Health Management Associates’ Post

Tis the season for policy platitudes...and "targeting fraud, waste, and abuse" is a common refrain that sounds really important but is actually quite complicated (or we would have done it already, right?). I had the chance to chat with Jennifer (Jen) Bridgeforth, MBA, CPhT, CPC, CPMA, CHC who is an HMA expert in compliance. We talked about the nuances around waste especially, what is driving overuse of services, and what might actually help to reduce this. #VitalViewpoints #healthcarepodcast https://lnkd.in/gjGW3pRa

In our latest podcast "Fraud, Waste and Abuse in Healthcare: Changing mindsets or changing reimbursement?," HMA Associate Principal Jennifer Bridgeforth points out how some services from providers aren't documented in patients' medical records, even when the service is for a legitimate reason. Check out our full conversation here: https://bit.ly/3PLuIfy #podcast #reimbursement #records #services #providers

Had a great discussion with Wren Gregory on The Promise of Personalized Medicine podcast! Wren provides insights into the intricacies of working with payors, the importance of economic data in demonstrating value, and the necessity of building relationships with reimbursement champions to navigate the administrative hurdles in healthcare. Links below--let us know what you think! #personalizedmedicine #payors #precisionmedicine

https://lnkd.in/giYNYKbH It’s live Y’all! The Burned Out Healthcare Provider podcast is now available for your listening pleasure on Spotify and YouTube. Please give me feedback, I want to improve and get this off the ground. #healthcare #providerburnout #burnout

It’s #nationalphysiciansuicideawarenessday. It’s crucial that as a society we care for our physicians and healthcare providers! Why because they’re humans and deserve to be happy and healthy. But we also NEED them to be healthy to do their jobs well! My podcast comes out this week on @influentnetwork #physicianburnout #physicianwellness

🚨 Healthcare’s Innovation Bottleneck 🚨 Jacob and Jerry call out a critical issue: Healthcare’s slow adoption of new solutions is stifling innovation. Hospitals are playing it safe, waiting for someone else to take the first step. 💡 The risk? Insurers are already moving faster, using price transparency data to their advantage and lowering reimbursement rates. Embrace innovation NOW or risk being left behind! 👇 #PriceTransparency #HealthcareInnovation #Reimbursement #Payerset #Podcast #Payercast

Join us for episode 16 of The Pulse of Healthcare podcast! Dr. John is joined by Chad to discuss the benefits of a Health Plan that works directly alongside its TPA and PBM, and how these direct connections can help the consumer know the prices that they will have to pay for their plan and health services. #pharmacycosts #PBM #TPA #selffundedhealthplan #healthcarecosts 

Need help with your payer strategy? This is a great podcast episode with a value transformation and payer-provider expert that covers perspectives from both payer and health plan lenses, including new payer models, health system partnerships, and more.

#podcast Mark Galvin, Co-Founder, President & CEO of TALON, discusses the Transparency in Coverage rule in healthcare, which was added to the Affordable Care Act and requires commercial health plan sponsors to provide transparency in the costs of tests, procedures, and other medical services. The rule aims to provide patients with information on pricing and out-of-pocket costs before committing to services. The lack of awareness and understanding of the rule is in part due to the vested interests of certain stakeholders, such as insurance carriers, who are financially conflicted in driving down the cost of medical claims. #HealthcareCosts #HealthcareInsurance #Hospitals talonhealthtech.com https://lnkd.in/g47iSUcQ

Key Changes in Healthcare: The No Surprises Act will impact all but emergency and urgent care services. Join us on the Leaders in Medical Billing podcast, where Matt Reiter, Principal at Capitol Associates Inc., sheds light on the Advanced Explanation of Benefits (AEOB) and Good Faith Estimate (GFE) provisions. He also provides crucial insights into the recent Change Healthcare cyberattack and its effect on healthcare providers. 🎧 Link to the full episode in the comments. #NoSurprisesAct, #AdvancedExplanation, #GoodFaithEstimate, #EmergencyCare, #UrgentCare, #HealthcareLegislation, #MedicalBilling, #RevenueCycleManagement, #TransparencyInHealthcare, #PatientProtection