Articles Tagged With:
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Prior Auth Reform Underway: ‘The Problem Is Real, and It Continues to Get Worse’
The incoming chairman of the American Medical Association discusses the challenges surrounding prior authorization reform.
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Patients Converted to Medicaid: Uninsured Now Under 2%
Many patients have come to The Ohio State University Wexner Medical Center uninsured — but left with Medicaid coverage. Prior to 2014, the uninsured population was around 6%. Today, it’s under 2%. In-house financial counselors obtain the needed verifications for pending Medicaid applications and routinely enroll all types of patients into Medicaid.
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Poor Productivity? It’s Often Outside Patient Access Control
Payer updates or provider processes often are to blame for inefficiency in patient access. This makes it very tough to measure or improve productivity for anyone.
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Assess Service Skills by Asking How Applicant Handled Difficult Customers
One applicant couldn’t stop yawning as she struggled to answer the question. Her body language — full of shrugs and slouches — sent a message that she couldn’t care less about the customers she’d interacted with. Others have blatantly rolled their eyes to show just how frustrated they’d gotten with a particularly annoying customer.
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Underinvestment in Patient Access? Lack of Compelling Data Could Explain
Hospitals don’t invest in patient access the way facilities invest in clinical areas. One reason is lack of data. Understandably, hospital executives want to see more data that can support these financial decisions.
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Surprise Medical Bills Trigger Disputes, Dissatisfaction With Patient Access
Surprise medical bills from out-of-network providers are making headlines and angering patients. They also cause some pretty big problems for patient access.
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Community Hospital Uses Mobile App to Improve Communications, Accelerate Throughput
For cases in which time-to-treatment is a critical factor, improved communication between prehospital providers and ED staff can enable clinicians in the ED to be better prepared to expedite needed treatment.
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Community Health Worker Program Cuts Costs, Admissions for Heart Failure Patients
After total healthcare costs decreased by 79% for at-risk heart failure patients who were followed after discharge by a team of RN continuum case managers and community health workers, Sentara RMH Medical Center expanded the program.
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Interactive Post-discharge Calls Improve Outcomes, Save Time for Case Managers
Readmissions have dropped and patient satisfaction has increased among patients at UAB Medicine who receive interactive post-discharge follow-up calls.
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Don’t Let Use of Technology Violate Patient Confidentiality
Every case management department should have a firm policy that prohibits staff from posting anything related to work, including photographs, on social media.