Thought Leadership Webinar: Data-Powered Payer Rate Analysis & Management

The rate negotiation process can seem like a daunting task. Especially when you feel like your future rests on successful negotiation with your private payer plans. Nevertheless, if you utilize your data effectively, you’ll be amazed at how it will revolutionize the management and negotiation of your payer rates. Successfully negotiated payer contracts are an essential part of a sound financial strategy.

Leveling the Playing Field
Unfortunately, when physician practices negotiate contracts with payers it is rarely a level playing field. Insurance companies have vast amounts of data and sophisticated modeling tools to give them a tremendous advantage in negotiating rates. Conversely, health care providers often lack sufficient analytical tools and experience when it comes to contract knowledge. These insufficiencies can end up costing the practice millions of dollars.

In order to level the playing field, providers must utilize their billing and contract data to analyze proposed rates and their effect on a practice’s top line. In this webinar, we will step you through the process of improving your practice revenue through data-powered payer contract negotiation. You will learn how to use your own data to analyze proposed rates, better negotiate and understand the effect on the practice.

Watch this to webinar to learn how to up your payer rates game by:

  • Aggregating your clinical and financial utilization data
  • Analyzing costs and quality measures
  • Identifying inefficiencies & opportunities

Thought Leadership Webinar: What is GPRO and CAHPS?

Understanding how to navigate the new CMS value-based reimbursement reporting guidelines and regulations can be tricky, but certainly not impossible.

In this second session of our educational webinar series addressing value-based reimbursement, we explore group reporting options (GPRO), review the Consumer Assessment of Healthcare Providers and Systems (CAHPS) and examine its requirements, patient eligibility, & survey implementation.

So what exactly is GPRO and CAHPS?
Group practices with two or more eligible clinicians (ECs) can register with CMS to report PQRS data through the group practice reporting option (GPRO). These group practices must have grouped their National Provider Identifiers (NPI) under a single Taxpayer Identification Number (TIN) umbrella to be eligible. So, if your practice, hospital, and/or health network represents two or more eligible clinicians that bill under the same TIN then you’re eligible for group reporting.

CAHPS includes consumer and patient surveys that ask them to report on and evaluate their healthcare experiences. CAHPS surveys are not customer service surveys. Instead, the survey’s cover topics that are important to consumers, focusing on those aspects of quality consumers are best qualified to evaluate.

If your group practice registers for PQRS by the June 30th deadline and consists of between 2 and 99 ECs, then you may elect to include CAHPS for PQRS as part of your PQRS submission. If your group practice consists of 100 or more eligible clinicians (ECs) then it is actually required.

To learn more, watch the video below.

Thought Leadership Webinar: Downstream Analysis – A Powerful Way to Serve a Patient Population

Figuring out the true value of your employed physicians can be nearly impossible unless you have access to a health system’s data — analyzing the data of a physician or clinic is not enough. You need the gamut of data to understand the value a physician or clinic has for a patient population.

Now, more than ever, we have endless data available to us — the key is aggregating, mapping, and then employing it so that it gives you insights to improve the value of care. Downstream analysis is one of the best way to do this.

Downstream Analysis can break down:

  • Physician referral patterns
  • Patient consumption patterns
  • Total cost of an episode of care
  • Population management opportunities

The above insights are key to helping leaders of a health system to truly serve its patient populations. We have recorded the following webinar to help you learn more how Downstream Analyzer can arm your healthcare system’s leaders with the right data at the right time.

 

 

 

DataRiver Training: How to Evaluate Payer Mix in DataRiver

In order to ensure a practice is financially healthy, it is imperative that the payer mix is balanced.

DataRiver makes it easy to effectively evaluate payer mix and devise a strategy that will provide the practice with the best financial picture.

