Health Technology, Digital Healthcare
Article | September 8, 2023
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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Health Technology, AI
Article | July 18, 2023
The healthcare industry has become a prime target for cybercriminals in recent times.
According to The State of Ransomware in Healthcare 2023 report from Sophos, six in 10 healthcare organizations have been hit by ransomware in the last 12 months, up from 34% in 2021.
Among this uptick have been several headline-grabbing attacks. For example, Shields Health Care Group became the subject of the single-largest breach affecting any organization globally in April 2023, when 2.3 million patients of the Massachusetts-based medical services provider had their personal data stolen after a cybercriminal gained unauthorized access to the organization’s systems.
Meanwhile, in the UK, a ransomware attack on the University of Manchester occurred in June, affecting an NHS patient data set holding information on 1.1 million patients across 200 hospitals.
Critically, the wealth of data housed in healthcare networks, and the potential impact of data unavailability in healthcare, make the industry both attractive and lucrative to threat actors.
It’s no coincidence that the Sophos report shows the rate of encryption in the healthcare sector is at its highest level in recent years. Of those healthcare organizations which suffered a ransomware attack in 2023, 73% had their data encrypted – up from 61% in 2022. When cybercriminals can successfully take down hospital systems and/or encrypt patient data so it can’t be used, they can blackmail health service providers, demanding significant sums before reinstating systems and/or data availability.
Considering healthcare's critical role as the highest-stake industry in our society, where people's lives depend on its success, the likelihood of attackers achieving their goals is greater than in other sectors, as confirmed by the Sophos report. Indeed, of the 73% of healthcare organizations that had their data encrypted, 42% reported that they paid the requested ransom to recover data.
DSPT and the compliance burden
Without question, the security-related challenges in healthcare are mounting. Right now, industry organizations are operating against a backdrop of unprecedented operational and workforce pressures, spiralling demand for care and industrial action.
Moreover, there is a growing regulatory burden, with organizations continually asked to comply with evolving cybersecurity rules, battling with multiple compliance mandates at any given time.
Take the NHS as an example. According to the 2023 NHS Providers’ Regulation Survey, just over half (52%) of respondents said the regulatory burden on their trust had increased. And this is expected to ramp up further in the future, with the UK government setting out a new 2030 strategy aimed at bolstering cyber resilience in healthcare.
Among the compliance burdens that the NHS faces is the challenge of meeting the requirements of the newly updated Data Security and Protection Toolkit (DSPT).
Mandated to minimize cyber risks and enable healthcare providers to maintain a robust information security posture, the DSPT is not a simple checklist of security controls, but a comprehensive toolkit to evaluate current security maturity and establish a risk management programme.
Indeed, in more recent times, DSPT has moved away from being a guide for achieving certain levels of assurance, and toward a mandatory evidence-based system which demands NHS organizations align with 10 precise National Data Guardian (NDG) standards: 1. The organization assures good management and maintenance of identity and access control for its networks and information systems. 2. The organization closely manages privileged user access to networks and information systems supporting essential services. 3. The organization ensures passwords are suitable for the information being protected. 4. Process reviews are held at least once a year where data security is put at risk and following security incidents. 5. Action is taken to address problems as a result of feedback at meetings. 6. All user devices are subject to anti-virus protections, while email services benefit from spam filtering and protection deployed at the corporate gateway. 7. Action is taken on known vulnerabilities based on advice from NHS Digital, and lessons are learned from previous incidents and near misses. 8. The organization has a defined, planned and communicated response to data security incidents impacting sensitive information or key operational services. 9. The organization has demonstrable confidence in the effectiveness of the security of technology, people, and processes relevant to essential services. 10. The organization securely configures the network and information systems that support the delivery of essential services.
Reducing Compliance Challenges with the Right Solutions
Taken individually, these standards may not seem too strenuous to adhere to. However, to be compliant with DSPT, all 10 items need to be completed and deemed ‘satisfactory’.
To tick all 10 key boxes in the most effective and efficient manner simultaneously, organizations should consider their strategy carefully. This could involve embracing supportive tools to accelerate and enhance their compliance journey.
Boiled down, DSPT demands several key things, including unincumbered visibility of the entire ecosystem, as well as the ability to demonstrate secure access, logs and storage, and essential auditing processes to maintain data security.
Achieving these things might appear complicated, even daunting. However, there are solutions known as Security Information and Event Management (SIEM) systems on the market that can make achieving these capabilities, and in turn DSPT compliance, easy.
Here, we outline some of the key features to look out for to meet compliance: • Log retention: A modern SIEM should be able to provide a centralized log storage and big data platform that scales to any organization’s size. Platforms should be able to provide role-based access to log data, including ‘data privacy’ functionality that can mask sensitive data until approved. Log data should not be modified or removed by users once ingested into the platform, while all data held should also be indexed and fully searchable. • Identifying and disabling unnecessary accounts: A good SIEM will also provide account auditing facilities for Active Directory that allow administrators to quickly identify dormant accounts. They should also be able to remove privileged user access when no longer required or appropriate. More sophisticated platforms will be able to do this in an automated manner. • Easy identification of issues: Clear and easily readable dashboards, alerts and reports for user logging activity should be provided, including failed login, apparent brute-force attempts, and bad password management practices. Further, those using machine learning will be able to identify unusual behavior patterns based on a baseline of activities of users and their peer group. • Integrate with third-party threat feeds: It will also be able to integrate with a wide variety of third-party threat feeds that provide information about specific known threat payloads/hashes and destination domains/addresses.
