What is Healthcare Management?
Healthcare Management companies handle many administrative, specialized and customer service-related tasks associated with medical services, including healthcare facility management, pharmaceuticals distribution, healthcare software development (and implementation/management), analytical services (patient data management, quality of care analysis, etc.), and healthcare-specific consulting services. With the growing complexity of the healthcare system, both in the United State and globally, the delivery of healthcare increasingly requires coordination between multiple parties to maintain, or improve, these capabilities. Governmental and internal regulations, coupled with the involvement of insurance companies, have developed layer upon layer of compliance and risk concerns that complicate already difficult administration and management functions.
Healthcare Management Benchmarking ReportBenchmarking Report Bundle
Benefit Accuracy RateBenchmarking Report
Healthcare Management KPI EncyclopediaKPI Encyclopedia
Healthcare Management Best Practices GuideBest Practices Guide
Healthcare Management Organization Chart TemplateOrg Chart Template
Bill Collection (Insurance Premiums)Workflow Template
Benefit Accuracy Rate
The number of patient responsibilities for health insurance claims in which the payer returned the correct patient responsibility information (based on patient benefits eligibility) at the t...
KPI Type : Quality
Formula : (Number of Instances where Correct Patient Responsibility Amount was Communicated by Payer / Total Number of Patient Responsibility Amounts Communicated) * 100
KPI Benchmark Range : 66.1%-98.5%
Provider Enrollment Request Cycle Time
The average number of days required for a health insurance company, or payer, to process a request from a healthcare provider for enrollment into their provider network, from the time the re...
KPI Type : Service
Formula : (Sum of Provider Enrollment Request Cycle Times) / Total Number of Provider Enrollments Completed
KPI Benchmark Range : 7.0-42.0
A typical healthcare management company or organization is composed of several common sub-functions, or teams, that work together to provide patients with the best possible care while also controlling costs and liabilities for healthcare providers (e.g., hospitals, clinics, medical practices, etc.). Browse our Healthcare Management organization chart page to learn about the roles and responsibilities of each major function. Then, download our org chart template (PDF, Visio, PPT) to plan and support improvement efforts within healthcare management operations.
Check out our healthcare management best practices page to view selected descriptions of work methods that have been proven to produce better results (as compared to other, similar methods). Want more? Download our Healthcare Management best practices guide, which provides a healthy selection of valuable best practices that can be incorporated to improve healthcare management operations. There might not be only one "best" way to perform every task. However, there is always a "better" way.