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24 Executive Healthcare AI Predictions & Trends to Watch in 2025

January 16, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

From AI-powered diagnostics to personalized medicine, we asked twenty four healthcare executives their insights on trends and technologies that will transform patient care in the coming year. In 2025, Artificial Intelligence and the T.E.A.M. (Transforming Episode-Based Accountable Management) model will redefine care coordination, creating a smarter, faster, and more equitable healthcare system. Primary care will…

UnitedHealth Group CEO: Value-Based Care Could Offset Rising Provider, Drug Costs

January 16, 2025Garrett Schmitt

Insurance giant UnitedHealth Group (NYSE: UNH) is blaming providers and drug companies for the growing costs of health care in the U.S. This came after the company faced a wave of public scrutiny for its denial practices following the tragic death of Brian Thompson, CEO of its insurance arm, UnitedHealthcare. “Fundamentally, healthcare costs more in…

Value-Based Care a Driver of Palliative Care Investment

January 15, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

A clear trend has emerged in the health care industry: Mergers and acquisitions of health care firms have slowed year over year. Though home-based care M&A showed “signs of life” in Q3 2024 in what has otherwise been a relatively quiet year thus far, transaction volume was still down last year, according to a report…

Medicare Accountable Care Organizations In 2023: Large Savings With Increasing Value-Based Programmatic Competition

January 15, 2025Garrett 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 2025. Readers are encouraged to review the Call for Submissionsfor this series….

5 Tips to retain great physicians

January 11, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Healthcare organizations invest significant time, energy, and money into hiring physicians. But according to Douglas Farrago, MD, the author of ‘The Hospital Guide to Physician Retention,’ very few organizations invest adequate resources into keeping physicians. Farrago, a Family physician, became interested in the topic from his personal experience as an employed physician. “I wrote this book…

Celebrating Ten Years in Value-Based Care: Reflections and Foresights

January 9, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

In October 2024, the Task Force turned 10 years old. In recognition of this anniversary, the Task Force released a two-part paper reflecting on the past 10 years of health care transformation and envisioning a path forward for the coming decade. The Task Force’s original vision and guiding principles remain sound today, providing a strong…

The Role of Coding and Billing Compliance in Reducing Errors and Optimizing Revenue in ACOs

January 9, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Accountable Care Organizations (ACOs) are designed to streamline patient care while optimizing healthcare costs and improving outcomes. However, one key aspect that many ACOs grapple with is ensuring accurate and compliant coding and billing practices. Coding and billing compliance are essential in preventing costly errors, minimizing revenue leakage, and maintaining regulatory adherence, which is vital…

Climate Resilience And The Promise Of Value-Based Care

January 8, 2025Garrett Schmitt

The US health care system generates as much as 9 percent of the country’s total greenhouse gas emissions. Greenhouse gas emissions linked to the sector have also risen by 6 percent from 2010 to 2018, exceeding one ton per capita, the highest among industrialized nations. Significantly, the US health sector accounts for 27 percent of the global health-sector climate footprint,…

Navigating Value-Based Care in 2025: Three Challenges Ahead

January 6, 2025Garrett Schmitt

The stakes are high in healthcare with rising demands for transparency and quality, challenging the traditional fee-for-service (FFS) model like never before. This environment is ripe with opportunities to deliver value-based care (VBC). For nearly two decades, healthcare systems have shifted from FFS to VBC, aiming to reduce costs while improving patient health. This transition…

ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025?

January 5, 2025Garrett Schmitt

Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. On this episode Dan sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy…

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