's biggest challenges in 2021 and beyond.

Traditional transactional relationships with suppliers are becoming things of the past. Today, value-analysis professionals (and other leaders responsible for a healthcare organization's bottom line) are actively seeking to blaze new paths forward toward value-based partnerships and contracting.

In January, Molnlycke assembled an advisory board of value analysis leaders to discuss how suppliers can achieve more meaningful relationships with healthcare organizations. This e-book provides an overview of the main themes that emerged from the discussion.

Read this whitepaper to learn:

How healthcare organizations can form meaningful relationships with suppliers
The qualities of a strong value-based partnership
The evidence value analysis committees seek to inform their decision-making process

In the COVID-19 pandemic’s first year, scientific discovery and recommended treatments continued to evolve at a rapid pace. This emerging clinical knowledge and evidence is critical to advancing best practices and optimal care outcomes.

In this whitepaper you will learn:

• Changes in COVID-19 search trends and how to extract meaning from shifting trends
• How information access data can inform continuous care improvement strategies

Healthcare needs to more effectively use labor resources and recruit talent. COVID-19 has shown the importance of having the right staff in place. Organizations have realized that without centralized staffing and scheduling they have poor system wide resource visibility. This inhibits their ability to efficiently manage labor resources and meet patient care demands. They are now taking the time to reevaluate current staffing and scheduling processes to ensure that they can match the need for care with the right resources in the right setting.

The patient referral process should facilitate effective communication among providers and support coordinated care. However, as it stands today, referrals are often challenging for everyone involved.

Read this white paper to learn:

• How providers decide when to refer patients and to whom
• Referral senders' goals and the challenges they face when communicating with referral receivers
• Opportunities for technology-based referral solutions that support all providers and eliminate obstacles to high-quality care

Healthcare provider leaders shared their viewpoints with Optum and Scottsdale Institute on how pandemic related disruptions will influence the way care will be delivered, managed and paid for moving forward. Read this report to understand where providers see progress in the digital road forward, putting consumers at the center of care, and challenges they will continue to face.

Construction and renovation projects in the healthcare industry are complex due to facility-specific demands and the ever-changing nature of medical technology. This guide provides key considerations to help make your next equipment planning project a success.

In this report you will learn:

• Why a cross-disciplinary team is critical to success
• The importance of establishing and driving a medical equipment standards program
• How the right tools can enhance collaboration and optimize equipment purchasing decisions

Despite COVID-19 adjustments, many health organizations are still not used to treating members or patients like consumers. With safety concerns, cost pressures and competitive threats, health organizations are thinking differently about attracting and retaining customers.

This e-book highlights innovations and success factors across the consumer health experience, including:

• Shopping for benefits
• Staying well
• Choosing care
• Receiving care
• Managing conditions
• Saving and paying for care

Nursing shortages and staffing issues threaten your organization’s ability to deliver quality patient care. With those challenges amplified by COVID-19, staffing initiatives that promote nurse satisfaction and engagement need to be a key priority.

This whitepaper outlines seven staffing strategies that value, protect and optimize nurses.

• Key learning points:
• How to make staffing and scheduling a collaborative process
• Streamline the open shift management process
• Make it easy to access and act upon critical staffing information

Inconsistent communication within emergency departments can make an already stressful patient experience worse. Based on the company’s work with leading hospitals and health systems, TeamHealth has developed the A-PEX program to ensure outstanding performance in patient experience.

In today's world, patients start researching healthcare decisions online first. From simple health questions to selecting a new provider — patients seek out peer reviews and third-party commentary before they make a healthcare decision. And each of these areas impacts a healthcare organization's perceived online reputation.

Read this whitepaper to learn:

• How to impact patient reviews to improve your average star rating
• What best practices to implement to increase your number of patient reviews
• Why reviews influence search results and patient growth
• What to expect in future online presence trends for healthcare

In early 2019, the WHO proposed making 2020 "the year of the nurse and midwife" given that 2020 would mark the 200th anniversary of Florence Nightingale's birth, the woman widely considered to be the founder of modern nursing. 2020 would indeed become "the year of the nurse," testing these crucial front-line providers in unprecedented ways. By year's end, the immeasurable importance of nurses was clear to all.

