Ann Mond Johnson, CEO at American Telemedicine Association, joins hosts Gautam Shah and Carolyn Wukitch to discuss telehealth—including its evolving definition, applications, innovations, potential obstacles, and public policies—and what it all means for payers, providers, and policymakers.

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• Follow Ann Mond Johnson, CEO at American Telemedicine Association
• Follow Carolyn Wukitch, senior vice president and general manager of network and financial management at Change Healthcare
• Follow Gautam Shah, former vice president of healthcare platform and marketplace at Change Healthcare
• changehealthcare.com/insights/managing-risk-adjustment-during-the-pandemic
• changehealthcare.com/payment-accuracy

Avoiding Common Financial Pitfalls While Seizing RCM Improvement Opportunities

Onboarding an electronic health record (EHR) is one of the most complex and disruptive implementations a healthcare organization can undertake. This type of initiative impacts, and in many cases, fundamentally changes every aspect of your clinical and financial operations. Given the size and scope of these projects, it’s not surprising that the revenue cycle implications are vast, and an unsuccessful implementation can pose significant financial risks to your organization.

By Elaine Dunn

Elaine Dunn is vice president of Revenue Integrity and Centralized Coding at Change Healthcare.

Episode Resources

1. Elaine Dunn's bio
2. Building a Culture of Revenue Integrity
3. Strategies for Fine-Tuning Revenue Integrity
4. Revenue integrity Solutions
5. Change Healthcare Industry Insights
6. COVID-19 Updates and Resources
7. COVID-19 Updates Newsletter
8. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Suggest or become a guest
• Contact Change Healthcare

The former secretary of the U.S. Department of Veterans Affairs, Dr. David Shulkin, joins hosts Deanne Kasim and Arien Malec to discuss Dr. Shulkin’s deep experience in the public and private sectors and share advice for employers nationwide who are working out their plans to re-open.

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• Follow Arien Malec, SVP of R&D at Change Healthcare
• Follow Dr. David Shulkin, former secretary of the U.S. Department of Veterans Affairs
• Follow Deanne Kasim, VP of health policy at Change Healthcare
• changehealthcare.com/about/government-affairs

Revenue cycle management (RCM) is a rapidly changing, multi-billion dollar market with a complex set of challenges. Care delivery organizations are starting to realize that the way they’ve traditionally managed the revenue cycle will not work going forward. New and emerging dynamics are fundamentally altering how healthcare is delivered and paid for. To navigate these shifting undercurrents, organizations must appreciate the factors driving change and develop innovative strategies to create a new paradigm.

By Thomas Laur

Thomas Laur is executive vice president of Change Healthcare and president of Technology Enabled Services.

Episode Resources

1. Thomas Laur’s bio
2. Artificial Intelligence Equals Real Transformation for Revenue Cycle Management
3. Revenue Optimization Resource Library
4. Revenue Cycle Optimization Webinar Series for Hospitals and Health Systems
5. Change Healthcare Industry Insights
6. COVID-19 Updates and Resources
7. COVID-19 Updates Newsletter
8. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Suggest or become a guest
• Contact Change Healthcare

Gone is the traditional understanding of capacity management. On today's how, Terri Epler connects with Duncan Campbell to give us an insider's view of how COVID-19 upended the healthcare industry’s historical view of capacity management. They dissect how COVID-19 impacted hospital capacity, and examine why capacity management is crucial for efficient operations during every level of patient demand.

Terri Epler, RN, MSN, product consultant for Change Healthcare, leads the conversation with special guest Duncan Campbell, principal of Craigavon Enterprises. Duncan spearheaded several healthcare turnaround and performance improvement initiatives throughout Canada, and is the former CFO of Vancouver Coastal Health.

Their conversation pulls back the curtain on:

• Capacity challenges providers face daily
• Initial and ongoing impact of COVID-19 on patient flow and hospital capacity in the U.S. and Canada
• How and why capacity management broke down when the pandemic started
• Ways in which providers coped
• What approaches worked and failed, and why
• Lessons providers learned to guide better capacity management
• Why capacity management is crucial at every level of demand
• The role of IT to help manage capacity
• How Change Healthcare customers are navigating capacity management today
• Factors that create urgency to forecast capacity highs and lows
• Benefits of accurately aligning demand to resources

Epsiode Resources

1. Terri Epler’s bio
2. Duncan Campbell’s bio
3. Hospital Capacity Management Solutions
4. Change Healthcare Industry Insights
5. COVID-19 Updates and Resources
6. COVID-19 Updates Newsletter
7. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Suggest or become a guest
• Contact Change Healthcare

With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries.

People want to easily make appointments, understand what their financial outlays will be, make payments, and set up payment plans if the estimated costs exceed their budgets—all via their mobile devices or tablets. Unfortunately, most healthcare organizations aren’t ready to provide this level of convenience. In part, this is because they have relied on patient portals as their main digital engagement tools to date.

By Bill Krause

Bill Krause is vice president and general manager of Digital Experience and Consumer Engagement for Change Healthcare.

Episode Resources

1. Bill Krause's bio
2. Change Healthcare - Harris Poll Research: Half of Consumers Avoid Seeking Care Because It’s Too Hard
3. The Change Healthcare - Harris Poll 2020 Consumer Experience Index Report
4. Change Healthcare Industry Insights
5. COVID-19 Updates and Resources
6. COVID-19 Updates Newsletter
7. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Get the iOS app
• Get the Android app
• Suggest or become a guest
• Contact Change Healthcare

Medicaid and Medicare are seeing major changes in federal and state policies amid the global health emergency. Today’s panelists dive into new guidance for state Medicaid agencies, how COVID-19 affects those who are dual-eligible for Medicaid and Medicare, and how these changes impact health plans.

