Patient eligibility verification is a critical part of the healthcare revenue cycle. It can help prevent errors with claim submissions, reduce denials, boost the bottom line, and help patients understand what their insurance will cover. However, checking insurance eligibility isn’t always efficient or accurate, thanks to outdated systems and complicated manual processes. Ever-evolving payer requirements…
“For too many, coverage is either unavailable or insufficient.” This is the harsh reality the American Hospital Association highlighted in a recent statement to the US Senate, urging action to address growing medical debt. Despite efforts to expand insurance coverage, hospitals continue to lose billions of dollars through unpaid bills. The statement notes that hospitals…
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
The RE-AIM framework developed by Glasgow et al. (1999) has five evaluation components. Reach: share of people from a given population who participate in a program and their characteristics. For instance, organizational reach with stakeholders could be indirect, intended or direct. Reach is the number of participants in the program divided by the size of…
Maryland has signed an agreement with CMS on the model, which will seek to improve population health and lower costs.
SIKESTON, Mo. — At age 79, Nannetta Forrest, whose father, Cleo Wright, was lynched in Sikeston, Missouri, before she was born, wonders how the decades-long silence that surrounded his death in 1942 influenced her life. In 2020, Sikeston police killed another young Black man, 23-year-old Denzel Taylor. Taylor’s shooting death immediately made local headlines, but…
From a marketing perspective, there are three significant trends to watch in 2025 — strategic brand partnerships, AI-driven healthcare information delivery, and the fundamental shift in social media engagement paradigms. The post Healthcare Marketing: Key Trends Shaping 2025 appeared first on MedCity News.
CUTHBERT, Ga. — While customers at Adams Family Pharmacy picked up their prescriptions on a hot summer day, some stopped in for coffee, ice cream, homemade cake, or cookies. It wasn’t a bake sale, but the sweets bring extra revenue as pharmacist and co-owner Nikki Bryant works to achieve profitability at her business on the…
Out of more than 50 alternative payment models (APM) that CMS has implemented only six have shown statistically significant cost savings and only four of these met the requirements to be expanded in duration and scope. That is not my opinion, CMS itself states this. We all want higher quality at lower cost; so the…
KFF Health News chief Washington correspondent Julie Rovner discussed the Department of Health and Human Services, the federal workforce, and Robert F. Kennedy Jr. on WAMU’s “1A” on Jan. 8. Click here to hear Rovner on “1A” KFF Health News video producer and visual reporter Hannah Norman discussed PFAS contamination in well water on KVPR’s…