IS INFLATION UNDER-CUTTING YOUR MANAGED CARE/THIRD PARTY REIMBURSEMENTS? THE ANSWER IS… YES!

By John Collier CEO IMCS (Innovative Managed Care Solutions) PROVIDERS OUT THERE ARE STRUGGLING WITH RISING COSTS. Over the past two (2) years additional fuel has been added to this fire. From material increases and supply issues, to nursing staff shortages due to COVID retreats, costs continue to rise though daily hospital revenue continues to… Continue reading IS INFLATION UNDER-CUTTING YOUR MANAGED CARE/THIRD PARTY REIMBURSEMENTS? THE ANSWER IS… YES!

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MANAGED CARE CONTRACTING: REACHING OUT TO THOSE LEFT BEHIND

*KIM MICHAEL (author) is a thirty-five year veteran of the healthcare industry, author, and VP of IMCS Innovative Managed Care Solutions.  When I began marketing for Innovative Managed Care Solutions, a consulting firm in Franklin, TN, it seemed only natural to reach out to CFOs and Finance departments. Managed care reimbursements, after all, tend to… Continue reading MANAGED CARE CONTRACTING: REACHING OUT TO THOSE LEFT BEHIND

From “Whereas to Signature”: The Providers Guide to Managed Care Contracting-First Installment

*JOHN COLLIER -Is a thirty year veteran of the healthcare industry, author, provider advocate, and founder and CEO of Innovative Managed Care Solutions (IMCS) This blog series is entitled, “From Whereas to Signature: The Provider’s Guide to Managed Care Contracting”. Everyone understands what a Whereas is…right? It is the Whereas clauses (those first few parts… Continue reading From “Whereas to Signature”: The Providers Guide to Managed Care Contracting-First Installment

Navigating Healthcare Profitability

NAVIGATING HEALTHCARE PROFITABILITY Today, effectively managing healthcare profitability means understanding and optimizing every touch point of profitability within the provider’s revenue cycle; from maximizing payor contracts, to post contract oversight, to managing line-item revenue loss and denials, to creating efficiencies on all levels that promote growth, stability, and quality of care, while protecting the provider’s best… Continue reading Navigating Healthcare Profitability

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Six Steps to Creating Successful Bundled Payments

One of the hottest topics in healthcare today is value-based reimbursement. A significant starting block for many organizations is “bundled payments”. “Bundled payments” is not a new idea, introduced as early as 1984, when The Texas Heart Institute began to charge a single flat fee for both hospital and physician services for cardiovascular surgeries. The… Continue reading Six Steps to Creating Successful Bundled Payments

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Welcome to my Blog

Welcome to my blog!  This is a blog, or communication media, to discuss and review all things related to managed care from the provider’s point of view.  We will take on the difficult subjects related to contracting and focusing on issues that can be turned into opportunities.  Issues such as: Leverage in contracting Contracting language… Continue reading Welcome to my Blog

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