Stream now to hear from Angela Evatt, senior manager of State Healthcare Policy; Eric McAllister, Government Affairs specialist; Lisette Montesinos, manager of Government Relations; and Chad Wege, vice president of Program Management, all with Change Healthcare.

They dive into:

• The scope of federal assistance supporting state Medicaid agencies
• Criteria for states to obtain federal assistance
• State and federal guidance surrounding recertification of Medicaid beneficiaries
• COVID-19’s impact on people who are dual-eligible for Medicaid and Medicare
• Variance in COVID-19 response at the state level
• How state Medicaid agencies are adapting their policies in the COVID-19 era
• Steps Change Healthcare is taking to support health plans amid evolving COVID-19 challenges
• New ways health plans can support members
• Future impact of COVID-19 on health plans

Episode Resources

1. Angela Evatt’s bio
2. Chad Wege’s bio
3. Lisette Montesinos’ bio
4. CMS's COVID-19 FAQ
5. How to Renew Dual Eligibles for Medicaid
6. How to Optimize Dual Enrollments
7. Change Healthcare Industry Insights
8. COVID-19 Updates and Resources
9. COVID-19 Updates Newsletter
10. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Get the iOS app
• Get the Android app
• Suggest or become a guest
• Contact Change Healthcare

Stories of hospital lab early adopters that have successfully implemented third-party decision support

Current events highlight the critical role of the hospital
laboratory as the primary source of diagnostic information. But legislation such as PAMA (Protecting Access to Medicare Act)
can potentially reduce lab reimbursements when clinical decision support is not used to ensure appropriate care.

This audiobook provides front-line perspective and commentary from experts and physicians at Mayo Clinic Laboratory on the application of clinical decision support technology in the lab. It also includes data from early adopters in hospital laboratories that have successfully implemented third-party decision support to achieve their stewardship goals, including electronic health record (EHR) interventions, and ongoing monitoring of utilization.

By Ben Gold and Curtis Hanson, M.D.

Ben Gold leads CareSelect product strategy for Change Healthcare, to help providers transition to value-based care. Previously, he worked for Epic Systems managing enterprise EMR implementations for U.S. academic medical centers.

Curtis Hanson, M.D., is Professor of Laboratory Medicine and Pathology, Consultant in Hematopathology, Executive Physician for Healthcare Innovation, at Mayo Clinic Laboratories. He previously served as chair of the Department of Laboratory Medicine and Pathology, and is currently the executive physician for Healthcare Innovation at Mayo Clinic Laboratories. Hanson leads the government relation activities for Mayo Clinic Laboratories, and is the past chair of the board of directors for the American Clinical Laboratory Association.

Episode Resources

1. Ben Gold's bio
2. Dr. Curtis Hanson's bio
3. Mayo Clinic
4. CareSelect Lab
5. Align Lab and the Hospital’s Strategic Priorities
6. Reality Check: Buy Versus Build for Laboratory Decision Support
7. Clinical Laboratories at a Crossroads
8. Change Healthcare announces CareSelect Imaging Open Access
9. Change Healthcare Industry Insights
10. COVID-19 Updates and Resources
11. COVID-19 Updates Newsletter
12. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Get the iOS app
• Get the Android app
• Suggest or become a guest
• Contact Change Healthcare

As health system consolidation continues, cardiology HIT vendors are working to resolve interoperability and scalability challenges. With the influx of complex procedures and additional data points, clinical users are finding it more difficult to focus on their core mission: delivering excellent patient care.

On today’s show, Jessica Smith talks with Ori Garini, director of Product Management at Change Healthcare, about ongoing challenges within cardiology, how redundant data entry distracts from patient care, and the importance of anchoring system design to usability requirements.

Here’s what they covered:

• How interoperability challenges complicate a workflow
• Deriving actionable insights from cardiovascular workload data
• Reducing TCO as facilities consolidate cardiovascular systems
• The impact of confusing data entry requirements on clinician productivity
• Limits of departmental best practices on workflow optimization
• Technical advantages of a single database and single point of connectivity
• EMR interoperability as a guideline for cardiovascular product development
• How system design and infrastructure can drive operational efficiencies
• Querying structured data during the daily procedural workflow
• Benchmarking turnaround time data to isolate root causes of underperformance
• Using analytics to pinpoint inefficiencies and close gaps
• Anticipating emerging needs with an agile roadmap

Episode Resources

1. Ori Garini’s bio
2. Jessica Smith’s bio
3. Enterprise Imaging Strategy
4. Enterprise Imaging Cloud Strategy
5. Change Healthcare Cardiology™
6. Enterprise Medical Imaging Solutions
7. Enterprise Imaging Community
8. Change Healthcare Industry Insights
9. COVID-19 Updates and Resources
10. COVID-19 Updates Newsletter
11. Change Healthcare Insights Newsletter

Show Resources

• SUBSCRIBE to the podcast using any podcatcher or RSS reader
• Get the iOS app
• Get the Android app
• Suggest or become a guest
• Contact Change Healthcare

Louisville Health Chief Information Security Officer, Steven Ramirez, joins host John Zuziak to share his story of a COVID indoctrination by fire, discuss the changing risk management landscape, and reflect on cybersecurity issues facing every healthcare CISO.

Learn More 

• Follow John Zuziak, former security and IT risk management practice director at Change Healthcare
• Follow Steven Ramirez, former CISO at University of Louisville Health
• changehealthcare.com/healthcare-consulting