The healthcare industry is already using shopping habits and financial records for predictive analysis. Now some are turning toward social media data and other public records, raising concern that practices will be overly intrusive and conducted without patients even knowing.
Health insurers want to guide individuals through health and healthcare, from birth to death,. To improve on the traditional insurance experience--which is not always good one-- they're going to have to innovate at many levels.
Medicare Advantage (MA) plans are private health plans that have contracted with Medicare to receive a fixed monthly fee in exchange for providing comprehensive healthcare to plan members. In order to provide appropriate care to beneficiaries with varying medical conditions, plans are paid according to the Risk Adjustment Factor (RAF) score of each patient. Insufficient documentation of chronic conditions can be an obstacle to MA reimbursement. However, even when a condition has been properly documented by the provider, it is often not coded and submitted to Medicare. Read this white paper to learn how to take the complexity out of MA reimbursement.
More and more importance is being placed on how a hospital communicates with a patient. Be it through a portal or mobile-optimized website, that connection ties into patient satisfaction rates and, eventually, the bottom line.