Digital Healthcare
Article | November 29, 2023
Long-term care comprises all the health services that help patients with chronic illnesses or disabilities meet their medical and non-medical needs. It caters to those who cannot care for themselves for extended durations. For care providers, it becomes critical to meet the needs of patients on time while delivering top-notch quality, especially at a time when virtual care is more important than ever.
To remedy this, many of the tasks and processes within long-term care are supported by digital solutions. These long-term care software applications enable care providers to automate aspects of patient scheduling, inventory control, regulation and compliance, data management, care delivery management, and much more. Some of the end users of long-term care software include home healthcare agencies, nursing homes, and residential hospice care facilities.
What is Driving the Growth of Long-Term Care Solutions?
Digitalization has swept the healthcare industry, and medical technology now occupies a significant area of medical care delivery. With the demand for a robust healthcare infrastructure aggravated by a shortage of medical professionals, the need for automation is driving the growth of medtech across all areas of healthcare. In addition, fewer medical specialists and medical cost reduction initiatives combined are powering the long-term care software market’s growth.
Challenges for the Long-Term Care Software Market
Despite the rapid growth in the use of digital solutions to manage administrative and compliance tasks, technological transformations are expensive. The high maintenance costs incurred by care providers are a major hindrance towards a full-fledged adoption. Many care providers are also unwilling to adopt new applications due to the implementation and staff training costs involved in doing so.
What the Future Holds?
With an increase in remote care and the use of technologies like the Internet of Medical Things to deliver diagnostic services and preventive care, medtech is witnessing a revolution. Long-term care is bound to follow suit thanks to areas like remote patient monitoring and wearable technology. While the long-term care market is slated to grow by leaps and bounds, solution makers must find a way to help care providers warm up to the use of technology and de
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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
Article | September 12, 2023
In the ever-evolving healthcare landscape, transparency in pharmacy benefit management (PBM) has emerged as a critical issue. The discussion surrounding driving down prescription drug costs and increasing access to affordable medications has brought attention to the practices of PBMs. However, achieving true transparency requires more than just buzzwords; it necessitates access to real-time data that empowers consumers to make informed decisions about their healthcare. In this piece, we will explore the importance of real-time transparency in PBMs and highlight how Xevant, a leading platform, is revolutionizing the industry.
The Current State of PBM Legislation
With over 100 bills to reform PBM practices, legislative efforts are intensifying to address the business practices associated with PBMs. However, one common concern is the absence of language surrounding real-time automation in many of these bills. The lack of such provisions threatens to undermine the effectiveness of the proposed reforms. It is crucial to examine the available resources and insights to gain a comprehensive understanding of the issue. The current state of PBM legislation and the efforts to reform PBM practices highlight the pressing need for transparency and accountability in the pharmaceutical industry. PBMs play a critical role in the drug pricing ecosystem. Still, concerns about “traditional” PBM business practices, such as lack of transparency and opaque rebate systems, have raised questions about their impact on drug prices and patient access to affordable medications.
Xevant's Groundbreaking Solution
Xevant, led by CEO Brandon Newman, stands at the forefront of the drive for transparency in PBM practices. As the only platform capable of providing PBMs and consumers with real-time, automated, and completely transparent data from the entire pharmacy benefits ecosystem, Xevant is poised to revolutionize the industry against the backdrop of the political landscape.
The absence of language surrounding transparency and real-time automation in many proposed bills threatens the effectiveness of the reforms. Yet, innovative companies like Xevant are leading the charge for openness in PBM practices. Xevant's real-time data automation and optimization capabilities empower consumers with timely, comprehensive, and transparent information, enabling them to make informed decisions about their healthcare and potentially save money.
With the potential passage of these bills, the pharmaceutical industry could see a shift towards greater accountability, fairer pricing practices, and improved access to affordable medications. The reforms could also create a more level playing field for generic drug manufacturers, fostering competition and lowering prices.
Real-Time Data Automation and Optimization
Newman emphasizes that transparency cannot be achieved without access to real-time data automation and optimization. This real-time, customized data enables individuals to compare prices, explore alternatives, and understand the specific cost components related to their medications. By bringing together various parts of lowering drug costs, such as drug rebates, 340B contracts, sell-side discounts, copay assistance, and employer negotiations, Xevant offers a solution that empowers consumers with the information they need when required.
The Implications of Timely Access to Data
The scarcity of timely access to data among many traditional PBMs is a significant challenge in achieving transparency in the pharmaceutical industry. These PBMs typically collect data annually, which leaves a substantial margin of error and can result in millions of dollars lost from consumers' pockets. In contrast, Xevant's capabilities offer a game-changing solution.
With Xevant's platform, consumers gain immediate access to critical information regarding drug rebates, markups during spread pricing, competitive alternatives, and the vast landscape of the pharmaceutical ecosystem. Having these complete datasets available in real-time allows individuals to make informed decisions about their healthcare and potentially save lives. The significance of timely access to data cannot be overstated, as transparency becomes meaningful only when it happens in the present rather than months, or even a year, later than when the impact has already occurred.
Navigating Proposed Legislation and Questionable Business Practices
Another critical aspect of the PBM landscape that Xevant addresses is the moral implications associated with cost-sharing, clawbacks, spread pricing, and the pass-through of rebates. These practices have long been criticized for their opacity and their negative consequences on patients' access to affordable medications. Xevant's transparency-focused approach highlights these practices, allowing stakeholders to evaluate their ethical implications and work towards fairer alternatives.