Meeting the mandate
Of course, having the right features in place is only part of the puzzle. For organizations to be truly successful in embracing tools that enable them to meet DSPT compliance more effectively, they should work to ensure that solutions providers offer them ongoing support – both in terms of ease of deployment and to ensure that they are using key systems in an optimal manner.
Scalability is another important aspect to consider.
Systems should be able to scale and continue to support the organization as data volumes increase and become more complex over time.
In respect of scalability, organizations should take time to think about pricing models, ensuring that these are based on the number of devices (nodes). In doing so, it will become easier to accurately budget future costs, as well as provide greater budgeting certainty over the short, medium and longer term.
A converged SIEM allows organizations to prioritize the big picture over individual tools, enabling them to develop a seamless and easy to use security operations setup. Not only does this approach boost cost transparency and eliminate potential complexities with managing a variety of siloed products – equally, it reduces the burdens on security teams, eliminating complexities over system integration and enhancing performance.
A converged SIEM combines key technologies easily to offer improved security outcomes. In doing so, organizations can easily home in on specific standards and adopt security best practices while reducing the burden on security teams tasked with meeting DSPT compliance.
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Healthtech Security
Article | August 31, 2023
It is not an easy task to engage decision-makers in hospitals, insurance providers, health systems, and private practices. These high-powered directors, managers, and executives are busier than ever. This makes the process of health tech marketing difficult. Apart from overwhelming job responsibilities, these healthcare professionals are also inundated with ads, emails, and phone calls. So rather than sending them messages randomly, it is important to help your prospects when they are free from their daily disruptions and have time.
Inbound marketing, a new form of marketing, lays out various effective healthcare marketing techniques, tricks, or tactics. These health tech marketing techniques or methodologies are helpful in the three stages of your health tech client journey:
Awareness Stage: This is the stage where they do not know they have a problem, but you make them aware of the fact that they have a problem.
Consideration Stage: In this stage, they are aware that they have a problem and consider finding a solution from you or your competitor.
Decision Stage: This is the final stage, where prospects make a decision.
Here are some effective health tech marketing techniques to engage new health tech marketing prospects online all through these stages.
Offer Entertaining and Informative Blog Content
Content is king. Roper Public Affairs, in their research report, say that around 80% of B2B decision-makers prefer to gather information from articles and blogs over ads. According to the research done by HubSpot, companies that publish blogs frequently get 4.5x more leads. Engage your health tech prospects with regular content that can address their interests and the problems they face.
However, it is a mistake to focus only on your health tech company’s benefits, features, or sales pitches in your blogs. This may make your prospects think you are just after their money. One of the best health tech marketing techniques to engage your prospects online is to provide answers to the challenges they face.
You can even ask and encourage your clients to contribute success stories or guest posts. These posts will have more value and the chances of them being shared are high. It is also better to create a strategy to make sure the health tech marketing content you make is valuable and relevant to your potential clients.
Encourage Social Media Feedback and Blog Comments
Providing great and prospect oriented health tech marketing content is just the beginning. You can solicit reactions from your audience. Asking questions at the end of blogs and social media health tech messages is a great way to collect reactions from the audience. It is good to thank them for responding when they leave a comment. Also, give them a comprehensive answer.
This will help build your credibility and make the clients come back. Sometimes, you may get spam comments, which are not connected to your post. Weed them out to make all comments relevant to the post. This health tech marketing technique will make your potential clients stay engaged in what you post online.
Host Google Hangouts or Webinars
People love being visually engaged. So, webinars or Google Hangouts are powerful tools that allow real-time interaction with your customers. This helps you to establish a personal connection with your potential clients through video or audio. Various visual aspects, including slides, graphics, and live videos, make it easier for you to share your content with customers.
Being an interactive health tech marketing technique, at the end of webinar sessions or Google hangout, you can have a Q and A session to clarify any questions from the clients. Compared to merely writing blog posts and articles, this, as a two-way dialogue, and will help you a lot in building a strong relationship with your clients.
Create a Group or Community
One of the best health tech marketing techniques to engage new customers is to interact in online forums and communities. Your buyers can get added to your members-only group automatically and then these members can socialize with each other and discuss healthcare technology.
These forums can be used to share content that is not available to the public. To the members, you can also offer various discounts and special pricing. Your customers, being part of such a group, will feel special and increase the possibility of a repeat purchase.
Co-Create with Existing Customers
If you are planning to write an e-book, improve your website, or launch a new product, involve your existing customers by getting suggestions from them. For fostering loyalty, depending on the situation, it is very effective to make your customers involved in major decision-making processes. They will feel proud that they participated, at the end of the process.
