
Utilization: The Hidden Revenue Leak in VBC
High-performing groups treat utilization with the same rigor they apply to coding and quality. Here are four key principles we’ve seen successful organizations adopt.
High-performing groups treat utilization with the same rigor they apply to coding and quality. Here are four key principles we’ve seen successful organizations adopt.
While prior authorization has made many headlines over the past year, concurrent review has not. Yet missteps in both processes leave hospitals in danger of not getting paid, which can result in higher costs being passed down to patients.
According to two new reports, hospital admissions were about 85% of what was expected based on historic patterns at the beginning of April, and in the same month, 11% of adults reported delaying care because of Covid, including 16% of Hispanic and 13% of Black adults.