Shared Risk: 3 HIM Challenges and Solutions

Charlie Leadership Leave a Comment

In a previous post, I discussed the healthcare industry’s transition from a volume-based reimbursement system toward a model that is quality driven.  How can organizations ensure that they’ll succeed in this increasingly pay-for-performance environment? One way is to explore shared-risk contracts in non-revenue generating areas of the hospital. A shared risk model allows for a true partnership between the vendor …

Why Shared Risk Vendor Partnerships Are Good For HIM

Charlie Leadership Leave a Comment

In today’s value-based healthcare marketplace, pay-for-performance initiatives are everywhere you look. There’s the CMS Hospital Value-Based Purchasing program, the Physician Quality Reporting Program, public quality reporting websites (e.g., HealthGrades® and Hospital Compare), the proliferation of Accountable Care Organizations (ACO) nationwide, and Meaningful Use. Other terms associated with value-based care include incentivized payments, bundled payments, risk sharing, capitation arrangements, gain sharing, …

HIM Outsourcing—When is it a Good Idea?

Charlie Leadership Leave a Comment

HIM Outsourcing Our industry’s transition to EHRs has opened new doors for health information management (HIM). HIM’s operational areas have become more specialized than ever. The result? Many healthcare executives are now able to reduce expenses, reallocate staff and free up space through centralization and remote workers. According to a recent HealthLeaders CFO Forum, hospital executives must make deeper cost …