Mandatory Bundled Payment Models Are Coming: What You Need to Know

LISTEN NOW Representatives from CMS just announced a policy shift regarding mandated alternative payment models. HHS Secretary Alex Azar said the administration would “revisit” mandatory models that it had previously abandoned in cardiac care, noting the time had come for “exploring new and improved episode-based models in other areas, including radiation oncology.” To understand the impact this policy shift might have on payers and providers, Patrick McGuigan, Producer of Episode Intelligence, connected with Dr. Andrei Gonzales, who leads the product development efforts for Change Healthcare’s value-based payment solutions. In this interview, they discuss: What CMS is introducing and why it’s

Artificial Intelligence in Radiology

Current AI can answer specific questions, but it is still a far cry from human-like intelligence. In most cases, questions evolve around predictions. In the diagnostic world of enterprise imaging, radiologists have been extensively trained to identify disease and are skilled at making efficient predictions—thus limiting the value of AI. In specific cases, algorithms could overcome the intrinsic limitations of human perception—such as skin cancer detection, diabetic retinopathy, or difficult-to-discern diseases on chest X-rays. Beyond these instances, the immediate future of AI lies more in aiding medically underserved areas. However, AI is already far more valuable when its predictions are

The Value of Artificial Intelligence in Radiology Today and Tomorrow

Current AI can answer specific questions, but it is still a far cry from human intelligence. In most cases, questions evolve around predictions. In the diagnostic world of enterprise imaging, radiologists have been extensively trained to identify disease and are skilled at making efficient predictions, thus limiting the value of AI. In specific cases, algorithms could overcome the intrinsic limitations of human perception, such as skin cancer detection, diabetic retinopathy, or difficult-to-discern diseases on chest X-rays. Beyond these instances, the immediate future of AI lies more in aiding medically underserved areas. However, AI is already far more valuable when its

Artificial Intelligence in Radiology

Blockchain in Healthcare, and What It Means for Payers and Providers

You’ve heard about blockchain and how it can help ensure secure transactions, a critical factor when it comes to transmitting personal financial and health information. In this presentation by Emily Vaughn Bailey, director of blockchain product development at Change Healthcare, she expands on blockchain’s impact on the healthcare industry and emphasizes the value of the infrastructure on claims and revenue cycle management. Also in the conversation with Health Unchained, Emily talks about: The path of adoption for blockchain technology Visualizing smart contracts to bring together business architects and product teams Connecting Change Healthcare clearinghouse services to the blockchain How blockchain

Blockchain in Healthcare, and What It Means for Payers and Providers

Smarter Healthcare: How Artificial Intelligence and Machine Learning Are Rewriting the Rules

Imagine a world where a doctor or hospital bill is as clear and easy to understand as a restaurant tab. Or where a mammogram is co-read by a machine, thereby significantly reducing the impact of normal human errors encountered during the reading process. Artificial intelligence and machine learning are making both of those scenarios possible and will converge to revolutionize in the next several years, says Change Healthcare. The amount of money being invested in AI solutions continues to grow. According to a global IT research firm, spending on AI across a number of industries, including healthcare, banking, retail, and

Smarter Healthcare: How Artificial Intelligence and Machine Learning Are Rewriting the Rules

Three Simple Ways to Leverage Technology to Reduce Denied Claims and Improve Practice Efficiencies

Most physician practices would agree that denied claims are a drain on resources and have a negative impact on cash flow and revenue. What practices may not realize is just how significant that impact can be. Nearly 90% of denied claims are avoidable and 50% to 65% are never reworked, which leaves a lot of money left on the table—money that could be used to bring on new staff, replace outdated technology, or make improvements to the office.1,2, When you factor in the cost to rework a denial—$25 not including time and overhead—the impact is even greater.3 While the causes

Beyond the Exam Room: The Increasing Role of the Patient Financial Experience in Access to Timely Care

Few physician practices or specialty providers have escaped the impact of high-deductible health plans (HDHPs), which now account for nearly 43% of all private health plans.¹ Out-of-pocket maximum patient responsibility increased nearly 30% between 2015 and 2017, now averaging $4,400, putting greater financial strain on patients and providers alike.² The process of seeing a patient, submitting the claim, receiving reimbursement from the payer, and balance-billing the patient for the remainder is an outdated, ineffective business model. It is also a business model that can be harmful to patient care. According to an article published by Patient Engagement HIT, 64% of

How Payers Can Increase Provider Adoption of Electronic Payments

Despite the obvious time and cost-saving benefits of using electronic transactions, providers continue to resist electronic payment, and payers continue to struggle to get providers to sign on. But there are several new techniques that are more appealing, to help decrease paper-based transactions and reduce costs overall. Read the white paper now or download and read later

Removing the Hurdle of Provider Enrollment

Change Healthcare Puts Blockchain Claims Processing Tech on Amazon Web Services

Change Healthcare announced it’s building a next-generation claims and payments network on Amazon Web Services. The new cloud-based solution will promote more efficient, transparent, and secure administrative and financial transactions by using blockchain to govern transactions throughout the claims continuum. It’s the first stage of a collaborative initiative to give payers and providers near-real-time claim adjudication with immutable, auditable records. Healthcare Finance Change Healthcare Puts Blockchain Claims Processing Tech on Amazon Web Services Healthcare IT News Amazon Web Services Now Hosting Change Healthcare’s Blockchain Tech in the Cloud Healthcare Dive Change Healthcare Deploys Blockchain Network on Amazon Web Services Becker’s

Change Healthcare Builds Next-Generation Claims and Payments Network on Amazon Web Services

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