Brian Biddulph-Krentar

Drex DeFord Advises Simplifying Healthcare for Vendor Risk Reduction: https://lnkd.in/dDvhYsDF First Health Strategic Advisory Board Member & Healthcare Strategist Drex DeFord dives into pressing concerns around the increasingly complex, difficult to manage, and frequently targeted healthcare environment. Drex’s conversations with This Week Health fuel meaningful conversations to spur the change necessary for improving health sector resilience. We’re proud to have such a dedicated member of the healthcare cybersecurity space advising our leaders and ensuring First Health is at the forefront of digital health security innovation. For more insight into First Health’s leadership and board members, visit https://lnkd.in/gQUx5BzD or contact First Health at [email protected]. #CISO #CIO #CTO #CDO #Compliance #HIPAA #HealthcareIT #HealthcareSecurity #CyberRisk #ThirdPartyRisk #RiskAssessment #Cybersecurity #HTM #DigitalHealth #PatientSafety

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Check out the article by our awesome CEO!

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Cost analysis in isolation lacks depth. Consider comparing costs - or cash shortfalls - from multiple angles: -Procedure codes -CPT codes -Payers -Aged A/R A record of CARCs and RARCs can be used to map shortfalls and denials, getting you closer to the root causes. This is what my team calls an RCM Health Check and I’m covering the concept in a webinar this Thursday. Join me here: https://lnkd.in/epuhRSn7 

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A Don’t Miss Reveleer Webinar: Patient-centered Prospective Risk Adjustment Join CareOne Consulting's Donna Page and Reveleer's Roxanna Cross & Anthony Polizzi as they share their unique perspectives on the benefits – and challenges – of implementing a more holistic, patient-centric view to risk adjustment. Gain valuable insights into: • How a more holistic approach can improve care delivery and outcomes • Importance of clinical documentation • Value of securing data outside a patient's EMR • The role of HIEs • Challenges that will need to be overcome • Best practices to integrate holistic patient data into risk adjustment models When Date: August 21, 2024 Time: 10:30 a.m. PST / 1:30 p.m. EST Learn more and register here: https://bit.ly/3WQv5d4 #RiskManagement #QualityImprovement #ValueBasedCare #Integration #RISEwebinars #Reveleer

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Today’s the day! 🚨 Join Joe Boyle from Penstock and Kevin Deutsch from Softheon at the New York Health Plan Association webinar as they dive into strategies to help health plans thrive in ACA markets. Don’t miss this opportunity to gain actionable insights to set your plan apart. There’s still time to RSVP 👉 https://bit.ly/3APpZG3 #ACA #HealthPlans #Healthcare

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Recent updates to Medicare Advantage Star Ratings highlight the growing importance of call center performance in shaping patient experiences and influencing reimbursement outcomes. This Healthcare Dive article dives into the implications of these changes, offering valuable insights for healthcare leaders striving to adapt to evolving standards.

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NEWS ALERT- CMS has finally released the 2023 MSSP results. The results provide tremendous insight on the ACO landscape, risk adjustment, and value based care. Here are some numbers: Thanks for reading. Help us get the word out by smashing the like button, sharing the post, or commenting. Key stats -453 ACOs with data released -69% of ACOs achieved shared savings -$3.08 billion dollars in shared savings payments to organizations -The top 10 organizations with the most savings racked up $631M, or 20% of all savings. -Average risk score for the top 10 organizations with the largest savings in pure dollars (not adjusted for ACO size) was 1.137 -Average risk score for the top 10 organizations with the largest savings per beneficiary was 1.379 -75% of organizations with a risk score above 1.00 had shared savings. Only 65% of organizations with a risk score below 1.00 had shared savings. -78% of the largest 100 ACOs by size had savings while only 64% of the 100 smallest ACOs had savings. CMS noted "ACOs led by primary care clinicians had significantly higher net per capita savings than ACOs with a smaller proportion of primary care clinicians. These results continue to underscore how important primary care is to the success of the Shared Savings Program." This makes sense because primary care is such a critical driver in overall patient care success and in accurately reflecting risk scores. There is a LOT more to dig into. My main takeaways are: 1) Primary care participation is a driver of success 2) Risk scores are a critical component of success and organizations in risk should have outpatient CDI programs and strong compliance programs 3) Larger organizations may have more resources and infrastructure to build scale for success Let's talk more about this. What do you see in the data? What is your experience with your ACO? https://lnkd.in/erjc-peV