Healthcare is a 24/7 industry. Yet, many organizations still rely on a shared services operation to provide services and information for employees from just 8 a.m. to 5 p.m. This approach is no longer acceptable.

Download the ServiceNow whitepaper to learn:

• How the COVID-19 pandemic has accelerated digital strategy development
• Missed opportunities for digital employee engagement in healthcare
• Methods and best practices for implementing new tech solutions

COVID-19 has tested the limits of the healthcare system for more than a year. Healthcare providers are now juggling the challenges of treating patients with and without COVID-19 while executing mass vaccination campaigns. However, the pandemic has also revealed new opportunities for telehealth, collaboration tools for remote teams and technology applications that improve the patient experience and provider safety.

Healthcare payers and third-party administrators need digital customer experience (CX) solutions designed specifically for them and their consumers. Use this new guide to quickly initiate a CX strategy that is powerful enough to fuel better outcomes, drive value, and achieve higher ROI.

Fill out the form to get the guide, "Cut to the Chase: The Simplified Blueprint for Payer CX Success," and read about:

• The 3 strategies for creating the most impactful consumer experiences
• The trouble with off-the-shelf customer relationship management systems
• The one-stop-shop software solution for accelerating speed-to-market and speed-to-value

Patient safety is a primary concern for all health systems and medical devices play a critical role in supporting the safe and effective delivery of patient care.

Key Takeaways:

• Health systems can support medical device availability through optimized preventative maintenance schedules and standardized workflows.
• Dedicated monitoring and remediation of OEM-reported FDA alerts and recalls can minimize the potential impact on device availability and patient safety.
• Patient safety should be a key consideration throughout a health system's capital planning process 

It’s no surprise that capacity optimization is at the top of the list when it comes to healthcare priorities. The capacity problem has been exacerbated by the pandemic and healthcare organizations are searching for the right ways to optimize their use of providers, rooms, and resources.

Read this eGuide to find out:

• How lack of capacity optimization affects providers, patients, and revenue.
• How provider scheduling, room scheduling, and workforce analytics solutions help organizations solve the capacity problem.
• Strategies you can implement to address capacity challenges.

The COVID-19 pandemic has sparked dramatic transformations in the patient experience. From a heightened emphasis on safety to the massive expansion of telehealth, one thing continues to remain constant: The importance of the provider-patient relationship.

Survey finding themes explored in the report:

• Key aspects of the care experience that have always been central to the patient satisfaction
• Patients are more attuned to safety
• Patients are using telehealth services in record numbers
• COVID-19 patients are straining hospital capacity and reporting poorer experiences

Telehealth adoption has skyrocketed due to COVID-19, and the demand for virtual tools is here to stay: Two-thirds of patients plan to continue using telehealth after the pandemic.

Download this white paper to learn:

• What an integrated hybrid care delivery model is and how it differs from just adding telehealth care options
  
• The risks of not offering a variety of care-delivery options—to both patients and system revenues
• 4 best practices to get you started

Cloud communication technologies can enhance member engagement, support new collaboration-based workflow models, boost employee retention and increase payers’ flexibility, agility and efficiency.

In this whitepaper, you’ll learn:

• The kind of personalized experience members expect from payers
• How cloud-based communication technologies give payers better security and efficiency
• How analytics from digital member engagement platforms can optimize payer performance
• How digital engagement tools generate higher employee satisfaction and retention

Enterprise imaging — or EI — plays an important role in the shift toward value-based care and is the next logical investment for many following the electronic health record.

In this report you will learn:

• What are the different technology approaches to managing imaging across the enterprise?
• How can converging imaging workflow and infrastructure support my business growth initiatives?
• What are the key financial and clinical care metrics that can be used to measure the benefits of enterprise imaging?
• How do I build an effective governance team to oversee my enterprise imaging project?

