Advantum Health的动态

?? New Blog Alert: Independent Healthcare Providers Have a Critical Need for Payer Transparency ?? Transparency in healthcare is more important than ever, especially for independent providers navigating the complexities of payer agreements. Our latest blog delves into the critical need for payer transparency and how it impacts the operations and success of independent healthcare providers. Discover why clear and accessible information from payers is essential for ensuring fair reimbursements, improving patient care, and maintaining the financial health of independent practices. This insightful read is a must for healthcare professionals striving for a more transparent and efficient healthcare system. Read the full blog now and join the conversation on how we can advocate for better transparency in healthcare! ?? Read More: https://lnkd.in/dMNaszMc #HealthcareTransparency #IndependentProviders #PayerTransparency #AdvantumHealth #HealthcareBlog

Big changes in healthcare payments over the last few years have likely shifted practice priorities when it comes to handling patient payments. High deductible healthcare plans have created a billing burden for patients and practices. For practices, that can, ultimately, impact RCM. Simplifying payments, however, can boost RCM and help patients better manage healthcare bills. #healthcareRCM #healthcarePayments #PatientExperience https://hubs.la/Q02TRz6G0

"The main difference between a healthcare capitation program and a fee-for-service model is in the way that payment is made. In capitated payments, healthcare providers are paid based on how many patients they see over a period of time. In fee-for-service, however, healthcare providers are paid based on the quantity of services, screenings, tests, or procedures carried out during the course of treatment. Historical fee-for-service information provides the basis for defining capitation models." https://lnkd.in/dvMuvDQR. #HealthInsurance #Capitation #FeeForService

?? Healthcare Trends Alert: Payer-Provider Contract Negotiations Heating Up ?? In today's rapidly evolving healthcare landscape, contract negotiations between payers and providers are becoming increasingly contentious. With rising expenses and claim denials, both sides are feeling the pressure to secure favorable terms. But how does this impact patient care, reimbursement models, and the financial sustainability of healthcare systems? ?? Check out this insightful article, "Payer-provider contract negotiations are getting nasty amid rising denials, expenses," to understand the key challenges and strategies involved in navigating this complex dynamic. ?? #Healthcare #PayerProviderRelations #ContractNegotiation #HealthcareCosts #HealthcareBusiness #PatientCare #RevenueCycleManagement #USHealtcare #provider

Healthcare billing is a significant source of frustration for patients, with more than 50% feeling stressed when understanding what they owe. #Healthcare leaders can ease this by streamlining billing processes and enhancing provider-insurer coordination. Learn more actions your organizations can take to make a difference: https://lnkd.in/gkq8PsgB #PatientExperience #ExecutiveLeadership

The rise of payviders can be attributed to the payment structure of Medicare Advantage plans. Since MA plans operate under a capitated model (fixed payment per enrollee), payviders can maximize revenue by controlling costs through preventive care and efficient resource management. In Mizzeto's recent article, we explore what a payvidor is and the benefits/drawbacks of the business model.

The integration of payers and providers, known as payviders, is transforming healthcare delivery by streamlining care coordination and reducing costs. This article offers an insightful look at how this model is shaping the future of healthcare.

The rise of payviders marks a significant shift in the healthcare industry, blending the roles of payers and providers to create a more integrated, patient-centered care model. This transformation has the potential to improve patient outcomes and reduce costs across the board. This article from Mizzeto dives into what’s driving this trend and how it’s shaping the future of healthcare.

The broken fee-for-service model, in combination with CMS’ efforts to contain costs, promises to devastate our healthcare delivery system unless providers transition to a value-based care model – and soon.

Blog: Direct Primary Care (DPC): A Worthwhile Alternative? Direct Primary Care (DPC) is a healthcare delivery model that simplifies and personalizes the way care is provided and financed. Patients benefit from more time with their doctors, enhanced preventive care, and a straightforward approach to managing healthcare expenses. https://lnkd.in/dt-MxkWs #dpc #directprimarycare #personalizedcare #healthcareinnovation #patientcare #costeffectivehealthcare #membershipmodel