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Join us for an enlightening session on Provider Enablement in the realm of Value-Based Care (VBC). Dive deep into the evolving landscape where third-party companies are revolutionizing VBC by managing risks and enhancing care outcomes. View the SOA Health Meeting agenda here: https://optumin.co/jgzooj #Optum #SOA #providers #ProviderEnablement #VBC 

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Smart move by Allegheny Health Network - and likely one that others will follow. #GenerativeAI systems are so powerful and effective in conveying information that not only will businesses and organizations of all types fill follow. And as developing #ChatGPT-style systems become easier, its likely we will each have our own personal #AI. #aiinnovation https://lnkd.in/eaqAZCFT

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We’re getting excited about the Healthcare Financial Management Association (HFMA) Region 1 Conference in Montville, CT, on May 30-31! We look forward to the discussions about the future of healthcare and gaining valuable insights into revenue cycle management, reimbursement dynamics, strategic planning, and more! George Krueger and Les Rescorl will discuss how we help organizations like yours use the right operational intelligence to make a MAJOR impact on your revenue and expenses. Check out how we’ve helped Stillwater Medical reduce annual labor expenses in the mid-six figures while increasing productivity 👇 #HFMA #healthcarefinance #healthcareanalytics

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The growth of the health insurance marketplace is picking up steam, fuelled by Medicaid disenrollment. https://ow.ly/N1vW50Tafsq MMIT’s Erin Trompeter explains what these large-scale changes mean for providers, manufacturers, payers and health IT vendors. Get the insights by clicking the link in this post. #HealthInsuranceMarketplace #HealthInsurance #Medicaid

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Medicare Advantage unrest, Change Healthcare fallout and more big takeaways from insurers’ Q1 https://lnkd.in/eyg48k7e via Healthcare Dive #MedicareAdvantage #ChangeHealthcare #Cybersecurity #CMS #Medicaid

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We joined Maven Clinic, Northeast Business Group on Health, and others at the National Alliance of Healthcare Purchaser Coalitions Annual Forum today to highlight data-driven approaches for managing health care costs. Chris Nordman, our SVP of Commercial, participated in a panel exploring how data analytics and specialized health benefit partnerships can improve employee health outcomes and reduce employer health care costs. Our recent State of Gut Health in the Workplace report underscores the importance of digestive health in the workplace. It found that: ⚫️ 72% of employees with chronic digestive issues experience decreased productivity. ⚫️ 40% reported daily symptoms that affect their work performance. These findings highlight the need for tailored, data-driven care. In fact, recent clinical data published in BMJ Open Gastroenterology shows that: ⚫️ 83% of Cylinder users reported better symptom management. ⚫️ 85% experienced an improvement in their digestive symptoms. By leveraging personalized care based on individual health data, we are able to help employers address digestive health challenges, improving employee outcomes and reducing overall health care costs. 📈 Learn more: https://lnkd.in/dzUhRGbZ #HealthcareInnovation #DigestiveHealth #EmployeeWellness #HealthcareCosts

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Our new website is live! 🥳 Visit rdlbillingservice.com to learn more about our comprehensive billing services and how we can transform your practice's financial health. 💰 Stay tuned for our bi-weekly blog posts where we'll share valuable insights and expert advice on medical billing and insurance. 💡 #medicalbilling #healthcare #doctors #medicalpractice #outsourcing #insurance #billingcompany #expertise

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