Learn how we worked with this fully-integrated healthcare system to deliver a whole-person approach to care for its employees and spouses with chronic conditions.

Results include:

• A coordinated experience across conditions for people living with both diabetes and hypertension Multiyear impact on clinical diabetes measures, including reduced HbA1c levels and a fewer hypoglycemic readings
• Measurable impact on systolic and diastolic blood pressure rates among those with uncontrolled hypertension
• Reduced spending incurred through medical care, emergency room visits and pharmacy costs associated with managing chronic conditions, resulting in a positive ROI

In the midst of the COVID-19 pandemic, emerging data suggests that glycemic control for patients with and without a previous diagnosis of diabetes is a critical component for managing the care of critically ill patients.

In this executive summary, you'll learn:

• The striking mortality results of recent COVID-19 research about patient outcomes related to hyperglycemia
• How hyperglycemia in COVID-19 patients impacted length of stay
• Best practice for inpatient glycemic management and what you can do now to improve glycemic management for your patients

Before COVID-19, the opioid epidemic was the nation's most consequential public health threat. The pandemic has magnified the impact of the opioid crisis on communities as unemployment, homelessness and behavioral health disorder rates soar.

Learn how eight organizations across the country have used technology and collaboration to achieve the following:

• 61 percent reduction in opioid prescriptions
• 32 percent reduction in opioid deaths
• 50 percent decrease in emergency department visits for patients with high utilization patterns
• $34 million in cost savings

This downloadable whitepaper will cover:

• Four proven strategies for addressing the opioid epidemic on an organizational and community level
• Statewide efforts to reduce opioid prescribing and use, including implementation of seven best practices for prescription opioids
• How collaboration helped achieve measurable results outside opioids — including decreased ED visits and significant cost savings

Did you know that Houston-based Memorial Hermann Health System named David L. Callendar, MD, as their new president and CEO and that Kaiser Permanente appointed Prat Vemana as their chief digital officer, a newly created role in August 2019? There were also a handful of unique positions filled this quarter!

The second quarter of 2019 continued to have exciting healthcare executive moves, including more than 50 CEOs and presidents who stepped into new roles, retired, or resigned during the quarter. Altogether, at least 122 hospital and health system C-suite executives were on the move during this time of the year.

Keep track of all the 2019 second quarter C-suite executive moves with this report.

In the wake of the COVID-19 pandemic, most health systems expect a permanent increase in telehealth visit volumes compared to pre-COVID lows. The widespread implementation of telehealth has introduced a number of new operational challenges, from providing technical support to patients, to collecting co-pays and balances from patients who don’t enter the office, to streamlining provider workflows to seamlessly integrate in-person and virtual visits.

This whitepaper shares best practices for using automation and AI to increase telehealth self-pay collections and reimbursements and streamline manual virtual visit workflows, all while providing a delightful experience for patients.

Download the guide to learn:

• A proven 3-step strategic framework for using automation to improve virtual visit efficiency
• 6 workflows across the patient journey that can be automated to increase telehealth program efficiency and revenue capture
• Best practices for avoiding increased staff busywork and reduced provider efficiency from telehealth visits

According to Gartner, over half of healthcare providers will invest in automation over the next three years. By automating manual workflows, health systems can improve staff efficiency, decrease provider burnout, and modernize the patient experience - all while increasing revenue capture and reducing cost-to-collect.

This whitepaper shares strategies and best practices from automation technology adopters like Intermountain Healthcare on maximizing ROI across patient, clinical, and RCM workflow automation.

Download the guide to learn:

• An overview of robotic process automation (RPA) and artificial intelligence (AI) capabilities in healthcare, and how they can be used to power workflow automation
• How to prioritize which workflows to automate and how to measure the ROI on automation
• How to assess different automation partners and platforms based on your organization’s technical maturity and area of focus for automation
• How to build and scale an agile approach to launching and iterating on automated workflows
• Examples of how leading health systems have automated patient access, population health, and revenue cycle management workflows with Notable

Threat detection and response is top of mind for healthcare organizations facing increasingly aggressive ransomware attacks. So, what is MDR (managed detection and response) and how does proper integration improve its efficacy?

