An integrated county health system that spent more than $22 million on a social needs case management program for its adult Medicaid patients was rewarded with significant reductions in hospital admissions and a minor dip in emergency department visits, according to a new study published this week in Annals of Internal Medicine. However, reduced utilization…
Data is the backbone of every health care decision. Various regulations, initiatives, and platforms seek to unlock data from separate silos for free-flowing exchange that enhances the patient experience and enables data-driven improvements in health outcomes. Health plans and providers remain invested in using data to achieve improved care coordination while lowering costs, tenets of…
While ONC has made significant progress toward achieving national health interoperability, continued interagency collaboration and public-private partnerships are needed to fully enable digital health, according to an article published by the National Academy of Medicine. “Through the work of ONC, data and interoperability standards have grown increasingly sophisticated over the past ten years,” the authors…
A trio of publications from the Centers for Medicare and Medicaid Services (CMS) leadership this year has clarified and advanced the federal strategic vision for value-based care. In January, leaders reinforced their commitment to value-based care with the goal that “100 percent of people with Original Medicare will be in a care relationship with accountability…
Download Slides For many value-based care providers, one of the biggest obstacles is often the 10% to 20% of your population who make up your most “challenging” chronic patients. Treating and managing those chronic conditions is no mystery. The problem is getting your unengaged patients to better understand and take control of their…
“Return” has become a popular word across the globe of late. Return to the office, return to travel, return to going out to eat and sporting events, return to our pre-COVID lives…the list goes on. As our world adjusts to the new normal, the healthcare industry is moving beyond emergency triage to managing today’s top challenges,…
The role of homecare providers is central as the industry transitions to value-based care. Rather than reimbursing providers based on the quantity of services delivered, value-based care rewards providers for the quality of their services and their impact on member outcomes. However, when considering factors that impact the health of a member receiving care in…
Download Slides When communication between various providers and sites of care is broken or nonexistent, gaps in care can lead to many patients falling through the cracks. As the healthcare industry shifts toward value-based care models, hospitals need to ensure successful patient transitions and recovery, provide high-quality care, drive revenue, and mitigate risk. Join…
After years spent transforming your health care technology, you may feel like you’re almost done. But Value-Based Care Technology requires a different mindset. With reimbursement scaling to a tipping point for APM adoption, think “reboot” instead. Your health system or group has a long way to go if your aggregated and integrated data cannot support…
Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. Unlike traditional fee-for-service (FFS) models that reimburse providers based on volume (i.e., the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Ultimately, success under…