July 14, 2022
3 Reasons to Add Automated Prior Authorization to Your SaaS Solution
by Susan Lawson-Dawson | Prior Authorization
Whether you provide healthcare practice management, revenue cycle management, EMR or LIMS software, today’s mostly-manual prior authorization process contributes to your customers’ revenue woes. Between the administrative costs and potential treatment delays or abandonment, managing prior authorizations puts the squeeze on their bottom line. On top of that, you have disruptive tech players entering the healthcare space on a daily basis. As a result, building a competitive moat turns into a necessity for customer retention, satisfaction and acquisition. Need proof? It was Warren Buffet who popularized the concept of competitive moats decades ago. The billionaire investment guru once said, “In… Read entire article here
June 29, 2022
Health Tech Regulation: 3 Heads-Up Ways to Keep Pace
by Susan Lawson-Dawson | Healthcare Technology
“Are we there yet?” It’s a familiar refrain for families taking a summer roadtrip. But the meandering road to healthcare interoperability leaves providers, payers, and patients questioning how long this journey will take. Evolving health tech regulations and standards could fuel progress on interoperability, prior authorization automation and more. What do you need to do to stay on the right track? 1. Improve price transparency The price transparency final rule went into effect in January 2021, but until recently, the CMS has relied on warning letters rather than stronger enforcement tactics. That changed this month with the recent fines levied… Read entire article here
June 14, 2022
Transparency vs Status Quo: Why Point-of-Care Patient Financial Responsibility Calculations Up Your Star Rating
by Susan Lawson-Dawson | Healthcare Administration
Long before patients sit down face-to-face with a clinician—in person or virtually—they have already begun to form opinions about their experiences. Is the patient experience you’re delivering good or bad? Patients attitudes could depend on whether they know how much the service you’re providing will cost. The price transparency mandate that has been in force for providers since January 2021 doesn’t quite get them there. The rule set by the Centers for Medicare and Medicaid Services for “clear, accessible pricing information online” is a start, but to date, compliance has been lagging. In addition, such published lists don’t account for… Read entire article here
The numbers tell the story. Preliminary data from the U.S. Bureau of Labor Statistics saw March job openings outpace new hires by more than 1.3 million. Perhaps even more concerning: 682,000 people left healthcare during the same period. A recent advisory from U.S. Surgeon General Vivek Murthy warns that burnout is a root cause of this ongoing exodus. Acknowledging that the pandemic amplified problems already contributing to burnout, Murthy notes, "... the response to burnout and health worker well-being must be multi-pronged. For example, a health worker may find it difficult to spend sufficient time with patients due to their… Read entire article here