This quick-read report lays it out. It covers:

• The evolution of threat detection and response
• How to separate fact from fictitious vendor assertions in such a crowded market
• The next generation of MDR with a three-pronged approach to prevent, detect, and respond to cyber-attacks

The partnership between King’s Daughters Medical Center, Meditech and Interlace Health began over 20 years ago.

Over that time, they learned that integration between Interlace Health and Meditech is crucial to KDMC as the health system strives to eliminate human error, standardize processes, and accelerate consent completion.
While paper consents get lost or must be carried around in a paper chart until they are scanned into the EHR, Interlace Health’s eConsent forms are instantly archived into Meditech.

With Interlace Health, KDMC has decreased forms by 60 percent and now has more meaningful interactions with patients.

The pandemic gave healthcare technology leaders the greenlight to swiftly roll out virtual care solutions, driving the widespread adoption and expansion of telehealth platforms.

Emerging remote monitoring solutions are taking patient engagement to the next level while increasing provider access to essential clinical information.

These 9 must-reads examine the regulatory environment, emerging monitoring solutions and what hospital innovation chiefs want from health IT.

University of Pittsburgh Medical Center and Winchester Hospital IPA share best practices they deployed in their real-time electronic ADT notifications implementations – improving communication with their care partners and closing care gaps with their patients.

Read this paper to learn how you too can use ADT notifications to:

• Enhance digital interoperability to improve care coordination, and health outcomes
• Streamline staff workflows and solve other transitions of care challenges
• Roll out ADT notifications without over burdening your in-house IT resources

The COVID-19 pandemic has widened the cracks in IT infrastructure and hampered healthcare organizations' abilities to serve the needs of remote workers, patients and members. This issue grows more complex when you consider that 75 percent of patient data needed for operations sits outside of core systems and this data is growing by more than 50 percent each year. How can you provide for enterprise agility to deal with future pandemics and meet your clinical, financial and operational goals?

By 2023, APIs will transform healthcare as providers and payers harness the technology to share and activate patient and financial data, according to new research commissioned by Change Healthcare. While 9 in 1 executives say APIs are quite important or mission-critical, less than a quarter are currently using APIs at scale. Download this research report to better understand the usage, barriers, and benefits associated with APIs for different healthcare entities, and why embracing the technology today is essential.

Although the delivery and accessibility of remote healthcare services remains a priority for providers and patients, many hospitals still struggle with interoperability – a key element in connected healthcare. A recent HIMSS Market Intelligence research report revealed that hurdles, such as unstructured content, still blocked healthcare from achieving its health information technology (HIT) interoperability goals.

Read this whitepaper to learn about the challenges uncovered in the recent HIMSS survey and how to address them including:

• What stands in the way of HIT interoperability success
• How to bridge interoperability gaps surfaced by the pandemic
• Solutions for healthcare content and images that improve interoperability

Hospital-acquired pressure injuries — or HAPIs — may be the nation’s most persistent hospital-acquired condition, increasing even as most other injuries have declined – sometimes dramatically.

This whitepaper summarizes key findings from several of those studies, such as:

• Institutions using the LEAF System reported reductions of sacrococcygeal HAPIs by up to 85%
• Adherence with institutional turn protocols – critical to prevent HAPIs – rose by up to 95% at institutions using the LEAF System.
• Hospitals using the LEAF System avoided up to $1.4 million in HAPI costs and reported HAPI treatment ROI of up to $3.4 million.

Aligning the right resources to effectively address social determinants of health remains a challenge for healthcare organizations. This guide will share how payers and providers can leverage prescriptive clinical artificial intelligence to tackle social determinants at both the individual and community level and reduce barriers to care.

Download the whitepaper to learn:

• The limitations of data and risk scores for actioning SDOH.
• How AI can save millions by helping target beneficial investments for socially vulnerable communities.
• How AI inferences and recommendations can lead to more productive conversations with patients about potential barriers to health.