This health tech marketing technique may even allow you to hold a contest to select an idea from your customers for your next design and offer rewards for the one which is selected. Rewards can be a special mention on your website, a discount, or a freebie.
Celebrate Together!
Another great health-tech marketing technique to build stronger relationships with your customers is to celebrate milestones with them. Any achievement, small or big, can be a milestone. Even, achieving an award for attaining a certain number of followers can be a milestone. Sharing such moments of success with your customers and social media followers may make them feel like they are part of your business and success.
It is also a good idea to give them a discount offer. Also, recognizing the success of your clients and featuring them will establish a good relationship with customers.
Monitor Social Media
The best place to engage your clients in conversations about your products and industry is social media. Selecting a topic that is trending in your industry may be a hot cake for you to have the conversation on your social media platforms. Tracking trending topics related to your industry will always give you an insight for your next blog post and social media posts.
By sharing, liking, and providing answers you can also take part in conversations. This will make you an authority and customers will feel good about your credibility. As a health tech marketing technique, monitoring social media will make you gain the trust of the customers and build your brand gradually but successfully.
Build a List of Leads and Nurture them
Email marketing, as a health tech marketing technique, is a very effective strategy to nurture B2B customer relationships. According to HubSpot, for business communication, 86% of people prefer emails. You will be in the minds of potential customers through your value-packed and attractive emails. They will remember you when they identify a requirement.
Through your emails, you can update and educate your potential customers about relevant topics and trends related to the health tech industry. A newsletter in a week will be fair enough to keep them engaged and updated about your brand and industry.
Summing up
The key to generating more qualified leads and increasing your brand recognition is engaging new prospects tough new and innovative health tech marketing techniques. This will make your sales team’s job easier; they can convert these leads into customers. The above-listed health tech marketing techniques to engage with your prospects can be effectively used with your well-crafted Inbound marketing strategy.
Doing all of these alone can be very challenging. We, at Media7, partner with healthcare technology companies and healthcare tech marketers to offer support, strategy, and extending help to implement these activities. Through the collaboration, we help health tech companies to attract more visitors to their websites, generate leads, convert, and make them your happy customers. For more details of our services, visit our website: https://media7.com/
Frequently Asked Questions
What is a health tech marketing strategy?
Health tech marketing strategy is a part of an inbound marketing process for marketing healthcare tech products. It uses resources that can trace various opportunities through lead generation and branding, and overcome threats of healthcare businesses, which is highly competitive.
What is the best health tech marketing technique?
The best health tech marketing technique is to generate leads through various content forms. Health tech Content marketing helps create awareness about the product and attract clients to it. Different forms of content can include blogs, articles, press releases, newsletters, and much more.
Where to start when creating your healthcare marketing strategy
The best way to start when creating your healthcare marketing strategy is to set your goals. This is because the success of your healthcare marketing strategy depends upon the goal you set for yourself when you start the business and the marketing for it.
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Digital Healthcare
Article | December 27, 2021
Affordable healthcare is the need of the hour and interoperability is the means to that end. The healthcare ecosystem is looking into ways they can enable this affordability as soon as possible, and that is where FHIR comes in. FHR promises an on-demand exchange of secure healthcare information. It has become an increasingly popular protocol, thanks to its commitment to ensuring interoperability in the app economy, via apps.
The privilege enjoyed by consumers and participants in most industries is the ease of accessibility of information. With most of it being on the cloud, a URL ensures access to the same information regardless of where it is being accessed from or which internet enable device. This is the privilege FHIR aims to introduce in healthcare, over the current document-based approach where forms are either faxed, emailed, or electronically exchanged.
FHIR is for
Building new healthcare apps
Develop cloud-based health apps that integrate with social networks
Providing a simple to use standards-based API for cloud-based health integration services
The government looking to implement a national EHR
FHIR Aims to Reduce Cost
The medical expenses of an average American in a year are north of $12k and rising. The reasons are the unnecessary complications in the healthcare IT infrastructure. With FHIR, HL7 aims to reduce the burden on providers in sharing and accessing healthcare data at the point of care, thereby reducing the administrative expenses spent on moving data back and forth. It also promises to grant on-demand access to patients – enabling them to make better-informed healthcare decisions.
What is part of FHIR?
Pre-defined Resources and API
A common way to represent data as building blocks and rules for connecting them
Target support for common scenarios
Implementer Friendly
Familiar tooling and technologies using web standards
Multiple Libraries available for faster implementations
Mobile Friendly
Concise and easily understood specifications, RESTful API and JSON
Leverages cross-industry web technologies
Multi-paradigm
Thick client, browser, or mobile devices
Supports human readability as the base level of interoperability
Large Community for Support
Heaps of open-source software and training events, webinars, and connectathons
Specification feedback welcomed, including update requests-tracker
Out-of-the-box Interoperability
Base resources can be used as it is, can also be adapted for local requirements
Seamless exchange of information using messages or document
Start The FHIR
Health plans are jumping on the FHIR bandwagon faster than ever thanks to the Interoperability and Patient Access rule as well as the latest proposals. Do not get left behind or sustain the ramifications of non-compliance with CMS regulations.
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