Congressional wrangling driven by a handful of dynamics

It all comes down to math.

Strong opinions have already formed about the Affordable Care Act (ACA) replacement plan that was announced by President Trump during the first week of March. Several factors are in play that will determine the outcome of the new American Health Care Plan (AHCA) currently wending its way through a process maze. Read more

Two groups could give telehealth the traction it needs

No discussion about improving the healthcare system in the United States is complete without a mention of the wonderful opportunities that lie ahead in telehealth.* After all, providers and patients using technology that doesn’t depend on face-to-face communication for care delivery, monitoring or education makes so much sense.

And yet …

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Will physicians be burned by MACRA surprises?

A comprehensive 2016 study by The Physicians Foundation examined physician attitudes toward their work life and uncovered various attitudes and beliefs that are certain to affect how they respond to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). More than 17,000 physicians responded to the survey and submitted an astonishing 10,000 comments about their work life, many of which focused on ever-growing administrative work related to insurance and government reimbursement. Read more

Diving into the Skilled Nursing Facility (SNF) ‘Final Rule’ on arbitration agreements

snf skilled nursing final rule arbitration

Last fall the Centers for Medicare & Medicaid Services (CMS) issued The Final Rule to Reform the Requirements for Long-Term Care Facilities, a massive collection of new, revised and restructured regulations that touches nearly every aspect of nursing home operations – including resident assessments, quality improvement, data collection and utilization, and staffing levels. Luckily, all the changes are scheduled to take place over a three-year period, with three phases of implementation. Read more

Are eligibility changes putting you at risk?

In the midst of potential changes to the ACA it can be easy to forget the importance of the basics like patient eligibility. Checking for changes in patient insurance coverage will always be a top priority, and missing the fine details can leave you in a challenging situation. Fortunately, there are strategies to address this potentially frustrating situation. Read more

Providers should assume status quo on MACRA

With the confirmation of Tom Price as the head of the U.S. Department of Health and Human Services seemingly imminent, healthcare providers are being advised to continue their efforts to comply with the Medicare Access and CHIP Reauthorization Act (MACRA) as currently configured. Data collected in 2017 could still affect 2019 payments, so waiting to see what happens under a new administration is probably not wise. An expert from Industry trade group Medical Group Management Association urges providers to continue with their program. Read more

Medicare and Medicaid could face dramatic change

Changes are around the corner now that a new president is at the helm, though it’s hard to sort out how the path to change or replace the Affordable Care Act (ACA)  will be effected. As of inauguration day, there were competing plans from Republicans, and few hints from the new president as to what he will actually propose. Thus far, he is saying his Health and Human Services (HHS) appointee must be confirmed before he’ll reveal details. That could happen in mid-February. Read more

Value-based care: burden or benefit?

With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved. Some features were designed to encourage what’s known as “value-based” care as a mechanism to drive down overall costs. The argument for value-based care is simply that physicians and organizations should be paid on the value of care delivered, rather than on the volume of services rendered. The commercial health insurance industry has been moving toward value-based care for some time, and Medicare has been testing alternative risk and compensation models of late under the ACA. Read more

What growth really means

It’s almost a cliché: in any given year, a company’s overall goal is usually “growth.” In broad terms, growth signals success for the company. We are no different: 2016 certainly brought great advances for ABILITY in many areas. I’d like to emphasize, however, that our success is only achieved by our customers being well served. We only grow when you do! Here’s how that happened in 2016: Read more

Meet your Implementation and Support Leaders

Our customers count on ABILITY to keep their businesses running smoothly. It takes a skilled, dedicated team of technical support professionals who understand the unique needs of the healthcare IT business to do that.

Take a minute to learn a little more about our Implementation and Support Leaders – the people with expertise you can count on. Read more