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How to prepare for ACOs’ mandatory shift to eCQM reporting

October 5, 2023Garrett Schmitt

Carol Ann Hudson is assistant vice president, quality and clinical operations, population health, at Lifepoint Health, a national health system and accountable care organization based in Brentwood, Tennessee. Hudson’s career began as a programmer writing code to build hard drives for Digital Equipment Corporation. The hard drives were used in test rockets for DEC’s space…

RECORDED WEBINAR: Don’t Let Downside Risk Get You Down: A discussion on effectively right-sizing your risk exposure, Part 2

October 5, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides ( VIEW PART 1: CLICK HERE!! ) This webinar is the second of a two-part series which examines the different types of risk provider organizations may face and different ways to mitigate its impact. The first session in the series focused on building a base of understanding, effectively demystifying the world of…

Hospice Physician John Mulder: Hospice Physicians Must Adapt to Value-Based Care

October 4, 2023Garrett Schmitt

Dr. John Mulder, chief consultant for hospice and palliative care medicine for Michigan’s Faith Hospice, was drawn to the field after witnessing his father’s difficult end-of-life experience. Having begun his practice 40 years ago in family medicine, he came to hospice in 1983 when he was asked to serve on the board of a local…

RECORDED WEBINAR: Reducing clinician burnout through AI and meaningful data

October 4, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Who this webinar is for: • Leading Care/Case Management • Healthcare Providers • Healthcare Operations and Staffing Professionals Clinician burnout has emerged as one of the greatest healthcare challenges of our decade. A July 2023 study revealed that a staggering 32% of physicians and 47% of nurses reported experiencing burnout. In addition to…

Improving patient safety requires a commitment to health equity

October 3, 2023Garrett Schmitt

Jack Lynch describes a moment when a light bulb went on in his head. Lynch, the president and CEO of Main Line Health, recalls a conversation he had with a Black healthcare colleague working at another health system about five years ago. He asked if his colleague’s CEO thought there were racial disparities in the…

Value-based care, data collection are future focus areas for assisted living

October 2, 2023Garrett Schmitt

Assisted living is a “very important” part of the care continuum and isn’t going away, but one area of focus for the future, even among private-pay operators, should be population health management, National Center for Assisted Living Executive Director LaShuan Bethea said Sunday. “Value-based care is another way to look at population health management, and…

Mitigating Racial And Ethnic Bias And Advancing Health Equity In Clinical Algorithms: A Scoping Review

October 1, 2023Garrett Schmitt

In August 2022 the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking prohibiting covered entities, which include health care providers and health plans, from discriminating against individuals when using clinical algorithms in decision making. However, HHS did not provide specific guidelines on how covered entities should prevent discrimination. We conducted…

AI and value-based care

September 29, 2023Garrett Schmitt

With all the recent buzz around generative artificial intelligence (AI) related to ChatGPT, it’s reasonable to have mixed reactions to emerging technologies. However, many AI technologies — including optical character recognition, natural language processing and machine learning — are widely established and have proved highly reliable in driving health care innovation for payers, providers and…

CMMI increased federal spending by $5.4B during its first decade, report finds

September 29, 2023Garrett Schmitt

CMMI was created by the Affordable Care Act in 2010, with the goal of promoting value-based care and building pilot programs that would test new approaches in Medicare, Medicaid and the Children’s Health Insurance Program. Between 2011 and 2020, the center launched nearly 50 models, though only six generated statistically significant savings and four were…

Medicaid Value-Based Payment Reform Linked to Reduced Mental Health ER Visits

September 29, 2023Garrett Schmitt

State Medicaid programs are increasingly overhauling payment structures in favor of value-based payment systems. A new report suggests that value-based payment reform may decrease mental health emergency room visits. Value-based payment strategies reward providers and health plans with incentive payments for the quality, rather than quantity, of care provided to patients. A new study published…

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