Hospitals have been slammed by the double-whammy of higher costs for treating COVID-19 patients and the loss of revenue from delayed in-hospital tests and procedures. But as COVID-19 vaccine availability widens, some healthcare organizations are seeing the light at the end of the tunnel. Those that are forward-thinking have begun closely examining post-pandemic operations, looking at mobile apps as an avenue to capture greater revenue and boost patient satisfaction.

This whitepaper will explore:

• How mobile apps can improve patient care and provider revenue
• Cost pressures facing providers currently and post-COVID-19
• How patient non-compliance harms revenue
• The prevalence of smartphones and use of technology during the pandemic

Virtual visits grew exponentially because of the pandemic, and the widespread adoption of telehealth will have lasting effects on the healthcare ecosystem. Because of that, healthcare leadership teams are rethinking the physical environment to best serve patients, families caregivers and staff.

In this white paper, you’ll learn how to integrate technology and equipment with the physical environment by:

• Determining the specific needs of your facility and team to gain buy-in
• Reconfiguring your existing space to make technology use easy, safe and efficient
• Implementing ergonomic solutions into the care environment with ongoing evaluation

The latest data from the Change Healthcare 2020 Revenue Cycle Denials Index shows denial rates are climbing, up 23% over Change Healthcare’s 2016 Denial Index. The report analyzed over 102 million hospital transactions across more than 1,500 U.S. hospitals from July 2019 - June 2020 and found that while denials continue to climb, the majority are avoidable and revenue loss that is occurring is preventable.

Healthcare organizations must be nimble and ready to adapt as they navigate a new world of healthcare delivery, an ever-evolving regulatory landscape and a new breadth of health IT strategies.

Key points include:

• How IT is evolving and why organizations need to adapt to a new world of healthcare delivery
• The top five drivers of change in healthcare
• The keys to success for changing times in healthcare

In 2019, Augusta (Ga.) University Health, an academic medical center, rolled out a grant-funded program to provide telemedicine emergency services at six rural hospitals in Georgia with two major goals in mind: to improve care in rural communities and keep their hospitals financially viable. By the summer of 2020, COVID-19 caused AU Health to shift this tele-ER program to provide critical care consults to patients with the virus or other chronic conditions who could not be transferred to higher levels of care.

ED telehealth programs have gained significant traction in the last 12 months and are being leveraged at health systems nationwide to augment traditional care delivery models. While not all the innovations developed during COVID-19 will remain relevant, virtual emergency care models that enhance a patient-centric experience and improve accessibility will endure.

In this whitepaper, we explore:

• Reducing wait times with virtual providers in triage.
• Ensuring continuity of care with virtual follow-up for discharged patients.
• Improving clinician satisfaction and reducing hospital admissions with virtual patient navigation.

Tissue and medical device implants offer significant benefits to patients, as well as the hospitals and surgical centers that implant them. However, the potentially life-saving benefits of implants come at a hefty price.

Fortunately, there is an innovative platform that integrates the complete implant lifecycle and provides enterprise analytics. The platform’s increased supply chain visibility can help hospitals and health systems enhance patient safety, regulatory compliance and operational efficiency while improving the economics of healthcare.

Evolving patient expectations have forced health systems to rethink how they digitally engage patients. In 2021, touchless digital registration and intake has emerged as a mission critical priority for providers.

Download this whitepaper to learn:

• 6 essential strategies for designing and implementing a digital front door that patients love
• Common pitfalls that delay development and reduce adoption of patient engagement solutions
• How Notable uses robotic process automation and AI to power digital intake experiences with over 80% pre-visit completion and 97% patient satisfaction
• How to reduce call volume by automating pre-visit patient registration
• How modernizing patient intake can help optimize revenue cycle management

Healthcare organizations rely on vast amounts of data, capturing information on everything from patients' clinical interactions to payer behaviors. This surplus of data has driven the industry to adopt smart devices. The potential benefits to patients and providers are extraordinary.

