Health systems are planning to advance their risk-based payment strategies by taking on more upside or downside risk, professional capitation, or global capitation in Medicare Advantage lines of business in 2022, according to a recent survey. The executive survey conducted by the Healthcare Financial Management Association (HFMA) for the Guidehouse Center for Health Insights found that…
Being diagnosed with multiple sclerosis (MS) can transform even the most easygoing, unflappable individual into a full-time worrywart. Even in periods of extended remission, when symptoms are kept mercifully at bay for weeks or even months at a time, the disease has other ways of making its presence felt. Looming on the outer reaches of…
Download Slides Population Health 4.0 is the inclusion of community resources to deliver equitable, high-quality and high-value patient care. This presentation will outline 4 key strategies that incorporate data and community alliances to address the socio-economic needs of patients as they navigate their healthcare plan. Speaker: – Sita Kapoor – Chief Information Officer, Co-Founder HealthEC…
The Pharmacy Quality Alliance (PQA) continues to forge ahead with our work to develop a set of standard pharmacy performance measures that would be appropriate for use in value-based plan-pharmacy agreements. Over the past 3 years, we have convened and worked with a broad base of industry leaders to identify and vet pharmacy performance measures that meet…
Several weeks ago, we launched a survey to determine the post-acute growth strategies that owners, operators, and managers would be focused on in the new year. Given the impacts COVID-19 has had on the post-acute industry, it was clear to us here at Trella that traditional, linear growth wasn’t going to be the focus for every organization or line of…
Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…
Recently, The Centers for Medicare and Medicaid Services (CMS) released a proposal for it’s 2022 Physician Fee Schedule. Over the last several years, more non-traditional modalities of healthcare have found their way into the CMS reimbursement landscape. This is promising as it suggests that CMS is aligning themselves with consumer demand and technology developments by…
CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…
Many researchers working on health technology assessments (HTAs) are keen to address disparities in health care. But the COVID-19 pandemic and recent prominence of the Black Lives Matter movement have cast a bright spotlight on structural racism in the US and elsewhere, showing that addressing health disparities after they are established is both too late and…
The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:…