Improve Revenue Cycle Streams in the Age of High-Deductible Plans

Posted by Continuum on Feb 6, 2018 10:05:00 AM

 

The number of High Deductible Health Plans (HDHPs) and Consumer-Directed Health Plans (CDHPs) in the market continues to increase as patients and employers look for lower monthly premiums and payers aim to place more financial risk on patients.

In 2016, the Kaiser Family Foundation reported that an average of 51 percent of workers were covered by a health plan with an annual deductible over $1,000 for single coverage. This group of individuals had increased by 22 percent since 2009, and this trend continues to rise.1 With high deductible plans, patients are often liable for the entire cost of the payer negotiated rate of their physician visit, and the high out-of-pocket expenses are driving them to make savvier healthcare decisions. Patients desire more financial transparency, access to healthcare costs, and increased communication from their provider. Yet despite patients’ increased financial awareness regarding their obligations, many are still unreliable payers in the market.

Read More

Topics: high deductible health plans, Revenue Cycle Management, collection policies, payment processing, financial transparency, claims processing

10 Trends Physicians Must Anticipate in 2018

Posted by Continuum on Jan 10, 2018 10:37:14 AM

2018 is expected to be another tumultuous year for the healthcare industry, even though industry growth is projected to remain mostly stable.1 With the repeal of the Affordable Care Act (ACA)’s individual mandate, uncertain policy efforts to strengthen state marketplaces, and ever-increasing insurance premiums, there will be a broad range of challenges facing the industry this year.

Yet for physicians and clinicians, the industry’s shifting tides will not be the center focus. Physicians will place increased emphasis on alleviating operational challenges, improving the quality of care for their patients, and tracking compliance with care plans to improve patient outcomes. These improvements are expected to aid in the decrease of overall healthcare spend, since industry trends in 2018 will focus on innovative ways to lower costs, increase quality, and reduce unnecessary utilization.

Read More

Topics: population health, value-based care, quality care, physicians, Telemedicine, 2018 healthcare trends, quality payment program, care variation, Medicare Advantage, high deductible health plans

Recent Posts

Posts by Topic

see all

Subscribe to Email Updates