Digital Healthcare
Article | November 29, 2023
The one clear consensus that has emerged from this doubt and anxiety-filled time is that our society will be forever changed by COVID-19. In the recent days, we have seen a general movement toward telecommuting and digital solutions to accommodate the drastic changes caused by this global pandemic. The healthcare industry, which is arguably impacted the most, is no exception to this trend. But while the movement to digital healthcare started well before the outbreak, it has been a slow journey, fraught with many regulations that have slowed its market penetration.
With the current system so overwhelmed, a transition from the face-to-face model of care to a digital model has become vitally necessary, forcing it to happen sooner rather than later. Places that have already embraced the digitalization of healthcare practices have demonstrated the benefits of updating the old-fashioned model. A digital approach to healthcare can have unlimited applications, from telemedicine to a digital system for tracking available hospital beds. All of these applications not only save time but also potentially peoples’ lives by eliminating unnecessary contact between infected and healthy patients as well as their caregivers.
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Healthtech Security
Article | November 29, 2023
Explore latest hospital industry trends driving digital transformation, data analytics, and patient-centric care for improved outcomes and personalized experiences in a dynamic healthcare landscape.
Contents
1. Understanding Dynamic Hospital Industry Trends
2. Significance of Keeping Up with Hospital Industry Trends
3. Quick Glance at Latest Hospital Industry Trends
3.1 Cybersecurit
3.2 Virtualization and ML capabilities
3.3 Telehealth and Telemedicine
3.4 Robotics
3.5 Wearables
4. Future Scope
1. Understanding Dynamic Hospital Industry Trends
The hospital industry is undergoing dynamic changes driven by digital transformation, data analytics, and patient-centric care. Hospitals are adopting technologies like electronic health records (EHRs) and telemedicine while leveraging data analytics and artificial intelligence for better insights. Patient engagement and personalized healthcare experiences are prioritized. The shift towards value-based care and proactive population health management is evident. Collaboration, interoperability, and preventive care initiatives are also gaining importance. These emerging trends in healthcare technology reflect the industry’s commitment to improving patient outcomes in an evolving landscape.
2. Significance of Keeping Up with Hospital Industry Trends
Staying up-to-date with the latest trends in healthcare industry is of utmost importance for professionals and organizations. It enables them to deliver improved patient care by implementing cutting-edge technologies and treatment methodologies. Hospitals can streamline processes, reduce costs, and allocate resources effectively by adopting industry trends focused on operational efficiency. Keeping pace with industry trends also provides a competitive advantage, helping hospitals attract and retain patients, maintain their reputation as innovative institutions, and outperform competitors. Furthermore, staying informed about evolving regulations and compliance standards ensures hospitals remain compliant, avoiding penalties and legal issues. Industry trends also reflect the changing demographics of patient populations, allowing hospitals to adapt their services and offerings accordingly. This knowledge aids in strategic decision-making, enabling administrators to align their strategies with the evolving healthcare landscape. Additionally, staying updated on industry trends facilitates collaboration and partnerships, promoting innovation and improved healthcare delivery.
3. Glance at Latest Hospital Industry Trends
The hospital industry is experiencing a wave of the latest trends reshaping the healthcare delivery landscape. From technological advancements to shifting patient needs and evolving care models, these trends drive significant changes in how hospitals operate and provide care.
3.1 Cybersecurity
Taking the lead in hospital industry trends is cybersecurity, which plays a vital role in safeguarding the industry against cyber threats and protecting patient information, sensitive data, and critical infrastructure. By implementing a robust hospital cybersecurity policy, patient data confidentiality, integrity, and availability can be ensured, along with mitigating the financial and reputational damages that can arise from cyberattacks. Furthermore, cybersecurity measures enable the continuity of healthcare services and foster patient trust. Prioritizing cybersecurity helps hospitals maintain compliance with data protection laws like HIPAA and strengthen relationships with patients and other stakeholders.
3.2 Virtualization and ML Capabilities
Next in line with hospital industry trends is the adoption of virtualization and machine learning (ML) capabilities that are revolutionizing healthcare operations and patient care. Virtualization allows hospitals to optimize infrastructure, reduce costs, and enhance resource utilization by creating virtual instances of hardware and software. Concurrently, ML algorithms analyze vast amounts of healthcare data, such as electronic health records and medical images, enabling accurate diagnoses, personalized treatments, and predictive insights. The integration of virtualization and ML facilitates remote healthcare services, ensures data security and privacy, and drives operational efficiency, ultimately leading to improved patient outcomes and streamlined healthcare delivery.
