Healthcare Reimbursement

Intalere Member Best Practice Spotlight: Crossing Rivers Health Navigating the C’s – Collaboration, Coordination and Continuity – to Reduce Readmissions

This post looks at how the implementation of an interdisciplinary readmission team at Crossing Rivers Health in Wisconsin helped dramatically reduce readmission rates. Issue Crossing Rivers Health was missing the consistency necessary to sustain a reduction in readmission rates. The facility’s goal was to enhance collaboration, coordination and continuity related to patient care transitions. Solution An […]

Intalere Member Best Practice Spotlight: Montfort Jones Memorial Hospital – Community Hospital’s Journey for HCAHPS Excellence

We continue our series featuring members and their best practices. This one features Montfort Jones Memorial Hospital and its journey for HCAHPS excellence. Issue Montfort Jones Memorial Hospital’s (MJMH’s) inpatient satisfaction scores were among the lowest in Mississippi as well as nationwide. These scores were measured through Hospital Consumer Assessment of Healthcare Providers and Systems […]

Solving the PPI Problem

By Lori Pilla, Vice President, Supply Chain Optimization and Intalere Clinical Advantage, Intalere The costs and inherent issues of physician preference items (PPIs) in hospitals and surgery centers have been challenges in the healthcare setting for many years. But as providers are faced with shrinking reimbursements and service line contribution margins in this era of […]

Medical/Surgical Supplies and Physician Preference Items – Strategies to Improve Your Program

By Lori Pilla, Vice President, Clinical Advantage and Supply Chain Optimization, Intalere With reimbursement and service line margins shrinking, supply chain managers need proven strategies to cut supply costs, especially in the area of medical surgical supplies, without affecting the quality of care. Nearly half of all med surg supplies used are in the area […]

ICD-10: Stay the Course or Better Start Now!

By Michelle Holtzman, Senior Director, Executive Solutions, Intalere With the recent news that the implementation of the ICD-10 coding system will be delayed until October 1, 2015, many healthcare providers are breathing a sigh of relief. Others are likely upset and frustrated that they have made the significant investment in manpower, education and dollars, and […]

Achieving Population Health Management

By Todd Ebert, President and CEO, Intalere If you were to ask 10 different people to define Population Health Management (PHM), you might get 10 different answers. To put it simply, PHM means healthcare providers are responsible for caring for the health outcomes of defined groups (or populations) of patients. Physicians can no longer dwell […]

Value-Based Purchasing – Staying Focused on a Moving Target

  By Lori Pilla Vice President, Clinical Advantage and Supply Chain Optimization Intalere Healthcare providers will once again need to adjust, learn and understand as the Centers for Medicare & Medicaid Services (CMS) raises expectations on quality and patient perception of care measures for 2015.  Changes for FY 2015 will include: –Twenty-six measures, up from […]

Understanding Population Health Management-Part 2

By Anne Mitchell (Anne.Mitchell@amerinet-gpo.com), Senior Director, Quality and Patient Safety, Intalere  In last week’s post, we reviewed risk stratification and technology platforms. In this post, we’ll cover patient involvement and look at some best practices. Patient Involvement It is important to understand that patients also play a key role in helping to reduce the national […]

Understanding Population Health Management-Part 1

By Anne Mitchell (Anne.Mitchell@amerinet-gpo.com), Senior Director, Quality and Patient Safety, Intalere  Unsustainable costs, combined with widespread care coordination and quality gaps, have led to the inevitable large-scale efforts currently underway to redesign U.S. healthcare delivery systems and how care is funded. The traditional fee-for-service payment system, with its built-in incentives for more care, more testing […]

The New Era of Reimbursement and Reform – 4 Things You Need to Know

By Todd Ebert, Intalere President and CEO Intalere recently published a whitepaper highlighting changes in reimbursement and compliance that will impact all healthcare providers in the coming years. It illustrates how the movement towards value-based purchasing and implementation of the Affordable Care Act (ACA) will have sweeping effects on healthcare delivery and will eventually impact […]