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…

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…

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

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…

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…

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…