Financial/Revenue Cycle Management

While most provider organizations have taken on some type of performance risk, only 15% have moved to pure population-based payment—and that figure is stalled, projected to grow a mere 1% by 2025.

Good API strategy and design are foundational to digital transformation. API management solutions manage relationships between API providers and users, whether inside or across enterprise boundaries. WSO2 commissioned Forrester Consulting to conduct a Total Economic Impact™ study to examine the potential ROI that enterprises may realize by deploying WSO2 API Manager. After interviewing five WSO2 customers using API Manager, Forrester found that a composite organization experiences benefits of $6.63M over three years versus costs of $1.27M, adding up to a net present value of $5.36M and a ROI of 422%.

As a high-flying startup ecosystem comes back down to earth, health systems with the financial resources will be able to double down on their digital transformation efforts.

The Viz Stroke Module (Viz LVO) is the only stroke AI software to be officially awarded Medicare’s New Technology Add-on Payment (NTAP) by CMS. Viz LVO automates the detection and triage of suspected large vessel occlusions and notifies the entire care team faster than the standard of care, getting patients access to lifesaving therapy sooner. Viz LVO has been renewed for a maximum of $1,040 per patient through FY 2022.

For pulmonary embolism (PE) and acute aortic patients, time is of the essence. However, inefficient communication channels and limited access to information and imaging can create extra work for providers and delay treatment for patients. Viz.ai’s Intelligent Care Coordination platform uses artificial intelligence to identify PE and aortic patients earlier, connect multidisciplinary care teams quickly and coordinate complex care pathways to reduce time to treatment and improve patient outcomes.

Incorporating artificial intelligence (AI) into healthcare is often thought of as replacing humans with machines. But in reality, healthcare AI can put more power into providers’ hands so they can deliver care more efficiently. AI algorithms have the potential to improve clinical outcomes and decrease patients’ time to treatment. In addition, AI can streamline workflows to relieve some of the administrative burden for healthcare staff.

While we can't afford to have redundancy in every situation due to budgets and application architectures, we can partner to understand the core technology needs and design to minimize downtime for business and clinical units.

As Medicaid programs determine what's next for health IT investments, state and regional HIEs, increasingly serving as "health data utilities," are natural partners to build on current programs with Medicaid Enterprise System funding.

Areas of opportunity include data analytics for research, enhancing EHR capabilities and using AI algorithms to support patient care and operational efficiency, says Mike Restuccia.

Health insurance companies increasingly face challenges in capturing and collecting revenue. Save time and money and prevent provider conflicts by addressing claim errors before payment.