Resource Center

The consistent use of Interqual as part of a larger overhaul of the case management process helped reduce the average length of stay by 19%; decreased readmissions; and reduced average number of cases for secondary review by over 40 in a five month period.
Western Maryland Health System used evidence-based, objective criteria to determine the care patients received and were able to reduce denials by 3% over a three year period and lower the average daily census from 275 to 150.
Healthcare providers and payers are coming together more often in recent days to collaborate as the industry advances towards payment for value. In this recorded session from the RelayHealth San Francisco Healthcare Finance Symposium, several California-based health plans provided candid remarks and helpful tips to a gathering of California providers on several hot topics.
Healthcare providers and payers are coming together more often in recent days to collaborate as the industry advances towards payment for value. In this recorded session from the RelayHealth New York City Healthcare Finance Symposium, several New England-based health plans provided candid remarks and helpful tips to a gathering of New York area providers on several hot topics.
Many healthcare providers are turning to analytics to improve patient outcomes while navigating dramatic changes in the healthcare revenue model.
In this recorded session from the RelayHealth Healthcare Finance Symposium, industry expert Dr. David Nace provides an overview of the progression of value-based payment and market drivers. He explores CMS as a primary market mover, the behaviors of commercial payers and possible transition challenges.
Denials are a pervasive and persistent problem, and there is no single root cause for denials, nor is there one single trouble area. Rather, problems that lead to a denied claim occur throughout the revenue cycle. Read our whitepaper to discover how to strategically analyze, prevent and manage denials.

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Thirty-three percent of the American public supports a single-payer system, up from 21 percent in 2014.
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Senate Majority Leader abandons plan to force a vote before the July 4 recess.

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