Leading hospitals and health systems have been working to crack the code on consumerism and chronic disease management by delivering a holistic experience for patients, and interconnected technology is essential to these efforts.

Key Learning Points:

• Interconnected care technology
• The rise of ransomware
• Business email compromise
• The IoT ecosystem
• The mobile threat landscape
• Supporting a cyber secure home
• Focusing on the fundamentals

This white paper outlines the opportunity for health leaders to rethink their revenue cycle strategy as a whole and leverage strategic partnerships as a new pathway to accelerate innovation and reduce risk.

Download this white paper to learn:

• How to accelerate technology and process innovation
• The differences between traditional outsourcing and a strategic partnership
• 5 key reasons to adopt a partnership model
• Structuring a partnership to share more risk and gain more benefit
• Things to consider when selecting a strategic partner

Consumers expect the same online conveniences from their healthcare providers as they do from retail giants like Amazon or travel industry leaders like Expedia. Add increased safety demands amid COVID-19 and price transparency rules advocating for a better patient financial experience, and change is inevitable. The time is now to embrace fully integrated digital patient access, intake and engagement — to delight patients and grow your bottom line.

Download this e-book to learn why implementing a single, integrated digital patient access, intake and engagement platform is critical to improving patient and staff safety and satisfaction while increasing net revenue.

In an era of rapid digital health transformation, healthcare organizations recognize that their telehealth strategies must continue to evolve and adapt. Instead, the challenge is figuring out how to cover the cost of what seems like constant telehealth advancements.

This whitepaper, developed from a three-part study conducted by HIMSS, and sponsored by Spectrum Enterprise, looks at:

• How telehealth services evolved through the pandemic and the value of virtual care beyond the pandemic
• How HCOs are funding telehealth advancements
• How telehealth helps providers attract and retain patients, trim overhead costs, increase access to care and reduce appointment cancellations
• Building a robust telehealth program that ensures strong patient outcomes, an exceptional patient experience and long-term financial stability

With the healthcare industry expecting a revenue deficit of $58 - $166 billion in 2021, now is the perfect time to explore purchased services optimization opportunities. Whether you already have a purchased services strategy in place or have yet to get started, applying a governance model to structure and scale your strategy can deliver vast improvements to contract terms, stakeholder collaboration, supplier relationships and savings potential.

Learn about the 10 criteria used to determine the efficacy and sophistication of your purchased services efforts, and how they compare with others in the market including:

• Spend usage and visibility
• Contract terms and visibility
• Leadership, staff and skillset

Many healthcare provider organizations continue to face financial shortfalls as a result of a perfect storm of declining revenue, increased consolidation and COVID-19 impacts.

Research has long-suggested that a small percentage of people drive the majority of health costs, and health plans have historically struggled to identify high-cost members before the spending occurs.

This white paper explores how identifying and focusing on the members most likely to experience chronic disease complications in the next 12 months can deliver results.

In this case study, you will learn how one health plan:

• Saved an estimated $7,500 for each identified member
• Recaptured $3 for every dollar spent on case management administrative costs
• Improved member engagement and satisfaction

The COVID-19 pandemic has heightened existing financial, physical and emotional burdens on physicians nationwide. Some physicians charged with caring for infected patients experienced greater physical and cognitive loads, while others, such as surgeons and office-based primary care physicians, experienced plummeting patient volumes and revenues.

Key learning points:

• The main issues behind physician burnout
• Effective ways to address emotional and financial stress
• How to apply pandemic lessons to the future healthcare operations

The economic landscape of the healthcare market has been forever altered by the COVID-19 crisis. Existing challenges have intensified, and the pace of change is accelerating, raising the bar for organizations to adapt strategically and quickly.

Download the e-book to learn more about how health leaders can ready their organization for growth with forward-thinking strategies that include:

• Meeting the consumer on their terms
• Adapting to new competition
• The growing role of strategic partnerships
• Mastering the new indicators of growth
• Tracking the spend of the health care dollar

The current healthcare revenue landscape presents many challenges, with reimbursements declining as expenses continue increasing.

