Charles Haggerty

Yesterday's CMS moratorium on Medicare enrollment for new DMEPOS suppliers is urging plans to look under the hood at their own DME utilization trend. Whether it's unconfirmed resupply of disposables, missing adherence data on high-cost devices, or capped rental units that get billed past the cap, a lot of plans are going to find unpleasant surprises in their reviews. For managed care teams - always happy to discuss how Verse Medical works with our plan partners to remove FWA spend and the friction that comes with auth/utilization reviews.

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One of the key elements of UDS reporting is capturing the savings generated through the 340B Program. ✅ Work closely with your account reps ✅ Ensure you’re getting the right data ✅ Report accurately and confidently When your data is precise, your UDS report tells the full story of your program’s success—and positions your organization for future growth and compliance. #340B #UDSReporting #HealthcareCompliance #FQHC #PharmacyOptimization #DataDrivenDecisions

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RevMaxx is now integrated with Nextech Systems. Good news for specialty care providers! 🎉 RevMaxx now works directly within your existing Nextech EHR system. This is making clinical documentation faster, easier, and more accurate than ever before. No more switching tabs, no extra clicks, just 95% accurate clinical documentation in real time. Nextech is a cloud-based EHR platform specially designed for the following specialty healthcare practices, like: Ophthalmology Dermatology Orthopedics And more. Most importantly, it's SMART on FHIR, an API-based secure and standard integration designed for long-term reliability. So, whether you are a solo practitioner or any large healthcare organization using Nextech EHR, #RevMaxx helps you to stay focused, efficient, and compliant- without changing your workflow. Let’s book a Demo and experience automated documentation today! 👉 https://lnkd.in/gqq3kP5H #RevMaxx #Nextech #HealthcareTransformation #EHRIntegration #ClinicalAI #DigitalHealth #HealthTech #InnovationInHealthcare #Hospitals #CharitableHealthcareOrganization #CommunityHealthcare #FutureOfMedicine #AIinHealthcare Soumyadip Ghosal Kishlay Anand MD MS Jim Shadoan

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Baptist Health Arkansas streamlined analytics workflows with Arcadia—cutting dashboard development time, reducing labor costs, and automating monthly provider scorecards that once required 100–200 manual sends. A great example of how the right tools free analysts to focus on insights, not busywork. Read the full story via AWS: https://ow.ly/B28E50XSBx9

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Clinical training, domain specific models that can support upstream validation and inappropriate flagging. Without it, Health Plans will be overwhelmed by the volume and loosing big. It’s already happening.

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How much does your EHR cost and what are your favorite features? AI Overview An EHR costs physicians significantly, with initial setup ranging from $1,500 to over $50,000 per provider (depending on practice size and customization) and ongoing costs around $200-$700 monthly per provider for cloud/subscription models, plus potentially $1,500/month/physician for maintenance; costs vary widely based on cloud vs. self-hosted, vendor, practice size, and included features like training, data migration, and integrations.  Initial Costs (Implementation) Small Practices: Can expect $1,500 - $5,000+ for setup, but averages lean towards $30,000-$33,000 per provider for implementation, including hardware, data migration, and training. Larger Systems: Major vendors like Epic can start at $500,000 for large clinics, with self-hosted systems at $1,200+ per user. Key Drivers: Hardware, data migration (potentially $5k-$50k), extensive training ($1k-$5k/staff), and complex customization significantly increase initial costs.  Ongoing Costs (Maintenance & Operations) Cloud-Based (SaaS): Monthly subscriptions often $200 - $700 per provider, or $25-$600/user/month for specific vendors, sometimes including practice management (PM). Maintenance & Support: Around $1,500 per physician per month is a common estimate, covering updates, bug fixes, and optimization. Other Fees: Some vendors add revenue cycle management (RCM) fees (e.g., 2.9% of collections) or charge extra for advanced analytics/features.  Factors Influencing Cost Deployment: Cloud (SaaS) usually has lower upfront costs than self-hosted (on-premise). Practice Size: More users mean higher licensing fees. Customization: Specialty-specific needs or unique workflows add significant cost. Interoperability: Integrating with other systems increases expense. Vendor: Prices vary dramatically between providers (e.g., Oracle Health vs. Epic).  In essence, EHRs are a major financial commitment, requiring careful budgeting for both the initial launch and long-term operational needs, with hidden costs often exceeding initial vendor estimates. 

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Provider reimbursement is one of the most complex (and time-consuming) parts of running a health plan. By moving away from spreadsheets and into automated modeling, one regional plan was able to test new payment methodologies, streamline negotiations, and cut configuration time by 25%. The result? Faster, more accurate pricing that gives teams more bandwidth to focus on strategy—not paperwork. #Automation #ProviderReimbursement

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