Xevant recognizes that proposed legislation may have potential cracks that allow for slip-through and the continuation of questionable business practices. Delayed and inaccurate reporting are loopholes that can hinder the effectiveness of reform efforts. By actively engaging with legislators and industry stakeholders, Xevant aims to identify these potential shortcomings and advocate for comprehensive robust legislation that leaves no room for exlploitation
The Future of Healthcare and the Role of Real-Time Automation
As the discussion surrounding PBM reform gains momentum, the future of healthcare in America hangs in the balance. Xevant sets a new standard for efficiency and consumer empowerment in healthcare decision-making by employing AI-driven technology. Xevant's visionary approach to real-time data automation and optimization paves the way for greater transparency and cost savings in the pharmaceutical industry.
Wrapping Up
Transparency in pharmacy benefit management is crucial to addressing the soaring costs of prescription drugs and enhancing access to affordable medications. Without access to real-time data and automation, the pursuit of transparency remains elusive. Xevant's groundbreaking platform solves this pressing challenge, enabling PBMs and consumers to access complete, transparent data in real-time.
As legislative efforts progress, the need for real-time transparency becomes increasingly evident, and Xevant emerges as the leading legal solution for PBMs. When harnessing the power of real-time data automation, the vision of affordable healthcare can be transformed into a reality, benefiting individuals and the entire healthcare ecosystem.
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Digital Healthcare
Article | March 29, 2023
Managing accounts receivable (A/R) in private practice is a constant battle for physicians. Though most understand that lowering their A/R is critical for improving their practices’ efficiency and profitability, physicians often do not know how to address issues like lengthy collection periods and insurance claim denials.
It can be complex to manage A/R, as doing so involves various parties, including insurance carriers, the patient, the front office and billing staff, and the provider. All must work together to achieve a clean claims rate and avoid denials.
The best way to improve medical billing A/R is to reduce claim denials and speed up the patient collections process. In addition, you’ll need to ensure that patients and staff are filling out paperwork correctly and submitting claims on time. Other areas to manage are the follow-ups to correct errors and past-due accounts.
Accounts receivable is a collaborative effort
Each member of the practice staff plays an integral role in reducing claims denial rates. Take an all-hands-on-deck approach in order to identify issues and develop solutions. Start by making every team member privy to the A/R management process. This will ensure everyone is on the same page and involved. It will also help to increase efficiency, avoid redundancies, and eliminate mistakes that could waste time or profitability.
The front office staff is the front line of A/R. They are the first to verify and update patients’ insurance and personal details like address and contact information. They must also ensure that patients sign certain documents, like financial policies.
Providers are the next line of A/R. Providers select current procedural terminology (CPT) codes, and must be mindful of tedious details such as bundling correctly in order to ensure that claims are approved. A conscientious provider should not only select appropriate billing codes but also double-check the patient information that the front office staff provide.
The billing office is a final line of defense and should triple check that the patient’s information and the CPT codes are correct. Billing office staff are also responsible for ensuring the claims are submitted on time and that duplicates are not submitted.
Establish financial policies
Every practice needs clearly defined financial policies around patients or clients. Having these policies in place helps to clarify financial details and creates workflows and processes for staff to follow. Here are a few elements to consider:
State whether the practice will accept personal checks and, if so, what charges or actions are in place for bounced checks. Consider implementing technologies that convert paper checks to electronic transactions and verify them before patients leave the office.
Include a financial responsibilities section with information about who is responsible for the claim(s) if a patient’s insurance carrier partially or fully denies their claim.
Define the debt collection process. Patients should quickly know how long they have to pay their bills and at what point you may sell their debt to a third-party debt collectors agency.
Medical records can be copious, and practices often need to make physical copies of them. Consider implementing a policy that covers a pay-per-page cost associated with medical records.
Automate patient statements and payments
Offer different payment options for patients by implementing technologies and creative solutions that make it easier for them to pay their bills. Look for solutions that reduce manual work and provide reporting that tracks efficacy across delivery modes. Here are a few approaches to consider:
Automate sending statements via text message or email to help improve the rate of online payments.
Add QR codes to online and paper statements to help patients quickly access payment portals.
Offer payment plans, especially with low to no interest, to make it easier for patients to pay down balances.
Establish a written collections process
Not collecting patient payments at the time of service is the biggest challenge to patient collections. Establishing a written collections process can help to alleviate that pain point and clarify the practice’s policies and procedures so that patients can understand them more clearly and easily. Here are some guidelines to follow when creating your policies:
Include when, how, and how often bills are sent.
Provide information on payment plans and assistance programs, if available.
Explain the different available payment options and whether patients can pay over the phone, online through a payment portal, etc.
Clarify which extraordinary collection actions may be used, including selling the debt or taking legal action.
One of the most important processes to develop with collections is to respond to patients’ behavior. Communication should not be a one-size-fits-all approach. Patients expect personalization, and reaching out to them based on their preferred means of communication leads to optimal results.
Perseverance is vital when it comes to collections. By establishing clear policies and implementing integrated technology throughout your processes, you can improve the patient experience by eliminating confusion while streamlining workflow to reduce the administrative burden on billing and administrative staff.
Although implementing these steps can help your practice lower your accounts receivables, sometimes choosing to outsource to a medical billing company can help you save time, money, and resources. Medical billing companies can provide medical practices with specialized expertise, technology, and infrastructure to efficiently manage the revenue cycle and ensure timely payments. Outsourcing medical billing can also free up staff time and resources, allowing healthcare providers to focus on patient care and other essential aspects of running their practice. Whether you choose to outsource or to keep your medical billing in-house, these tips will help you to reduce your costs and increase your revenue.
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