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Seasoned experts at Altegra Health spell out the impact of healthcare trends in national publications

Altegra Health is actively engaged in the healthcare industry. Not only do we seek to represent the leading edge of end-to-end payment solutions, but also to enhance the national healthcare community through thought leadership. Explore the various articles below, authored by Altegra Health experts, in some of the nation's top publications.

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  • December 29, 2015 | "Effective data-driven clinical workflows require HIT customization" ~from HIT Leaders & News | By Lynn Handy, CPC, CPC-I, CPC-H, CCS-P, LPN, CHC, Senior Director of Professional Coding and Educational Services, Altegra Health. In this article, we will dive deeper in order to describe the specific tools and system changes that organizations will need to make to achieve those benefits.
  • December 22, 2015 | "Affordable Care Act rate stabilization program results should guide strategy for 2016" ~from Healthcare Payer News | By Lisa DiSalvo, Vice President of Product Strategy and Development, Altegra Health. Earlier this year, the Centers for Medicare and Medicaid Services released the results of the first year of the reinsurance and risk adjustment provisions of the Patient Protection & Affordable Care Act. These provisions are two of a three-part rate stabilization program designed to prevent adverse selection of individual members on the federal and state health exchanges by financially compensating issuers that have higher-risk members.
  • November 23, 2015 | "Top five ways providers can leverage data to manage risk" ~from Becker's Healthcare | By Jimmy Liu, Vice President of Risk analytics services, Altegra Health. For decades, and often to the chagrin of providers, payer organizations have attempted to manage high-risk patients and identify care gaps through claims data, provider-chart reviews and audits. This information was then presented to providers, who have historically resisted collaborating with payers on patient care for numerous reasons.
  • November 23, 2015 | "Five ways payers can improve member engagement" ~from Managed Healthcare Executive | By Jim Dalen, Chief Health Economist, Altegra Health. Consumer engagement is a crucial quality- and cost-related issue whether providers effectively engage their patients or payers with their members. However, the responsibility to achieve and improve patient/member engagement often falls to providers, who face limited time and financial resources for the required communication and education that helps engage their high-risk and high-cost patients.
  • November 13, 2015 | "3 tips for reducing readmissions" ~from Government Health IT | By Arlene Baril, Senior Director, Facility Reimbursement & Coding Services, Altegra Health. Last year, Medicare fined a record number of hospitals for having too many potentially avoidable readmissions. Each year roughly 2 million patients return, costing Medicare $26 billion, though approximately $17 billion comes from potentially avoidable readmissions. Three-quarters of hospitals subject to the Centers for Medicare and Medicaid Services' (CMS's) Hospital Readmissions Reduction Program were penalized and stood to lose as much as 2 percent of their Medicare payments under this program, costing them thousands.
  • October 29, 2015 | "Effective data analytics are possible with HIT optimization" ~from HIT Leaders & News | By Lynn Handy, CPC, CPC-I, CPC-H, CCS-P, LPN, CHC, Senior Director of Professional Coding and Educational Services, Altegra Health. “Water, water everywhere/Nor any drop to drink” is a famous verse from Samuel Coleridge’s epic poem, The Rime of the Ancient Mariner. Coleridge was writing about the sea, but healthcare provider organizations could write a similar verse about the data they are drowning in from their electronic health record (EHR) systems and other sources.
  • October 26, 2015 | "5 big data tips for a risk analysis strategy" ~from Government Health IT | By Jimmy Liu, Vice president of risk analytics services, Altegra Health. Regardless of industry, companies perform better by incorporating big data and analytics. An MIT study found that companies, which included healthcare organizations that were in the top third of their industry in the use of data-driven decision making, were five percent more productive and six percent more profitable than competitors.
  • October 2, 2015 | "Streamlining HEDIS Process" (pages 9-10) ~from For The Record | By Greg Cohen, Senior Vice President, Quality Performance, Altegra Health. Over the last 24 years, the Healthcare Effectiveness Data and Information Set (HEDIS) has been growing in importance as a tool to help plan sponsors and individuals choose their health plans. In fact, a 2014 audit performed for the National Committee for Quality Assurance (NCQA) found that the number of Americans enrolled in health plans that reported on HEDIS doubled over previous 11 years. HEDIS's 83 measures across five domains of care (as of 2015) are also being used by more than 90% of America's health plans, which coincides with the industry's transition to value-based care.
  • September 18, 2015 | "Insight: Follow these tips to strengthen your HEDIS strategy" ~from Healthcare Finance News | By Meera Sundram, Vice President, Client Program Management, Altegra Health. One tool for collecting supplemental data sets is the completion of an annual medical assessment form or health risk assessment. When the Healthcare Effectiveness Data and Information Set was relatively new, health plan professionals responsible for meeting the June reporting deadline would often joke that HEDIS stood for "hell every day in spring." As HEDIS scores have become increasingly important to the bottom line, many plans are getting great results and easing the reporting burden by focusing on year-round data collection and intervention strategies.
  • August 27, 2015 | "ICD-10: Final Steps to Ensure a Smooth Transition" ~from Advancing the Business of Healthcare | By Arlene Baril, Senior Director, Facility Reimbursement & Coding Services, Altegra Health. With the October 1 ICD-10 transition date closing in, provider organizations that have spent months diligently preparing can relax — or not, depending on how serious they are about driving down the potential for financial impact to a bare minimum.
  • July 22, 2015 | "Revenue Cycle Integrity: Steps to prepare for value-based payment models" ~from Advance Healthcare Network | By Derek Woo, Vice President Advisory Services, Altegra Health. As provider organizations grapple with having to do more with less in an environment of uncertainty-including tightening regulations, the shift from volume to value-based care models, and the complexity of risk-based contracting and reimbursements-there's little room for error.
  • June 15, 2015 | "5 Reasons Clinical Data Analytics Are Worth The Effort" ~from Health IT Outcomes | By M. Evan Hetu, SVP, Data & Analytics, Altegra Health.
  • May 1, 2015 | "A Successful Transition to ICD-10" ~from ADVANCE for Health Information Professionals | By Lynn Handy, CPC, CPC-I, CPC-H, CCS-P, LPN, CHC, Senior Director, Professional Reimbursement & Coding Services, Altegra Health. Key actions providers can take for a successful ICD-10 implementation.
  • April 3, 2015 | "Training, Testing Tools Crucial For ICD-10 Transition" ~from Medical Practice Insider | By Arlene F. Baril, MHA, RHIA, CHC, Senior Director of Reimbursement & Advisory Services, Altegra Health. Practices need to get started now. The good news is that clinical and administrative staff can be ready for the deadline with effective practice-wide training, pre-implementation testing and deployment of cost-effective IT tools.
  • February 20, 2015 | "Analytics For Proactive Member and Patient Outreach" ~from Healthcare Payer News | By Jimmy Liu, Senior Vice President, Risk Analytics Services Altegra Health. Organizations can efficiently aggregate existing data and capture additional information needed to perform targeted and effective outreach.
  • February 2015 | "Commercial Reasonableness: A Key Compliance Issue at Transaction Inception and Ongoing" ~from Journal of Health Care Compliance | By Allison Carty, JD, MBA, Manager, Valuation & Transaction Services, Altegra Health. The landscape for financial transactions between health care organizations and physicians must be navigated carefully through numerous compliance challenges. Make sure you are asking the right questions.
See more articles from 2014 or 2013 or 2012.
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