As a President & CEO, I’m calling on our country’s elected officials to lead with purpose and passion. One of the many values that HCIM’s culture is built upon is the need for “Purposeful Work” and “Purposeful Leadership.” We define Purposeful Work as the need to serve a cause greater than
People get downright passionate about their favorite productivity hacks because they make life so much more enjoyable, so let me introduce you to mine. You probably already use business software, whether it be Outlook, Exchange, Salesforce, or GoToMeeting. And once they become a part of your daily routine, you couldn’t
We have heard many Healthcare CFOs voice their concern that CMS will pay them less for services rendered under government health plans due to the new value-based payment models. This knee-jerk reaction to Value-Based Care is not surprising, as the model is very similar to what was attempted in the
The new Value-Based Care Model is no different than what the industry was attempting to accomplish in the 1990s with Integrated Delivery Network Managed Care. It’s been 25 years and we still have data integration, referrals and authorization problems across the healthcare delivery continuum. It’s time for payers and providers
As the healthcare industry begins to transform to the new Value-Based model, there is now much greater emphasis on quality patient care. The effort by current health plans, health systems, and providers to deliver quality patient care based on current available data is difficult at best and is almost impossible
What sets HCIM apart is our culture and our people. The organization is comprised of individuals who are all passionately committed to the success of our clients and the healthcare industry as a whole. We don’t believe in the status quo and as an example of this, the architecture of
As we all know, preparing for all of the configuration updates surrounding Open Enrollment every year can be a huge drain on your staff’s time. Not only do they need to manage their current workload, but they also have to dedicate focused time on analyzing, documenting, and configuring all of
Many operational errors go undiscovered in the healthcare payer industry. For payers, one of the most costly hidden errors occurs during prepayment claims processing. The magnitude of this problem is significant, as this represents a $2 billion annual expense from costs related to overpayments, rework, provider disturbance, and recovery efforts.
During a year of rapid growth, Northwest Physicians Network (NPN) doubled the size of their Provider network and drastically increased their membership. With plans to take on one or two more health plans next year, they decided to get ahead of the additional workload by licensing SymKey® to increase their
In order to address the concept of value in health care, it is important to address a fundamental purpose and mission of health care. Health care is the relationship between a physician and a patient in order to achieve patient wellness. – Bill Bysinger, 2016 If this is the mission,
HCIM’s Strategic Consulting mission is to collaborate with healthcare organizations in developing and executing a Value-Based Care Transformation Plan. We utilize a continuous process improvement model and an architectural approach based on medical expense management, appropriate revenue optimization, and administrative cost containment. HCIM’s Value-Based Care Transformation Methodology: Assist with defining
The SymKey® claims processing stats for 2015 are in and they’re unbelievable. We compiled statistics from 80% of our clients, covering a combined total of over 2.5 million lives. Across these clients, SymKey® touched 7.8 million claims with 5.25 million approved/denied for a 67% completion rate. This represents FTE savings of