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210+ healthcare revenue cycle companies to know | 2019

Hospitals, health systems, physician practices and healthcare organizations are experiencing increasingly complex revenue cycles, working with government and private payers as well as patients to collect. Here are more than 210 companies with revenue cycle management solutions in the healthcare space.

Dr Jeffrey Scott on Pharma’s Role in Understanding the Value of Novel, Expensive Therapies

Jeffrey A. Scott, MD, chief medical officer, Integra Connect, discusses how pharma can help community oncologists understand the value of novel and expensive therapies.

Value-Based Care Is Changing Cancer Treatment Decisions as Drug Costs Continue to Rise

Community oncologists are caught between the movement to value-based care, with its aim to reduce costs while increasing quality, and the rising prices of innovative therapies that can be life saving for patients, according to a new survey from Integra Connect.

Value-Based Care Is Changing Cancer Treatment Decisions as Drug Costs Continue to Rise

A value-based EHR

During the fee-for-service era, EHRs rose to prominence as tools to automate documentation of patient encounters, then inform subsequent billing workflows. With the continued growth of value-based care, however, administrators are finding that their practices’ areas of focus are beginning to change dramatically. MGMA’s 2018 Regulatory Burden Survey not only captured the frustration felt as practices get their arms around MIPS and emerging alternative payment models (APMs) — cited by 88% as “very or extremely burdensome” — but also the increasing pains attributed to their EHRs, led by a lack of interoperability (80%) and need to accommodate new government-imposed requirements (77%).

Reviewing Current OCM Performance Data and the Road Ahead

Charles Saunders, MD, chief executive officer, Integra Connect, and Lucio N Gordan, MD, managing physician and president, Florida Cancer Specialists, discussed recurring challenges, new pressure points, and opportunities to close performance gaps after the midway point of OCM in a session at the Association of Community Cancer Centers (ACCC) Annual Meeting and Cancer Center Business Summit (March 20-22, 2019; Washington, DC).

Current State of Value-based Care in Oncology: 13 Key Trends to Know

New data on the state of value-based care in oncology has found that while community oncologists are optimistic about the beneficial potential of value-based care, they see a conflict between the need to decrease episode costs and the rising prices of the most innovative novel therapies.

Prescription Drug Costs Challenge Value-Based Care in Oncology

Approximately 57 percent of community oncologists in value-based care models identified prescription drug costs as their top challenge with alternative payment model success, a recent survey uncovered.

Learning to Manage Data and Code for Comorbidities Is Critical for OCM Success

Data is of critical importance in the Oncology Care Model (OCM)—and CMS shares a lot of data with participating practices—but managing that data and using it to improve performance can be challenging, according to panelists at Patient-Centered Oncology Care^®.

RCM tip of the day: Model revenue streams to help predict cash flow

As specialty medical practices model and manage potential revenue under value-based healthcare, they should prepare for both positive and negative financial scenarios, cautioned Parag Shah, president of practice solutions at Integra Connect, a provider of technologies and services for value-based specialty care.