Are Big Changes Coming for Value-based Payment Models?
In September, CMS finalized a new mandatory value-based payment model for patients with kidney disease and a new mandatory value-based payment model for cancer patients receiving radiotherapy treatment. Rather than voluntary models that offer healthcare providers the option to participate, these models require mandatory participation for a select group of providers.
Explore moreNextGen® Advisors Podcast - Building bridges between dentistry and medicine to optimize patient outcomes
In this episode, NextGen Advisor Dr. Martin Lustick speaks with NextGen Healthcare’s oral health experts, Carlos Vallecillo and Brian Peterson about the division between oral health (dentistry) and medical health and how these healthcare services can become more integrated through technology and business practices.
Explore moreHow to Make Sure Your Claim Isn’t Denied by Your Clearinghouse
As we continue along the revenue cycle journey, it's now your last chance to prevent a denial before you submit your claim for payment. Understanding how the clearinghouse works and how it fits into the claims process helps ensure your claim isn’t rejected later by insurance payers.
Explore moreThe Self-Insured Healthcare Market – What You Don’t Know Can Hurt You
According to a 2009 CDC report, in the 1990s there were approximately 175 million Americans covered by commercial insurance with about 40 percent (70 million) in self-insured plans. Compare that to a 2019 report showing that commercial coverage was down to 154 million, but the number of people participating in self-insured plans had increased to 92 million, constituting 60 percent of the commercial total.
Explore moreNextGen® Advisors Podcast - Coronavirus and the Flu, Can We Cope with Both?
In this podcast, the Advisors discuss the impact of the ongoing pandemic overlapping with flu season.
Explore moreRationale and Requirements for Clinical Integration
Well before the passage of the Affordable Care Act in 2010, providers have been joining together in an effort to better manage the care of a specific patient population by setting up a clinically integrated network, or CIN.
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The financial and clinical challenges you face now are evolving rapidly. Here are resources, solutions, and ideas we think will help.
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