It was recently calculated the United States spends $3.8 trillion – or 18 percent of the national economy – on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…
It was recently calculated the United States spends $3.8 trillion — or 18 percent of the national economy — on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…
Several years ago in the early days of Accountable Care Organizations (ACOs), we worried and warned about the importance of how each organization should divide up potential savings. In a white paper published in Physician Leadership Journal and on the Salient Web site, co-author Stephen Sheiko and I called it an “Elephant in the ACO…
Starting the transition from fee-for-service to value-based care is a challenge. Many provider organizations are simultaneously juggling new reimbursement models with old ones and breaking institutional memory to meaningfully move toward changes. One hospital began its journey to value-based care with an organizational assessment. The value-based care assessment helps the hospital understand which value-based care…
In a highly competitive world, winning requires unconventional thinking. Consider professional sports – MLB scouts understand that finding the right players to add to their roster means looking beyond the surface. And healthcare professionals, especially those participating in value-based care models, have to do the same. Billy Beane, General Manager of the Oakland A’s, knew…
As the Center for Medicare and Medicaid Innovation (Innovation Center) enters its second decade, a confluence of factors has opened a window of opportunity to move beyond simply testing new models to transforming our health system into one that is more resilient for patients and providers. In this moment, achieving measurable and sustainable savings without…
In order to stay healthy, patients need to receive proper testing and follow-up care from other providers after seeing their Primary Care Provider (PCP). However, disruption between PCPs and referred specialists often threatens that care quality. Healthcare analytics can provide insight for primary care providers and specialists to identify areas in which they can improve…
Value-based care is now firmly entrenched in our healthcare system. Payers credit value-based care with lowering costs, improved outcomes, enhanced payer/provider relationships, and improved patient engagement. With the growth of value-based care models, a trend gaining traction is the transition from treatment at a provider’s site to a patient’s home. This shift to home and…
High quality, patient-centered care requires a hybrid primary care payment system that encourages value-based care and physician quality assurance, according to an opinion article published recently in JAMA. Researchers responded to a recent report from the National Academies of Sciences, Engineering, and Medicine (NASEM), titled “Implementing High-Quality Primary Care.” The NASEM report depicted a fragile primary care structure in the US…
Telecommunications companies that pivoted to telehealth during the pandemic are now integrating new services into the platform to support virtual care and remote patient monitoring. The latest to do so is BlueJeans Telehealth, which was acquired by Verizon in 2020 and fine-tuned to support HIPAA-compliant virtual visits. The company announced an integration this week with…