Costly write-offs remain a problem for many hospitals and practices. This is especially the case with commercial claims, which are marked by denials and complicated, labor-intensive appeals.

ERISA Recovery's new white paper offers an in-depth look at this topic, with a focus on:

• How focusing on denied, aged commercial claims can improve revenue
• Why ERISA appeals are the ideal solution for such claims
• How ERISA Recovery operates, without impacting existing processes
• How ERISA Recovery collects on aged claims going back up to 10 years
• How all appeals are handled stateside

Despite the clear pain points, for some groups, the perceived burden of implementation and training creates hesitation in moving forward with solutions to address revenue cycle challenges and recouping account receivables. This whitepaper illustrates the top three ways technology helps solve the cash flow problem in the orthopedic sector, including insights and firsthand experiences from orthopedic providers and business professionals that have recently completed a technology transformation, and their practical advice for a successful implementation.

The healthcare revenue cycle has become increasingly complex over the years. For health systems to improve financial performance, RCM and finance leaders must closely evaluate and optimize every stage of the healthcare revenue cycle process.

Highlights include:

• Why early patient engagement saves healthcare providers money in the long run
• How to collect from all payment sources
• Where in the revenue cycle to implement technology-driven solutions to boost revenue

ERISA affords healthcare providers the right to pursue appeals outside of any agreements with health plans, and the opportunity for additional revenue may be substantial. This white paper covers the following topics:

• A background on ERISA and its complexities
• Why ERISA appeals are underutilized in the hospital revenue cycle
• Which plans are covered by ERISA
• Which adverse benefit determinations are appealable under ERISA
• A comparison of an ERISA appeal vs. a traditional denial appeal
• And more…

Operating health systems and physician practices has always been hard, but COVID-19 has created extraordinary profitability challenges in 2020. Lower volumes, changing case and payer mixes and greater operating margin anxiety make revenue optimization more essential than ever.

We asked physician management and healthcare organization leaders to share their strategies for overcoming the considerable challenges of this altered landscape. They offer 10 strategies for using data and analytics to better manage capacity, coordinate care and optimize revenues, including:

• Tracking real-time practice COVID-19 volumes
• Managing productivity and modifying physician incentive compensation
• Capturing charges efficiently and accurately at the point of care
• Improving throughput across the continuum

The white paper features expert views from:

• Dennis Deruelle, MD – Executive Director of Hospital Medicine, American Physician Partners
• Andrea Funk, RN, MEd, CPHQ – Vice President of Integrated Acute Care Operations, US Acute Care Solutions
• Derick D. Perkins – Founder and Managing Partner, Metis Advisors LLC

COVID-19 has pushed healthcare delivery beyond its breaking point, heightening the urgent need for accelerated patient care, improved clinical efficiencies and secure clinical communication with real-time critical patient updates.

Before the arrival of COVID-19, specific environmental trends were challenging the healthcare industry, such as acquisitions of smaller health systems by larger health systems, clinician shortages and burnout. These trends had already created an urgent demand for clinical communication platforms (CCP) that would work securely across growing networks of diverse care provider organizations. The arrival of COVID-19 has applied untold new pressures to already strained systems.

In this white paper, you will learn about:

• The impact and cost of COVID-19 on healthcare
• How clinical collaboration platforms improved communication during COVID-19
• Where you will see cost savings from leveraging clinical collaboration platforms
• What to look for in a clinical collaboration platform in order to achieve savings
• How clinical collaboration platforms can help your organization increase efficiency and achieve return on investment

The number of outpatient surgeries has grown dramatically over the last 40 years and with this ongoing shift, patients recovering at home run the risk of developing deep vein thrombosis (DVT), a serious complication of surgery.

However, mechanical prophylaxis, including intermittent pneumatic compression (IPC), can mitigate the risk for patients recovering at home.

Key learning points:

• Implications of the shift from inpatient to outpatient procedures and more patients heading home sooner
• Opportunities to implement at-home compression therapy for VTE risk reduction 

In the past year, the shift in the delivery of patient care from hospitals to other settings has accelerated — a trend that healthcare executives expect to continue.