3.3 Telehealth and Telemedicine
The rapid adoption of telehealth and telemedicine, which will transform healthcare delivery, is on the horizon for the hospital industry. These technologies enable convenient access to healthcare services, especially for individuals in remote areas, reducing travel time and costs. Telehealth and telemedicine improve healthcare efficiency by reducing wait times, allowing timely medical advice, prescription refills, and follow-up care. They also facilitate collaboration among healthcare providers and specialists, ensuring access to specialized care. In emergencies, telehealth and telemedicine in the hospital industry enable real-time triage and remote monitoring. Despite challenges related to regulatory compliance and data security, telehealth and telemedicine have transformed healthcare delivery, offering convenience, efficiency, and expanded access to care.
3.4 Robotics
The integration of hospital robotics is reshaping the industry, revolutionizing surgical procedures by enabling exceptional precision and significantly reducing recovery times. Surgical robots assist in complex surgeries, improving accuracy and patient outcomes. Additionally, robots streamline tasks like medication dispensing and inventory management, reducing errors and freeing up healthcare professionals. Rehabilitation robots aid patients in regaining mobility, while robotic telepresence enables remote consultations and monitoring. Despite challenges such as implementation costs and regulatory considerations, robotics continues to transform healthcare delivery, enhancing patient care and operational efficiency.
3.5 Wearables
The widespread adoption of wearables, emerging prominently in the hospital industry, redefines patient care and monitoring practices. Wearable devices, such as smartwatches, fitness trackers, and remote patient monitoring devices, offer real-time health data and enable continuous monitoring of vital signs, activity levels, and sleep patterns. These devices provide valuable insights into a patient's health and allow for early detection of potential health issues. Wearables promote patient engagement and empowerment by encouraging individuals to manage their health actively. Healthcare professionals can remotely monitor patients' health status, track medication adherence, and intervene promptly if abnormalities are detected. Additionally, wearables offer opportunities for remote patient monitoring, telemedicine consultations, and personalized health interventions.
4. Future Scope
The potential of hospital industry trends in the coming years also encompasses genomics and personalized medicine advancements. With an increasing understanding of genetic factors in health and disease, hospitals can offer tailored treatments based on an individual's unique genetic makeup, leading to a revolution in disease prevention, diagnosis, and treatment. Furthermore, integrating blockchain technology in healthcare is expected to enhance data security, interoperability, and patient privacy, enabling seamless sharing of medical records across healthcare providers. Overall, the horizon of the hospital industry holds immense promise for innovative technologies, data-driven insights, and patient-centric care models, all contributing to the development of a more efficient, accessible, and personalized healthcare ecosystem.
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Health Technology, Digital Healthcare
Article | September 8, 2023
Tempted to throw in the towel on your New Year’s resolutions? It’s a natural reaction during this unprecedented year. I’m here to tell you it’s okay—and you probably don’t need them anyway.
You’re in good company if you’ve given up on the big shifts. According to widely-cited research study, only 19% of people keep their New Year’s resolutions. In addition, this may not have been the best time to make changes, given all that’s going on with the pandemic.
Also, worthwhile to consider the following insights on the unease with making big changes these days. According to research published in Molecular Psychiatry, when you go through prolonged challenging times (and the pandemic certainly qualifies), chronic stress can change the architecture of your brain and make you feel worn out, anxious, fearful, or depressed. These aren’t the best conditions for making major changes.
You may also face “change saturation,” or in other words, you’ve had to make so many transitions, you just can’t make any more. To prevent yourself from becoming overwhelmed, focus on attainable aspirations. Here are a few recommendations.
DREAM ON A SMALLER SCALE
Success for the next 12 months may be closely tied to a less-is-more approach. Instead of seeking a whole new career, maybe you can set your sights on getting assigned to a new project at your current company. In other words, consider how you can tweak your behaviors rather than overhauling them.
