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What We Measure Matters: Centering Lived Experience in Developing Behavioral Health Quality Measures

December 26, 2024Garrett Schmitt

In 2023, 23 percent of adults in the U.S. reported experiencing a mental illness, totaling more than 58 million Americans. Of those 58 million, 46 percent reported not receiving treatment. During the same period, 17 percent of adults across the nation reported experiencing substance use disorder, yet three out of four did not receive treatment….

Enhancing Design And Implementation Of ACO REACH’s Equity-Focused And Beneficiary Engagement Design Elements

December 26, 2024Garrett Schmitt

This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care. Additional articles will be published throughout 2024. Readers are encouraged to review the Call for Submissionsfor this series….

Trends 2025: Healthcare leaders are focusing on patient access, AI and Medicare Advantage

December 26, 2024Garrett Schmitt

Healthcare organizations are setting their priorities for 2025, with 52.8% of hospital and health system leaders identifying patient access, throughput and capacity as their top focus. According to a report from Vizient and its subsidiary Kaufman Hall, strategies aimed at delivering value-driven experiences are seen as critical to enhancing patient loyalty and maximizing impact, according…

Five Key Changes Driving Pharmacy’s Value-Based Care Evolution in 2025

December 26, 2024Garrett Schmitt

As accessible healthcare providers, community pharmacies are key to the shift towards value-based care, which focuses on quality and cost-effectiveness in our U.S. healthcare system. Pharmacies and health plans need to adapt and work together to improve patient outcomes and reduce costs. Todd Sega, Managing Director of Pharmacy at PQS by Innovaccer, predicts five key…

Mental Health and Chronic Condition Care – 2025 Health IT Predictions

December 24, 2024Garrett Schmitt

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Communityto get their insights on what will happen in the coming year and boy did they deliver. We in…

How the Contact Center Can Be a Driver of VBC Success

December 23, 2024Garrett Schmitt

The U.S. spends $4.5 trillion annually on healthcare, with a large portion going towards treating Americans with chronic diseases and mental health issues. Imagine how much our country could save on healthcare spending if we could help a portion of those people avoid becoming sick in the first place. That’s the fundamental premise of value-based…

Telemedicine’s Value Grows

December 19, 2024Garrett Schmitt

Telemedicine is becoming an indispensable part of healthcare, according to Doximity’s Dec. 17 report. The report, called the State of Telemedicine Report, surveyed 1,100 physicians across 10 specialties, more than 130 nurse practitioners, and 2,400 adult patients about telemedicine. Here are four key findings from the survey:   Full Article  

Easier Said Than Done: Why Scaling Up Value-Based Care is So Hard (and What We Can Do About It)

December 19, 2024Garrett Schmitt

There is increasing consensus that value-based care (VBC) holds multi-dimensional promise to improve care delivery, reduce costs, and increase physician satisfaction. In primary care, for example, CenterWell – the largest provider of senior primary care – has achieved significantly improved health and cost outcomes with a patient-centered VBC approach. It’s good news, and there is no…

Assessing Provider Adoption Of Medicare Advanced Alternative Payment Models

December 19, 2024Garrett Schmitt

The Centers for Medicare and Medicaid Services (CMS) has set an aggressive goal that by the year 2030 all Medicare beneficiaries with Parts A and B will be in a care relationship with accountability for quality and total cost of care. To accomplish this, CMS has set a further goal to increase the capability of…

The future of accountable care: How AI is redefining value-based health care

December 19, 2024Garrett Schmitt

Last year, CMS set an ambitious goal: to have 100% of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships, a type of value-based care model, by 2030. Considering more than 66 million people are enrolled in Medicare and 80 million are enrolled in Medicaid, that’s nearly half of the…

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