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With all of the changes and challenges in healthcare today there is the sense of having the weight of the world on one’s shoulders. Whether you’re a CEO, CNO, COO, CIO, Middle Manager or front line supervisor, your plates are full already and you’re being required to take on more responsibilities. You ask – where am I to find the time to do one more...

All facets of clinical practice, whether primary care provider, specialist, hospital, or post-acute, are facing the need to transform clinical processes sooner than later to avoid dings to Medicare Reimbursement. The effectiveness of a clinical encounter is having a more significant impact on quality outcomes for the patient and reimbursement to the healthcare provider than ever before. For example, with an acute care hospital discharge,...

It would be hard to find two topics that were discussed more in 2016 than value-based healthcare and the rising cost of pharmaceuticals.  For many of us, these topics represent the two largest disruptions to a market that we have seen in our lifetime.  As a person that strongly believes in disruption, I saw it fitting to write about both of these in the same...

There is a lot of information circulating through various channels these days about healthcare reform, Obamacare, quality improvement, and reducing the cost of care.  Unfortunately, most of those are filled with acronyms and are written in a way that can only be understood by people in the healthcare profession.  In order to help identify why consumers of healthcare should be interested in healthcare quality and...

Change is hard.  Try a simple experiment – move your trash can to the other side of your kitchen.  How frustrating is it when you toss a banana peel onto the floor where the can used to live?  From another angle, how much more frustrated would you be if someone else had moved the can and never told you? On a much larger scale, when...

As a business consultant with InfoWorks, one of my favorites aspects of my job is watching the evolution of our engagement with clients over the course of several years. We have had the pleasure of working with a behavioral health company, nationally recognized as a pioneer in serving individuals with intellectual and developmental disabilities, behavioral health diagnoses, and complex physical and medical conditions. This client...

  EnableComp, the nation’s leading workers’ compensation (WC) reimbursement expert who has processed over $1B+ in WC claims for over 500 health systems and hospitals nationwide, recently partnered with InfoWorks to research additional analytics-based methods to further enhance its appeal success rates on zero balance claims.  A zero balance claim is a claim the member pays for in its entirety, typically because the cash price...

There seems to be an increased amount of news highlights and articles about challenges serving patients in behavioral health. It has caused me to wonder, “why now?” Behavioral health encompasses historically stigmatized conditions like substance addiction and abuse as well as psychological distress and mental disorders. Perhaps the chatter about behavioral health is in part tied to the current opioid epidemic and how to stop...

On August 23-24, InfoWorks had the opportunity to be a sponsor for Nashville’s Jumpstart Foundry’s healthcare innovation summit, Health:Further. As the registration sponsor, we jumped on the opportunity to ask questions of some of the brightest minds in healthcare today.  We asked summit attendees the question, “What do you think is the greatest disruptive force to traditional healthcare delivery today?”.  We were able to capture more than...

The Nashville Technology Council hosted their 4th Annual Analytics Summit on August 11-12 at the Omni Hotel, and I was one of over 400 attendees. The number of attendees has quadrupled over the last four years and this significant growth reflects the outstanding value attendees have gotten out of the event.  This year did not disappoint. Here are my three takeaways that I’ve distilled from...