In this webinar, participants will learn how to do the following in DataRiver:

• Analyze payer mix
• Determine how changes can affect revenue

Click on this link to view the webinar: How to Evaluate Payer Mix in DataRiver

Click on this link to view the worksheet used in the webinar: Payer Mix Workbook

Analyst Training: Two Parentheses-The Math of Simple Analysis

Most analysis in healthcare doesn’t need more than two parentheses or what you learned in fourth grade. But sometimes our great data and brilliant models are dismissed simply because we forgot our order of operations (PEMDAS) or percentage calculations. A spreadsheet does simple math but doesn’t know math.

This Excelinar is a refresher on the simple math of analysis so you don’t get embarrassed when you’re trying to show your cool report but your customer raises their hand and says “I think you have the math wrong.”

 

Link to presentation worksheet: Equation Excelinar Two Parenthesis Math Worksheet


Meet the Presenter:

Rick Carter has over 35 years of experience in an analyst and consultant role. Rick helps physicians and healthcare executives improve their operational and financial performance. He has authored many industry articles, but is best known for creating the core methodology behind Equation’s data and analytically driven consulting model.

Analyst Training: Extreme Logic-How To Use Data That Doesn’t Exist

As analysts, we all face the obstacle of missing or incomplete quantitative data. As a result, we find ourselves left with the decision of how to effectively analyze data when we don’t have the benefit of complete data from which to work.

In this webinar session, we address how to effectively tackle missing data in the analysis process. We take you through the analytic processes we undertook for one of our clients as we assessed their physician compensation model.

DataRiver Training: Calculating Days in Accounts Receivable in DataRiver

DataRiver provides an effective way to monitor the overall performance of your accounts receivable efforts.

In this DataRiver User Training webinar, you will learn how to:
• Accurately and effectively calculate days in accounts receivable in DataRiver
• Trend days in accounts receivable over time in DataRiver
• Drill down days in accounts receivable to department and/or specific providers in DataRiver

Whether you are new to DataRiver or are a power user, this training will help you to get the most out of DataRiver.

Download spreadsheet used in the training webinar here: Days in AR Webinar Worksheet


Presenter: Tom Sherwood

Tom Sherwood is an analyst at Equation and has been in this role for almost a year. Prior to joining Equation, Tom completed a Masters in Healthcare Administration at the University of Michigan (Go Blue!). Tom has several years of experience with data analytics, visualization, and helping clients understand and learn from their data.

 

DataRiver Training: Data Confidence in DataRiver

Undoubtedly, trustworthiness is not intrinsic in data. It’s difficult to trust data unless you have visibility into the reconciliation process.

Join us for this week’s DataRiver User Training webinar where we will provide analytical tips you can apply throughout your Excel pivot table reconciliation process.
Whether you are new to DataRiver or are a power user, this training will help you to get the most out of DataRiver.

Analyst Training: Report Writing – Don’t Let Your Words Ruin Your Numbers

Writing an effective report that highlights your data insights can be tricky. Even for a seasoned writer, figuring out how to translate data relationships and patterns from numbers to plain English can be a daunting task.

In this session, Rick Carter will teach the key aspects of writing a useful, focused, and impactful report that will propel your organization to action.

Click here to download the webinar: Webinar: Report Writing

Click here to download Rick’s worksheet: Worksheet-Excelinar Words to Support Numbers


About the Presenter

Rick Carter has over 35 years of experience in an analyst and consultant role. Rick helps physicians and healthcare executives improve their operational and financial performance. He has authored many industry articles, but is best known for creating the core methodology behind Equation’s data and analytically driven consulting model.

Analyst Training: Spreadsheet Errors That Kill Your Reputation & How To Avoid Them

Healthcare Analysts translate big and complicated numbers into plain English every day. The crux of an analyst’s job is to take that data and use it to help health systems make better business decisions. Executive managers make system-wide business decisions off of analyst’s work every day — no big deal, right?

Painting the business picture through analysis is a process. In that process there are a myriad of mistakes that can be made. These mistakes can hurt an analyst’s credibility. In this webinar, Rick Carter illustrates the most common spreadsheet errors and how to avoid them in his signature live Excel format.

 

 

To download worksheet used in the webinar, click here: Worksheet-Spreadsheet Errors


Presenter:  Rick Carter, Equation Principal