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Healthcare Clinical and Financial Viability vs. ACO Management

The main factors of evaluation in the sustainability, efficiency, and quality of healthcare delivery systems are clinical management of the patient population in parallel to financial balance and modeling. In more intricate detail, the healthcare industry can examine clinical management in segmentation of acute and chronic care, accuracy in diagnosis, and appropriate time administration of treatment. Coupled with the primary priority of patient care is the financial modeling of revenue cycling in relation to all aspects of organizational operation. The focus of accountability is based on the definition of variability in clinical outcomes with associated input and output of billing and payment determinants.

A logical sequence of financial determinants is directly related to knowledge of cost distribution across various layers of the healthcare delivery system, ranging from disease specific modeling to provider/patient requirements for optimal treatment diagnosis and delivery across a variety of populations. An introduction of analytic gateways that are integrated within an organization’s operations will enable intermediate assessment of efficiency and deficiencies in cost distribution and revenue generation. Financial analyses, coupled with a retrospective and prospective regression of clinical diagnostic and procedural management, will enable population based gap assessments that are provider and patient specific. Partnering ACO organizations will then be actively engaged in time period assessments at crucial gateways of patient management.

Oracle Hyperion Profitability and Cost Management (HPCM) is a solution that will automate and accelerate transparency for cost and profitability modeling through use of robust calculation engine and powerful reporting and visualization tools.  As a Health IT leader, I have implemented and supported cost accounting and performance management technology solutions for more than 10 years and I am excited about the use of the this solution to accelerate provider organization readiness for ACO requirements.  Perficient is an Oracle Platinum partner and we uniquely positioned to implement the HPCM solution by leveraging our strong Enterprise Performance Management (EPM) and Clinical Claims analytic expertise.

Please join our webinar on March 27th to hear experts from Oracle discuss the HPCM solution!

Webinar link:  A Profitability and Cost Management Strategy for Healthcare Providers https://cc.readytalk.com/cc/s/registrations/new?cid=kv6sk4bazo8k

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Terie McClintock

Terie McClintock is the Oracle Healthcare Practice Director at Perficient, Inc. where she is responsible for providing healthcare subject matter expertise to the Perficient Oracle National Business Unit while also cultivating and managing the partnership with Oracle’s Healthcare Vertical and Horizontal Business Units. Terie has more than 25 years of IT experience. Prior to joining Perficient, Terie contributed over 13 years at M.D. Anderson Cancer Center with the most recent title of Director, Data Management Services. Prior to M.D. Anderson, Terie worked for IBM as a Senior Consultant.

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