NYC Health + Hospitals Recognized for Innovation in Healthcare
New York, NY — NYC Health + Hospitals is proud to announce its recent achievement of the 2024 Richard L. Doyle Award for Innovation and Leadership in Healthcare from MCG Health. This prestigious award recognizes healthcare providers for exceptional contributions to the field, and NYC Health + Hospitals is the only recipient this year.
Over the past two years, the organization significantly improved its claims processing. By implementing MCG Health’s clinical guidance tools and refining its internal procedures, NYC Health + Hospitals managed to reduce health insurance claims denials for inpatient stays by 50%. This accomplishment resulted in cost savings of $50 million in a single year.
The award will be formally accepted at MCG’s Client Forum in May, where the leadership team will discuss the project that led to this recognition. Additionally, NYC Health + Hospitals will receive a $10,000 prize, which will further enhance the work of the Utilization Management team.
Joshua Moskovitz, MD, the Medical Director of Utilization Management, expressed gratitude for the recognition. He stated, “This award reflects the hard work and dedication of our team members across our hospitals. Their commitment to providing exceptional care was key to this success.”
Marji Karlin, the Chief Revenue Officer, highlighted the importance of timely patient care, saying, “This achievement is a testament to our collaborative efforts to improve processes and advocate for our patients.”
This initiative is crucial in a climate where many healthcare providers face challenges with insurers denying claims for presented care. David Silvestri, a senior leader at NYC Health + Hospitals, noted how reducing such denials allows the health system to continue offering vital services to New Yorkers.
MCG Health President Jon Shreve praised NYC Health + Hospitals for its innovative approach. He highlighted how the use of evidence-based guidance has streamlined operations and lessened unnecessary claim denials.
The health system implemented several strategies to bolster claims for inpatient stays:
- Disease-Specific Best Practices: Identifying common causes for claim denials allowed the team to create alerts aimed at enhancing clinical documentation.
- Streamlined Documentation Tools: Templates were developed to help staff more accurately document the medical necessity of the services provided.
- Comprehensive Staff Training: Full-day retreats were organized to educate clinical teams on improved documentation practices.
- Inspiring Healthy Competition: The team shared data on efficiency and outcomes, motivating various sites to engage and improve their practices.
Each year, MCG Health honors two organizations with the Richard L. Doyle Award—one insurer and one provider. The award celebrates the dedication to best practices, measurable outcomes in healthcare quality and cost-effectiveness, and transformative initiatives. Evaluated by an independent panel, the award signifies high standards in the healthcare industry.
About NYC Health + Hospitals: This is the largest public healthcare system in the U.S., serving over a million people each year across more than 70 locations in New York City. With a focus on accessible care, the system operates trauma centers, nursing homes, and a health plan, supported by 11 hospitals and over 43,000 employees.
About MCG Health: Part of Hearst Health, MCG provides clinical guidance that empowers healthcare organizations to deliver patient-centered care effectively.
About Hearst Health: Committed to improving healthcare efficiency, Hearst Health has been a leader in the field for over four decades, enhancing the quality and safety of care delivered across various healthcare settings.
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