To better understand what this shift means for healthcare supply chains, Becker's and Cardinal Health surveyed 100 C-suite and supply chain leaders from health systems nationwide in the first quarter of 2021. This research report outlines five key takeaways that emerged from leaders' responses. 

The healthcare system is mobilizing to promote and manage distribution of COVID-19 vaccines. Consumer demand for the vaccine is high; however, not everyone is receptive to a COVID-19 vaccination. 

Read this whitepaper to learn:

• Who is most (and least) likely to get a COVID-19 vaccination.
• Why healthcare consumers might avoid a COVID-19 vaccination.
• How psychographic segmentation can facilitate uptake of the COVID-19 vaccine.

The Integrated Care Coordination Readiness Report is a first-of-its kind analysis, providing useful insights on data from more than 140,000 post-acute episodes, across 15,000 skilled nursing facilities and 4,000 hospitals to reveal opportunities for health systems to strengthen organizational outcomes, improve patient management and reshape their post-acute network relationships.

Easy-to-use technology enables providers to simply be providers.

By augmenting patient care with technology services, healthcare providers can focus on treating their patients and rely on outside experts to provide reliable communication assistance and cultural brokerage.

Here are key takeaways from this report:

• When it comes to treating LEP, Deaf and HoH patients, providers need a fast, easy-to-use solution to effectively communicate.
• Just as providers are committed to effectively treating patients, medical interpreters are committed to facilitating meaningful understanding between healthcare providers and patients from various cultural and linguistic backgrounds.
• The use of professional language services has been proven to improve the LEP patient experience and reduce the likelihood of readmissions.

COVID-19 has made dramatic changes to care delivery and cross-industry partnerships. It has exposed the human and financial costs of the nation’s health inequities, forcing shifts to virtual health care delivery, flexible staffing models and more in-home care.

But many questions remain. In this report, Optum surveyed more than 161 health care leaders from health plans, providers and life sciences and asked:

• Where are we making progress?
• What challenges still exist?
• Which areas do you prioritize for investment?

To make 2021 a year of recovery for clinicians, healthcare leaders must have a deep understanding of the resources and support tools needed to help providers do their jobs while making their own wellness a priority. This e-book features 10 must-read articles on what healthcare workers want their leaders to know, strategies for addressing burnout and ways to safeguard clinician well-being amid a crisis.

There’s a phenomenon called “AI-washing,” in which it is purported that a tool is powered by artificial intelligence when it is actually heavily reliant on humans for its capabilities.

In this whitepaper, you’ll learn:

• Key AI technologies used by clinical digital assistants and what is technically possible today
• Five stages clinical assistants must go through to evolve
• Technical milestones needed to ultimately achieve a truly ambient clinical digital assistant

Hospitals are fighting an ongoing battle against unrecognized patient deterioration, alarm fatigue, opioid-induced respiratory depression, sepsis, unplanned extubation and other preventable conditions. In this whitepaper, we will review the scope of these patient safety matters, inadequacies of current practices, the emergence of clinical surveillance and a strategy to implement continuous clinical surveillance that helps enhance patient safety and outcomes.

Key points that readers will learn include:

• The clinical and financial impact of alarm fatigue and these adverse patient conditions
• How continuous clinical surveillance is different from patient monitoring and alarm management and focuses on mitigating non-clinically actionable alerts and notifications
• Published results that hospitals have achieved with continuous clinical surveillance

Today's most significant business operation problem in dental offices is repetitive, consistent, and boring manual processes and tasks. DentalRobot solves this problem with its proprietary automation platform specially designed for dental practices, and its unique approach of Pre-Built Robots and Automated Workflows.

Regardless of how you built the processes in your DSO, MSO, or Group, DentalRobot provides a custom-fit automation solution that matches your current context and vision for operations and growth. We understand each specialty and its journey. We impact your organization's outcomes by rapidly automating every process from insurance verification or EOB posting to Accelerated Patient Scheduling or Customized Treatment Plan Follow-Ups.