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4 Areas Where Nurses Can Make An Impact In Social Determinants Of Health

July 19, 2021Garrett SchmittNo Commentsadvocacy, community health, nurses, policy change, SDOH

Nurses play a vital role in uncovering and addressing patients’ social determinants of health (SDOH), Julia Resnick, the American Hospital Association’s (AHA) senior program manager of strategic initiatives, told nurse leaders during AONL 2021, the annual conference of the American Organization of Nursing Leadership. “Health is more than just healthcare and there is a growing…

The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know

July 19, 2021Garrett SchmittNo Comments2022 PFS, ACOs, CEHRT, CMS, COVID-19, data exchange, health equity strategies, Medicare, MIPS Value Pathways, MSSP, MVPs, patient-reported outcomes, Physician Fee Schedule, QPP Proposed Rule, Quality Reporting

After the 2020 election, we predicted seven trends to expect in Value-Based Care. Our forecasts were right on track. Last week the Biden Administration released its first Physician Fee Schedule and Quality Payment Program Proposed Rule, a 1,747-page document that promotes restructured value-based care initiatives. As we predicted, it recognizes both a significant health equity…

Top 3 Steps to Develop a High Performing Network (HPN)

July 19, 2021Garrett SchmittNo CommentsData, health data, healthcare data, healthcare market, high performing network, HPN, performance assessment, performance measurement

With the changing healthcare landscape that is moving towards value, it is imperative for organizations to find and recruit high performing providers that will continue to drive high quality care at a lower cost. One of the ways to provide high-quality and efficient care is to build and expand your high-performance networks (HPNs). However, health…

Assessing Investment in Telehealth, Value-Based Care Amid Return to In-Person Care

July 18, 2021Garrett SchmittNo Commentsin-person care, Telehealth, value-based care, vbc

Amid a return to utilization of in-person health care, telehealth and issues highlighted by the pandemic, such as health equity, will continue to grow in influence within health and well-being strategies, said Michael Thompson, president and chief executive officer of the National Alliance of Healthcare Purchaser Coalitions. AJMC®: Hello, I’m Matthew Gavidia. Today on the…

Telemedicine Use Higher Among PCPs with Value-Based Payment

July 16, 2021Garrett SchmittNo CommentsPCPs, Primary Care, Telehealth, Telemedicine, value-based care, value-based payment, vbc

Telemedicine use skyrocketed among primary care practices during the pandemic, specifically for those with a value-based payment model, according to a research letter published in JAMA Health Forum. Many patients were forced to delay primary care due to the pandemic, which resulted in significant revenue losses for primary care organizations. Telemedicine use naturally increased to make up for lost revenue…

Optum Behavioral Care CEO: Value-Based Care Is The Payment Model We Want To Get To

July 15, 2021Garrett SchmittNo CommentsBehavioral Health, Optum, value-based care, vbc

Amid pervasive workforce shortages and a growing demand for services, Optum Behavioral Health is working to reimagine the way behavioral health care is delivered. CEO Katherine Hobbs Knutson, who joined the company about a year ago, is leading the charge. “That divide between … what exists in the field versus what people actually have access…

Consensus among HHS agencies on addressing social determinants of Health Through Better Data Capture, Interoperability

July 15, 2021Garrett SchmittNo CommentsAmerican Rescue Plan, Data, data capture, Federal Health IT Strategic Plan, HHS, Interoperability, Notice of Proposed Rulemaking, NPRM, OCR, ONC, SDOH, United States Core Data for Interoperability, USCDI, USCDI version 2

Over the last decade, members of the medical and public health communities around the world have widely studied and acknowledged the impact of social determinants of health (SDOH)—the conditions in the environments where people live, learn, work, play, and age—on a wide range of health, functioning, and quality-of-life-risks and outcomes.[1] In the past year or…

From Crisis To Opportunity: Partnering To Address SDOH, Health Disparities

July 15, 2021Garrett SchmittNo Comments

More than one year into the coronavirus pandemic it has become painfully clear that minority communities are especially vulnerable. A recent McKinsey & Company report, for example, found that during the pandemic, rural communities with diverse populations experienced 1.7 times more COVID-19 deaths per capita than other rural communities around the country. The study also…

Sickle cell disease and a pivotal moment to end health inequality

July 15, 2021Garrett SchmittNo Commentshealth equality, health equity, health inequality, health inequity, SDOH, sickle cell, sickle cell disease

Covid-19 laid bare the long-standing vulnerability of minority and low-income communities in U.S. society and its health system even as we celebrated the power of scientific innovation to rein in the pandemic. It’s time to turn that innovation, driven by an even greater mind shift, to end inequality in treatment. In perhaps no condition is…

New ACO Playbook: 3 Approaches To Scale Up Data Sufficiency For Value-Based Care

July 14, 2021Garrett SchmittNo CommentsAAPMs, ACO, ACO shared savings, ACOs, APM Performance Pathway, CMS, cost tracking, data sufficiency, Episodes of Care, Quality Reporting

Like every health care organization, your struggles with data may appear never-ending. Like money, there never seems to be enough of it. In this article we’ll take the mystery out of how to realistically gauge your data needs, identify the links between what you want to accomplish as an ACO or medical group in value-based…

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