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3 Ways To Engage Physicians To Lead Transformation In Your APM

October 19, 2022Garrett Schmitt

Doctors leaving medicine spells trouble for health care. And there’s real reason for concern. A few weeks ago, the Mayo Clinic released its most recent study on physician burnout, revealing the highest rate in the survey’s 10-year history. Sixty-three percent of responding physicians reported one or more characteristics of burnout, with many noting depersonalization, an…

A Tale Of Two Payment Reforms

October 18, 2022Garrett Schmitt

Over the next 30 years, the Medicare program will account for nearly 80 percent of the increase in health care spending. This growth will continue to put pressure on the already dire situation facing the Hospital Insurance (HI) Trust Fund, which is expected to be bankrupt in 2028. Because of these looming fiscal issues, policy…

Staff, Technology Investments Help Practices Shift to Value-Based Care

October 17, 2022Garrett Schmitt

Staffing and technology are the top investment areas for primary care practice leaders as they manage the challenges of shifting from fee-for-service (FFS) models to value-based care, according to a report from Humana and the Medical Group Management Association (MGMA). The report builds on a 2019 study from Humana and MGMA that identified the structural…

Challenges, Benefits of Global Capitation Models from a Provider Perspective

October 17, 2022Garrett Schmitt

There are four major challenges that organizations face when they try to implement global capitation model, Michael Weiss, MD, vice president of population health for Children’s Hospital of Orange County (CHOC), explained to Healthcare Strategies. First, organizations must have patience and understand that the transition to global capitation is a process. Full Article

Are Readmission Rates The Best Measure of Hospital Quality?

October 17, 2022Garrett Schmitt

Readmission rates are one of the top measures of hospital quality, with most hospitals even putting their revenue on the line if they have excess hospital readmissions. However, a group of doctors argues in a JAMA Viewpoint article that it is time to move past readmission rates as an indicator of hospital quality and deemphasize…

Using The Medicare Shared Savings Program To Innovate Primary Care Payment

October 17, 2022Garrett Schmitt

Primary care practices provide most mental health services that patients receive, in place of, or in collaboration with, mental health specialists. They are also the most common source of preventive services, care coordination, and partnership with other sectors outside health care, such as social services, that are necessary to achieve health equity. The US grossly…

Integrating Social Determinants of Health

October 16, 2022Garrett Schmitt

One in three men and one in two women will have a cancer diagnosis in their lifetime. But it doesn’t have to be that way. Mishellene McKinney, MHA, RN, OCN, Vice President, Cancer Care Services, Kaiser Permanente; and Anand Shah, MD, MS, Vice President, Social Health, Kaiser Permanente, discussed this during their presentation, “Integrating Social…

Why care at home belongs in health equity strategies

October 16, 2022Garrett Schmitt

Over the past few years, we’ve witnessed dramatic acceleration in the movement of more healthcare into the home. With healthcare leaders estimating 20-30% of all Medicare spending could shift to the home in the next few years, that momentum is continuing in spite of sluggish permanent payer incentives. Moving care into the home provides value…

Health Equity and Care Coordination From the Patient Perspective

October 15, 2022Garrett Schmitt

Oncology Clinical Pathways Congress took a decidedly more personal turn in Session 3 with “The Focus of Clinical Pathways: The Patient.” First to present in the final session of the first day was Deborah Collyar, President of Patient Advocates In Research and a cancer survivor, with “Patient Perspective in Cancer Care for Pathways and Care…

7 Organizations Join Forces on ACO-Like Value-Based Care Network Dedicated to Behavioral Health

October 14, 2022Garrett Schmitt

A coalition of seven organizations has launched a new entity dedicated to improving the health of patients through a value-based care model that focuses on behavioral health and related social determinants of health. Dubbed the Integral Health Network of Southern Arizona LLC (IHNSA), the new organization is a clinically integrated networkdedicated to delivering closely coordinated…

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