The Challenges of GFEs & AEOBs

The No Surprises Act (NSA) went into effect nearly a year ago and certain aspects regarding its implementation remain up in the air. In particular, where ownership should fall with regard to the more laborious tasks associated with Good Faith Estimates (GFE) and Advanced Explanation of Benefits (AEOB), as well as how the exchange of […]

Real-Time Performance Outcomes Direct Provider Paths to Profit

The roles of payers and providers are overlapping as networks and organizations search for new ways to manage costs and increase profits. The well-defined responsibilities of the fee-for-service model seem to be diminishing as health care organizations move toward value-based care models. This means providers need sophisticated capabilities to mitigate risk and evaluate costs as […]

Optimizing Value-Based Care (VBC) Arrangements to Increase Revenue

Optimizing Value-Based Care (VBC) Arrangements to Increase Revenue Financial risk-sharing arrangements are on the rise as the U.S. health system begins to embrace value-based care (VBC). The transition to VBC, as a result, is exposing opportunities for much-needed revenue cycle growth. While it is commonly accepted that these VBC arrangements affect only a small portion […]

How are Americans affected by medical debt?

Medical debt impacts the lives of millions of Americans. It touches those without health insurance, as well as those who have it. Recent data show that fewer than 40% of Americans have $1,000 saved in the event of a major health problem. As healthcare costs continue to rise, providers and consumers need quality revenue cycle […]

Should consumers be using online symptom checkers?

Online services are central to modern life. People search for everything from coffee to college to home improvement ideas. Predictably, many consumers turn to the internet for information on their health-related symptoms, or those of a child or family member, before even considering tapping the phone button to call a care provider. While the internet […]