“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…
Doctors and health care organizations know the importance of social factors in determining patients’ health outcomes, but they often are frustrated by their inability to securely exchange this information in electronic form and integrate it into patients’ electronic health records. CyncHealth, which comprises the state health information exchanges (HIEs) for Nebraska and Iowa, began taking…
Download Slides Social Determinants of Health (SDoH) are widely recognized to have a significant impact on patient health outcomes regardless of the care they receive in a clinical setting. Nearly nine in 10 physicians (87%) reported they would like greater time and ability to effectively address their patients’ SDOH in the future. Join us…
The Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model reduced Medicare payments and hospitalizations among beneficiaries with ESRD, suggesting that specialty-oriented accountable care organization (ACO) models may offer more benefits than primary care-based ACO models, according to a Health Affairs study sent to journalists. CMS launched the CEC Model in October 2015 as the first specialty-oriented ACO. The model…
The Medicare Payment Advisory Commission (MedPAC) proposed streamlining Medicare alternative payment models (APMs), along with policy options for tackling pricey Part B drugs, in its June report to Congress Wednesday. In the June 2021 report, MedPAC called for reducing the number of Medicare APMs so that models running concurrently could work better together. The 2022…
Download Slides As value-based care (VBC) models become increasingly the norm, providers are challenged with maintaining short-term revenue in fee-for-service (FFS) while making the appropriate investments to reduce avoidable utilization. The good news is that FFS programs such as chronic care management, and technologies such as remote patient monitoring are also beneficial to…