Why Move to a Value-Based Care Model? Many healthcare providers are paid based on the volume of services they deliver, such as the number of tests or procedures. The fee-for-service (FFS) vs value-based care model can result in overtreatment, poorer care, and higher costs.1 How a Value-Based Care Model Works A value-based care (VBC) model, […]
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Why Azalea Is the Best EHR for Rural Providers Right Now The Rural Health Transformation Program (RHT Program) is underway. States have been awarded funds through 2027 to be used to improve access to quality healthcare in rural areas while supporting the financial challenges rural hospitals and providers face. The program specifies what initiatives the
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How a Healthcare Revenue Cycle Dashboard Supports Financial Health Healthcare revenue cycle management (RCM) is no small task. Constantly changing requirements, regulations, and complex processes make it laborious and error prone. But you have to make revenue cycle management second only to patient care to survive. In this article, we share why a healthcare revenue
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Understanding a Clinically Integrated Network A clinically integrated network, or CIN, is a structured alliance of hospitals, clinics, and/or providers. Members work together around shared quality outcomes, coordinated care, and collective payer strategy. For independent and rural healthcare organizations, a CIN offers a way to improve performance. It also helps reduce unneeded cost variations, and
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Understanding an EHR vs EMR And What Your Clinic or Rural Hospital Needs An electronic medical record (EMR) is a digital version of a paper chart used inside a single clinic, while an electronic health record (EHR) primarily focuses on clinical documentation and data exchange, modern systems often integrate with or include administrative and billing
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What Is a Critical Access Hospital and Why They Matter A critical access hospital, or CAH, is a small rural hospital that meets federal criteria to receive cost-based reimbursement from Medicare. These hospitals keep emergency and essential inpatient services available in communities too small to support a full acute-care facility. They provide 24×7 emergency care,
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Key CMS Final Rule 2026 Changes for Rural Healthcare The Centers for Medicare & Medicaid Services (CMS) announced its CMS final rule 2026 policy changes for the Medicare Physician Fee Schedule (PFS) on October 31, 2025.1 Actual changes go into effect on or after January 1, 2026. Other recent regulatory changes are also finalized. Changes
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What Are RVUs in Healthcare and How Are they Calculated? RVUs stands for Relative Value Units. RVUs in healthcare are non-monetary units used to quantify the value of medical services. RVUs reflect the relative amount of work, practice expense, and malpractice risk used to deliver different procedures or services. Each service or procedure provided is
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How to Maximize Reimbursements for Rural Health Clinics In 2023, hospitals absorbed $130 billion in Medicare and Medicaid underpayments — a roughly 14% annual increase over 2019.1 And underpayments are one reason providers can benefit from knowing how to maximize reimbursements for rural health clinics (RHCs). Why? Because a higher portion of RHC payments come
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Critical Access Hospital Requirements for Care Centers in Transition Critical access hospitals (CAHs) get financial protection and access to government resources to support care in rural areas. Hospitals are only eligible for the CAH designation if they participate in the Medicare program. To earn the CAH designation, facilities also need to meet certain critical access
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