Payers and Providers: Change, Conflict, and Cooperation

Quick Overview

Take a look at the current state of payers and payments, examine current trends, and ask about arising developments payers and providers can expect.

Availability: In stock

Pubcode: HLMIPR2
Price: $349

Payers and Providers: Change, Conflict, and Cooperation

The revenue cycle is the lifeblood of hospitals, shaping its financial viability, facilitating funds for improved processes and technologies, and ensuring the ability to attract the most talented clinicians and healthcare workers. A growing number of organizations are taking a hard look at the revenue cycle and searching for ways to improve efficiency and mitigate threats.

As healthcare organizations feel the pressure, savvy hospitals and health systems are experimenting with strategies to optimize revenue cycle, such as self-pay collections, consumer-centric tools, shortening the revenue cycle, or consolidating revenue models. In this latest collection of articles, Q&A, and case studies, find out how these organizations are moving forward and are finding new ways to keep their organizations as healthy fiscally as they keep patients physically.

You’ll learn proven strategies for success and find out answers to key strategic questions, including:

  • Why do 60% of healthcare leaders surveyed believe payer consolidation will increase?
  • Which states continue to have the highest rates of uninsured patients, and which states are experiencing the greatest savings as a result of Medicaid expansion? 
  • How is Aetna changing its infrastructure in an attempt to both engage patients and implement value-based care?

Featured content includes:

  • INTRODUCTION
    • Payers and Payments: Change, Conflict, and Cooperation 
  • IN-DEPTH 
    • How Payers and Healthcare Providers Are Making Peace
    • Payer Consolidation Expected to Roll On Over Next Decade 
    • No Bigger Medicaid Expansion Stakes Than in Texas 
    • Medicaid Expansion Sparks Savings, Revenue 
    • Payer Strategies to Improve Customer Engagement
    • PPACA: Working as Designed 
  • Analysis
    • Can Capitation and Consumerism Play Together?
  • Q & A
    • Aetna's Accountable Care Chief on Providers Assuming Risk
  • Case Study
    • Why a Small Health System Launched Its Own Health Plan
  • FEATURED REPORT
    • Payers and Providers: Developing At-Risk Programs