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Physician Compensation Still Hinges on Volume at System-Owned Practices

February 1, 2022Garrett SchmittAPMs, FFS, Physician Compensation, value-based payment

Despite a decades-long push toward value-based payment, physician compensation arrangements at health system-owned practices still primarily revolves around the volume of services delivered, according to a new study from RAND Corporation. The study recently published in JAMA Health Forum examined physician compensation structures at 31 physician organizations affiliated with 22 health systems in four states….

Do Patient Navigators Close Racial Disparities in Primary Care Access?

February 1, 2022Garrett SchmittCommunity Health Workers, patient access, patient communication, Patient Engagement, SDOH

Patient navigators could be effective in closing racial disparities in primary care access, according to new data, with the healthcare professionals able to connect more Hispanic patients than if patients went at it alone. The report, published in the Journal of the American Board of Family Medicine, particularly showed that Hispanic patients working with a…

ACO Groups Disappointed With Results for Medicare ‘Shared Savings’ Program

February 1, 2022Garrett SchmittACO, ACOs, CMS, Medicare, Medicare Shared Savings Program, MSSP

Are 66 new accountable care organizations (ACOs) in a year a sign of progress or a disappointing result? That depends on who you ask. CMS announced last week that 66 additional ACOs joined the Medicare Shared Savings Program (MSSP) for ACOs in 2022, bringing the total up to 483 ACOs. However, that number is only…

Why the health care industry must prioritize health equity

January 31, 2022Garrett SchmittCOVID-19, health equity, healthcare, pandemic

There are few silver linings related to the COVID-19 pandemic, but one that stands out is the growing recognition that health equity must be an essential guiding principle for health care organizations going forward. The broader health care system suffered greatly due to the coronavirus outbreak that has infected tens of millions and killed hundreds…

Getting Beyond Parity: Telehealth as a Best Practice in Health Equity

January 31, 2022Garrett Schmitthealth equity, SDOH, Telehealth, Telemedicine

The global pandemic spurred a rapid uptake of telehealth for nearly all health care providers and has permanently changed how health care is delivered. At present, providers and insurers are grappling with how to balance telehealth and in person care, focusing discussions around reimbursement models and logistical considerations. In this article, the authors discuss whether…

Considerations for Recruiting, Hiring Community Health Workers

January 31, 2022Garrett Schmittcommunity health

As team-based care becomes more common in medical practice, healthcare organizations are considering how they invest in non-clinician personnel, like recruiting and hiring community health workers. A community health worker is “a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served,” according to the…

For Health Care Providers, Five Trends To Watch In 2022

January 31, 2022Garrett SchmittCOVID-19, pandemic, providers

Today’s environment is one of two narratives: On one hand, there’s optimism as more Americans receive vaccines and resume in-person interactions. On the other hand, people are frustrated as the pandemic drags on with new variants and mixed guidance, and the return to normal is stymied by price inflation and supply chain disruptions. For health…

Implementing value-based care to drive success for life sciences companies

January 31, 2022Garrett SchmittLife Sciences, Risk, value-based care, vbc

In an attempt to curb rising costs, the U.S. medical system is moving away from traditional fee-for-service healthcare. Traditional fee-for-service and volume-based healthcare models pay providers for the amount of healthcare services they provide, not the quality of that care. Value-based care is the new model: a system in which providers are paid for performance and patient…

Mass General Sets Sights on Maternal Health Equity with New Partnership

January 28, 2022Garrett Schmitt

A new partnership with Mass General Brigham and The New Commonwealth Racial Equity and Social Justice Fund (NCF) will invest $2.5 million to improve maternal health equity, support a diverse maternity practitioner workforce, and boost patient care and clinical outcomes. Particularly, the funding will help Mass General and The NCF build a cohort of Black…

Most health systems still base doctors’ pay on volume, despite push toward value-based care: study

January 28, 2022Garrett Schmittalternative payment models, APMs, fee-for-service, FFS, value-based care, value-based payment, vbc

Despite the growth in value-based payment arrangements from payers, health systems continue to pay physicians based on the volume of services they provide. A new study published in the journal JAMA Health Forum finds that volume-based compensation was the most common type of base pay for more than 80% of primary care physicians and for more…

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