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The 2024 CMS PFS Proposed Rule: 7 Attempts To Balance Participation Goals With Value

July 19, 2023Garrett Schmitt

Reading between the many lines in the 1,920-page 2024 Medicare Physician Fee Schedule (PFS) Proposed Rule, one thing is clear: CMS is still struggling to move providers into Advanced Alternate Payment Models (APMs) and keep existing ACOs moving forward on the path to value-based payments. The APP Reporting tug-of-war between CMS and ACOs results in…

Study links readmissions to discharge process: 6 takeaways

July 19, 2023Garrett SchmittNo CommentsAll of Us, National Institutes of Health, NIH, SDOH, social determinants of health

Patients who have had vascular surgeries are often readmitted to the hospital for a variety of reasons — often preventable — more often than patients who undergo different types of surgeries. These readmissions could be largely avoided if other aspects of the discharge process were improved, according to research led by the University of Missouri in Columbia….

Integrating behavioral health and primary care: keys to success in value-based care

July 18, 2023Garrett SchmittBehavioral Health, COVID-19, mental health

Though by many measures and behaviors we’ve shifted to the endemic phase of COVID-19, our health care system continues to grapple with a crisis exacerbated by the pandemic: mental health. The ongoing difficulties and uncertainties driven by the pandemic led to a worsening of many pre-existing mental health issues and the emergence of new ones….

Preventive Medicine is the Key to Value-Based Care

July 18, 2023Garrett Schmittpreventive care, Preventive Medicine

We’re amid a massive provider shortage, and it’s only getting worse. According to data from the Association of American Medical Colleges, the U.S. is on track to face a shortage of up to 124,000 physicians by 2034. As a result of being unable to access care, patients are pushing off routine health services. Neglected care comes…

How a 78-year-old legacy paved the way for healthcare disruptors

July 18, 2023Garrett SchmittNo Commentsvalue-based payments

As consolidation in U.S. healthcare continues at an increasing rate, the nation’s largest health systems and payers have evolved to look more like each other: diverse, health services giants that can deliver healthcare and coverage across a variety of settings. But for Robert Pearl, MD, the rise of healthcare giants such as UnitedHealth Group and…

RECORDED WEBINAR: Panel Discussion: Accelerating Insights in Value-Based Care

July 18, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides How would your clinical and financial operations improve if your team had access to claims data within days of a patient visit, instead of weeks or months? EHR data and ADT feeds are useful in certain scenarios—but pairing longitudinal claims history with claims lagged just a few days, puts value-based care (VBC)…

As value-based health moves from philosophy to reality, providers, payers focus on equity and interoperability

July 17, 2023Garrett SchmittFFS

Equity was at the forefront of Reuters’ value-based health conference in Philadelphia last month. Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk. Across the board, speakers agreed that the transition to value-based care (VBC) is both…

For value-based care, virtual options aren’t always beneficial, study shows

July 14, 2023Garrett SchmittCOVID-19, FQHCs, Telemedicine, virtual care

Tackling value-based care is crucial with the upcoming 2030 mandate by CMS. But it can be challenging for providers to deliver equitable care while hitting value-based care goals. A new telehealth study by the University of Texas McCombs School of Business found that virtual care did not significantly lower costs, or reduce the number of…

RECORDED WEBINAR: Client Review: How Harnessing Healthjump’s EHR Data Results in Time Savings for Practices

July 13, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides In this webinar, Healthjump’s Director of Product Delivery, Laura Stewart, who will be leading a live client product review with our customer Claire Zimmerman, Senior Vice President of Product at Equality Health, and her client Nikki Smith, Office Manager at Sun Lakes Family Physicians. Discover how Healthjump’s innovative EHR integration platform has…

How retail acquisitions will accelerate adoption of value-based care

July 12, 2023Garrett Schmitt

Recent retail acquisitions in health care like those undertaken by Amazon, CVS, and Walgreens are leading many to wonder what the industry’s future will look like. One thing is certain: these deals confirm that innovation and transformation are coming to the health care industry. I predict that we will see these companies address huge problems related to the adoption…

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