A new study out of Harvard University links vertical relationships between primary care physicians (PCPs) and health systems to “steering,” in which providers refer patients to specialists and other care providers within the system. This steering led to higher utilization and spending on patient care, researchers found. Full Article
Patient-provider communication is at the forefront of the healthcare experience. Good communication has far-reaching impacts ranging from poor patient satisfaction to a misunderstanding of treatments and low patient engagement. Full Article
Interoperability and related compliance mandates are not new, though the landscape is ever changing. Without these two key components, progress is at stake. No one wants to return to the Wild West of health data and record keeping. Fortunately, the health care industry has been hard at work to put a national standard in place…
Download Slides Provider burn out is at an all-time high and the cost of healthcare is on the rise. Value based care arrangements are inevitable. How do risk-bearing entities know if they are succeeding? Health Data Analytics Institute (HDAI), a predictive analytics company headquartered in Dedham Massachusetts, has built a suite of predictive…
The health care industry is constantly evolving, and value-based care (VBC) has emerged as a transformative force in the pursuit of better patient outcomes. While VBC is not new, technological advances in recent years have made it possible to identify risks and opportunities for individuals and entire patient populations. Technology also facilitates early interventions that…
The Covid-19 public health emergency (PHE) prompted an industry-wide shift in healthcare delivery. Most notably, virtual care technologies that were slowly gaining traction pre-pandemic skyrocketed, and now, most healthcare provider organizations offer some form of virtual care. But, with the withdrawal of the PHE declaration in May, the urgent need for deploying telehealth-enabled care services…
The value-based care payment and care delivery model has been evolving for more than a decade, and with the right risk tolerance and aligned incentives, it promises to benefit patients, providers and payers. “While the adoption has been windy, there are clear signs of VBC’s stickiness and growing footprint,” explained John Fryer, chief revenue officer…
The United States is one of the most dangerous among wealthy nations for women to give birth. Disturbingly, it’s even more dangerous for women of color. Black women are about three times more likely to die from pregnancy-related complications than white women, while maternal mortality rates among American Indian and Alaska Native (AIAN) women are two times higher. The COVID-19 pandemic…
Accountable Care Organizations (ACOs) know they need to follow regulations. That means adhering to Centers for Medicare & Medicaid Services (CMS) requirements for REACH ACOs to develop and maintain comprehensive health equity plans. For 2023, REACH ACOs are not being penalized for their health equity plan if it does not work in practice and only…
The American Hospital Association wants it to be easier for hospitals nationwide to begin adopting episode-based payment models, such as bundled payments, the trade association wrote in a recent letter to the Centers for Medicare and Medicaid Services (CMS). The letter addressed to CMS Administrator Chiquita Brooks-LaSure comes in response to a CMS request for…