Cultivate gratitude. Appreciate the little things. When you’re more tuned into what you have, you’re less focused on what you still want. This “enough mentality” can be helpful to your mental health. You don’t have to make big changes to achieve satisfaction or happiness. Contentment starts with gratitude.
Avoid perfectionism. Often, the fuel for big changes is a feeling you or your situation are not perfect. Remind yourself that perfection is a myth and focus on what’s working. This will help you find fulfillment with your present reality (even if it’s not all you aspire to).
Make a list, then edit down. Another great way to keep your ambitions reasonable is to make a list of all you want to accomplish and then eliminate everything but the top three items. A surefire route to frustration is to expect too much and put unrealistic pressures on yourself. Instead, focus on just a few vital things you want to accomplish, rather than a long list that does not empower you. After you’ve accomplished the first three goals on your list, you can always come back to the others, but give yourself a fighting chance to achieve the most integral top three, first.
MONITOR YOURSELF
Keep yourself accountable through specific techniques—and pay attention to events that may cause you to slide backwards. Research in the Personality and Social Psychology Bulletin explains that 40% of your behaviors occur in similar situations, which is to say familiar circumstances encourage the repetition of choices. Therefore, if you’re able to adjust one potentially repeated behavior, it can make a difference.
Create routines and conveniences. When you want to nurture a behavior, make it a default so you’re not thinking consciously about it. Research published in the European Journal of Social Psychology found when you repeat behaviors in a consistent context, it helps with habit formation and these take hold much more effectively. You can use this to your advantage. Instead of making a conscious choice each morning whether you want the donut or the smoothie, have the sliced fruit ready to go and the blender on the counter so when you arrive bleary-eyed to the kitchen in the morning, you’re just doing what’s already laid out. Start each day with the routine of responding to quick-hit emails. Rather than deciding what to work on first, just create a routine where you’re repeating behavior that works without as much conscious thought.
Plan ahead. When you can plan for things, you can usually control them more effectively. If you’re going to be in a situation that might create challenges for your new behaviors, make a plan. Perhaps you’re going to the grocery store and you can make a plan to avoid the cookie aisle. Or if you’re back in the office, avoid the calorie-tempting socially distanced happy hour with colleagues by leaving right on time and get a head start on the big project you’re working on. Anticipating what might present challenges will help you overcome them.
FIND SUPPORT
Support can be the difference between making small changes and not succeeding at all. Find a source that works for you.
Find friends. Create a virtual group of people also trying to make changes. Perhaps there’s an online group where you can exchange healthy recipes or provide mutual encouragement for regular trips to the gym. Also tap into your existing network and ask your friend to check in with you to see if you’ve had your workout for the day. Seek out colleagues who can nurture the writing skills you want to develop. Find people who encourage you, provide feedback, and remind you about your ability to succeed.
Use technology thoughtfully. There are a wide variety of virtual solutions to help you shift your behavior. Download the app that allows you to track your water intake or the app that will send you notifications if you haven’t moved enough in the last hour. Look for apps that can help you learn the new language you’ve been wanting to add to your skill set or that can connect you with colleagues who have like-minded ambitions. Behavior shifts are most likely to occur with planning, reminders, and feedback. So, find apps that provide these three kinds of support.
Give yourself permission to do less for now and know you can always do more later. In the meantime, stay strong and be satisfied with a little progress for now.
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Health Technology
Article | February 19, 2022
Dialysis providers face many of the same financial and operational pressures that affect other provider organizations, including flat or reduced reimbursements, chronic staffing shortages, and increasingly complex insurance requirements. Dialysis centers, nephrologists, and renal pharmacies also grapple with the impact of a growing shift in dialysis care to the home setting.
End-to-End Automation Can Reduce Denials, Improve Cash Flow
The good news is that despite these challenges, dialysis providers can sustain strong cash flow, reduce costs, and mitigate denials by applying advanced technology to the revenue cycle.
Here are six ways technology can help strengthen the dialysis center revenue cycle in the today’s difficult operating environment:
Identify undisclosed insurance coverage
Because patients often present as self-pay even though coverage exists, determining their true insurance status can be challenging. Yet failure to identify existing insurance can result in significant write-offs.
That’s why renal providers need technology solutions that can uncover patient coverage information before care is provided. Change Healthcare’s Coverage InsightTMsolution provides an expansive network and search-and-matching capabilities necessary to identify and confirm patient coverages at the outset of care.
