Having good hospital readmission rates is nearly impossible without a curated patient engagement strategy. A key metric in most value-based care models, hospital readmission rates measure the proportion of patients who are readmitted back into the hospital after discharge. Many hospitals look at their readmission rates at different intervals—30, 60, and 180 days—but most payment…
CMS has unveiled a new payment model aiming to support health equity in the states by shifting health care to community-based settings. The agency is already addressing health equity in other models, such as Enhancing Oncology Model and ACO REACH. The States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) aims to better…
Download Slides ( VIEW PART 2: CLICK HERE!! ) This webinar is the first 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 focuses on building a base of understanding, effectively demystifying the world of…
Healthcare is hard. While the American healthcare industry is filled with complexity as it seeks to interweave between multiple care delivery settings, care providers, and payment mechanisms – it points out the obvious that many new entrants into the industry experience: Making changes in healthcare and obtaining winning results is hard. With Medicare as typically…
The shift toward value-based care (VBC) is increasingly taking hold in health care as practices continue to face challenges with stagnant fee-for-service reimbursement rates and medical cost inflation. To succeed in a VBC environment, practices must adopt patient engagement as a foundational capability. Better patient engagement not only helps keep patients healthy and from needing higher-cost…
Download Slides Wasted healthcare spending due to ED overutilization continues to rise, with a 51% increase in spend from 2012-2019. Health organizations continue to pour money and resources into ED diversion initiatives, but despite best efforts, utilization is at an all-time high with nearly 1 in every 3 ED visits categorized as avoidable or…
Quality issues are still the number one reason for drug shortages, and in an effort to address this, the U.S. Food and Drug Administration is debuting a quality management maturity (QMM) program intended to incentivize drugmakers to invest in quality measures. The program will be run by the FDA’s Center for Drug Evaluation and Research…
The Centers for Medicare and Medicaid Services has announced two initiatives set to launch in July 2024 that could help move the needle away from fee-for-service payments. One focuses on supporting family caregivers of dementia patients to forestall their admission to a nursing home and the considerable costs that accompany that decision. Another makes it…
Download Slides HCC Version 28 is just around the corner, and if you don’t start preparing now, the consequences will be costly. Join this webinar with Credo for a conversation about what’s changing in 2024 and how you can best prepare to maximize your revenue through accurate, compliant coding. Credo CEO Carm Huntress will…
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