Download Slides Analytics only create impact when they lead to action — but many healthcare organizations struggle to translate dashboards into true change. The problem isn’t the data. It’s the lack of operational pathways to bring insights into the day-to-day work of clinicians, managers, and leaders. In this session, hear how CareJourney and Arcadia…
The August 1st CMS enrollment deadline is less than 60 days away, and the decisions you make in the coming weeks will shape your organization’s performance trajectory for the year ahead. Many primary care and ACO leaders are navigating challenging realities: ongoing losses with no clear path to shared savings, mounting operational complexity, or strategic…
Download Slides Medication reconciliation is critical for successful care transitions, especially for high-risk patients with chronic conditions and complex medication regimens. These populations are responsible for the majority of hospital admissions and readmissions, at rates much higher than the general population. In large part these are due to the difficulty for care teams to…
Download Slides Do you know the business impact patient referrals have on your bottom line or value-based outcomes? More importantly, what are you doing to ensure referrals are supporting your VBC and FFS initiatives? What if your organization was able to effectively leverage referral automation and data within your EHR to reduce Leakage by…
Symbion Coding partners with medical organizations to develop tailored solutions they need to enhance their operations, improve compliance, and achieve accurate financial results. Founded in 2015, Symbion Coding has worked with several clients to optimize their coding and billing compliance, improve their coding accuracy, and unlock millions of dollars in revenue. Symbion Coding understands the…
A decade ago, the federal government launched its large-scale Medicare Access and CHIP Reauthorization Act (MACRA) in an attempt to move more physicians into value-based care to rein in exploding costs and improve care. Later this summer, Medical Economics will release the second edition of Medical Economics Insider featuring an in-depth look at how successful MACRA has been and…
“Value-based care” (VBC) is one of the most frequently cited goals in U.S. healthcare reform — yet its meaning remains frustratingly vague and often contradictory. We hear that value-based care is the future. But as we navigate payment reforms, new quality programs, and evolving care models, we’re forced to ask: Whose definition of “value” are we…
Electronic Clinical Quality Measures (eCQMs) are revolutionizing the way healthcare organizations evaluate care quality, track patient outcomes, and meet regulatory requirements. By embracing digital solutions, providers can not only streamline reporting processes but also deliver higher-quality care tailored to individual needs. This blog combines practical steps for eCQM implementation with the latest trends shaping their…
Value-based payment (VBP) — which ties health care reimbursement to quality and cost outcomes — has gained traction across the health care sector. Primary care providers participating in VBP arrangements have often performed well, likely due to their focus on prevention and cost-efficient care. However, community health centers (CHCs), which provide primary care to more than…
There is an eagerness across the behavioral health industry to transition from fee-for-service into value-based contracts. But, at times, this urgency can actually be a hindrance instead of a help, industry insiders recently explained at the Behavioral Health Business VALUE conference. Crafting value-based care infrastructure, understanding how and what to measure and defining the mechanisms…
In value-based care models, pharmacists play an important role in multidisciplinary team care in selecting cost-effective treatments and managing adherence to prevent hospitalizations and emergency department (ED) visits, explained Eileen Peng, PharmD, vice president, chief administrator, and pharmacy officer, Astera Cancer Care. Full Article
Aledade and other accountable care organizations are pressing the Centers for Medicare & Medicaid Services to correct what they say is a major misstep in a financial benchmark model that could significantly reduce their earnings and possibly force some practices out of value-based care and discourage others from joining. The controversy centers on CMS’s Accountable…