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Hospitals face a looming cash flow crisis due to regulatory changes. They require mechanisms to understand cost variations, optimize payor contracts, control physician networks, and improve administrative efficiency through data analytics for informed decisions. Utilizing data for actuarial sound contracting is vital.
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Current regulatory changes producing a “Cash Flow” Crisis in 24 months for hospitals • Hospitals need a mechanism focusing on and understanding small variations of costsof services. • Hospital’s medical management will need applications to understand details of whichthird party payorscontracts need specific utilizationcontrols to maximize profit. • Hospitals must be able to understand variations of care by controlling their physician network. • Improving administrative efficiency “not by cost cutting” but through continuous background analytics and alert engines to drive data supported administrative decisions. • Using data to support evolving information to provide a basis for actuarial sound contractingto hospital providers, vendors & third party payors.