As the health care industry increasingly shifts to value-based care (VBC) and alternative payment models, its biggest challenge is inertia. Fee-for-service (FFS) and pay-for-performance (P4P) have been firmly entrenched for years, along with the associated business processes and costly legacy systems that support them. To fully realize VBC’s value, these existing processes and legacy infrastructures…
Interoperability of sex/gender EHR elements could help support research to improve population health, according to a study published in JAMIA. Researchers examined recommendations from the National Academies of Sciences, Engineering, and Medicine (NASEM) report “Measuring Sex, Gender Identity, and Sexual Orientation” and the Health Level 7 (HL7) Gender Harmony Project (GHP) product brief “Gender Harmony—Modeling…
Value-based care in its simplest definition rests on the assurance of value for every healthcare dollar spent. The term “value” though, is open to interpretation. Which means that it is subject to each beholder’s working definition of what “value” means, and therefore the resultant expectation of a standard around it. Over the last decade, value-based…
Buying health insurance is a lot like renting an apartment. Finding the perfect place is hard, and the price is always higher than you expect. But if it is conveniently close to your employer and there are few other affordable options, you sign the lease and agree to all of the terms. Only after a…
Earlier this month, a few members of the Healthjump Healthcare Organization team, Dane Rasmuson and Calli Styczynski attended the Florida Association of ACOs (FLAACOs) 2022 Annual Conference. This article explores some of the valuable insights they gained from the nation’s leading experts in value-based care. “FLAACOs was the perfect combination of a well-established yet personal…
The electronic health record (EHR) is an essential tool for linking demographic and clinical data within and across health care systems, as well as to public health databases. Data collected within the EHR are crucial for understanding and addressing inequities that negatively impact health and health care outcomes of marginalized communities, including persons with disabilities….
Today, behavioral health providers want to deliver effective treatment that brings hope and healing to patients. They also want to be reimbursed well and quickly so they can invest in the best resources and personnel. Value-based care can help providers achieve both. It orients practices and payers toward the most important factor in mental health…
As the United States government ramps up efforts to close healthcare gaps and achieve health equity across the country, dental care looms as a significant obstacle. Many Americans don’t have access to the dental care they need, a problem exacerbated by the lack of universal integration of oral health into primary or behavioral healthcare. The…
Engaging affiliates is critical to health system success in value- based care (VBC) arrangements. Providers are increasingly turning towards alternative payment arrangements as a new revenue strategy amidst rising competition. At the same time, health systems continue to acquire or affiliate with private physician practices as a result of increased consolidation and competition for network referrals. And…
Most primary care physicians (PCPs) are engaging with value-based care, with 69 percent participating in some type of alternative payment model. But a new report from Chartis Group has identified the PCPs leading this transition away from fee-for-service. Value-based care “Leaders,” according to the report, are PCPs who report participating in at least a partial-risk…