The solution uses machine learning algorithms—coupled with access to vast stores of available third-party-data—to develop robust patient profiles, which can then be linked to potential funding sources. Notably, it identifies a variety of indicators, including high probability of disability, income levels and financial status, insurance sources, and other actionable information to help you verify coverage and recover revenue.
We can help identify undisclosed coverage for end-stage renal disease (ESRD) patients through Medicare/Medicaid, Disability/SSI, third-party liability, commercial insurance, state and county programs, social programs, and charity.
Expedite seamless prior authorizations
Streamlining the prior authorization process is essential to help ensure optimal reimbursement for renal care rendered, particularly with commercial insurance and Medicare. But traditional prior authorization processes are frequently time-consuming and labor-intensive and can delay necessary care.
Our Clearance Authorization software addresses the chronic problem of prior authorizations with automated functionality that can determine if prior authorization is required and on file with the payer. The solution also will automatically check medical necessity requirements at the time of registration and electronically submit requests to integrated payers.
Change Healthcare’s Connected Authorization Services go a step further by deploying pre-authorization experts to handle routine authorizations quickly using intelligent technology while working complex cases by exception to improve authorization efficiency and accuracy.
Speed adjudication with electronic attachments
As claims management processes have grown more numerous and complex, providers have struggled to ensure that the correct information is provided to the payer at the appropriate time. The result can be delayed, denied, or rejected claims.
Assurance Attach AssistTMcontributes to faster reimbursement and reductions in denials, organizational expense, and administrative burden by automating the attachments process to meet payers’ increased demands for additional documentation. Attachments are automatically delivered and matched to the appropriate claim, and once the claim is released, claim and attachment status can be easily tracked.
Expedite claims workflow for recurring services
Creating claims for ongoing ESRD care requires repeatedly documenting the same details on each claim. Revenue Performance Advisor, an end-to-end medical billing platform, provides automation that allows dialysis staff to save time by quickly replicating unchanged data from prior visits while updating date-of-service and other information to expedite claims processing.
Revenue Performance Advisor also includes eligibility and benefits verification and automated claims scrubbing that flags incomplete or incorrect claims prior to submission, resulting in a first-pass clean claim rate of 98%.
Accelerate your Medicare claim cash flow
Medicare is one of the largest payers of dialysis services, so ensuring a problem-free and expedited Medicare claims submission process is essential to strong cash flow.
Our Assurance Medicare Direct EntryTMsolution provides a single system for the real-time submission and processing of Medicare claims. It can help expedite reimbursement, reduce AR days, and speed your Medicare primary claim cash flow by at least one full business day.
Assurance Medicare Direct Entry also checks your Medicare claims for eligibility errors using the CMS eligibility transaction system (HETS). Claims needing attention are flagged and posted in Assurance Reimbursement Management for editing. You can quickly correct errors within the system before transmitting the claim directly to Medicare for validation and payment processing.
Optimize patient liability
Making it easy for patients to receive, understand, and pay their portion of the medical bill is key to ensuring a healthy revenue cycle, mitigating the need for collection services, and improving patient goodwill.
With our Patient Billing and Statements solution, Change Healthcare serves as your strategic communications partner, delivering multi-channel, personalized print and digital statements to help expedite patient payment collection.
The solution is designed to provide fast, effective statement and invoice processing, printing, and mailing—cutting your costs and getting you paid sooner. Our advanced statement printing allows you to bypass conventional and time-consuming folding, stuffing, and stamping.
SmartPayTMconsolidates each step of the billing and payment process into one place, enabling you to collect more patient payments, get paid faster, reduce your collection costs, and lower patient write-offs. With multiple payment channels, including online, mobile, telephone and via mail, SmartPay helps expedite patient payments before, during, and after the encounter.
A single, trusted partner
Change Healthcare’s deep knowledge of the renal care landscape and our development of disruptive technologies to overcome traditional revenue cycle barriers can help dialysis centers achieve unprecedented revenue cycle excellence.
And unlike many point solutions that only address a specific revenue cycle issue, Change Healthcare’s technologies are part of a comprehensive approach delivered through a single, trusted vendor. That translates into improved process integration and continuity, as well as simpler overall accountability.
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