Everyone who’s reeling from 2020 is hoping for light in 2021. Health care, especially—systems, hospitals, clinical practices and their providers—wants the pain to stop. What might lie ahead for health care next year? Here’s what we’re thinking about the near future, and what you should watch for in 2021. 1. Health care providers will be…
Small, non-affiliated physician practices fall behind hospitals and health systems when it comes to value-based contracting, found the Value-Based Care Assessment: 2020, the latest report from Insights by Xtelligent Healthcare Media. Hospitals and health systems have a greater market share, giving them the bargaining power to negotiate rates and innovative contracts with payers. These large provider organizations also…
DOWNLOAD SLIDES Value-based payment is not just about taking risk. It’s also about gaining flexibility and financial stability. The ability to care for patients in the most appropriate way, without financial fears guiding decisions, is vital. This has been even clearer in our current environment. In this session, we will help: – Examine how…
Trella’s Mosaic solution offers market-wide visibility into consistent, standardized quality and cost metrics across provider types so healthcare organizations can build high-value partnerships. Mosaic’s performance intelligence improves the way ACO leaders define, evaluate, and optimize their networks. Visit the Trella Health Exhibit Booth
Caravan clients are innovating the way they deliver care. Read through our round up of their best practices in 2021. McFarland Clinic Leads Caravan Clients in HCC Recapture Two Years in a Row McFarland Clinic (McFarland) joined Caravan’s Stratum Med ACO as founding members in 2019. Comprised of 65 Adult Med and Family Med PCP’s,…
Convenient and comprehensive patient care access is the hallmark of good patient engagement and healthcare. But far too often, key roadblocks get in the way of that seamless access, including a number of key social determinants of health. These social determinants of health, or the social factors that influence an individual’s ability to achieve health…
Healthcare organizations recognize the value of SDOH data but simply have no idea where to start. They understand that SDOH factors can improve health outcomes and minimize medical costs, but they often do not fully understand what SDOH data to use to maximize the accuracy of predictive analytics or how to integrate the data into…
Bolstering the ACA and addressing healthcare inequities perhaps through Medicaid waivers may top the agenda. Experts see a continuation of support of ACOs and growth in enrollment in Medicare Advantage plans. During President Donald Trump’s time in office, Seema Verma headed the CMS, and carried out Trump’s mission of defunding the ACA health insurance exchanges and…
Shore Quality Partners, a clinically integrated network and accountable care organization based in Somers Point, New Jersey, had a problem: a massive volume of patients and claims data but no effective way to manage or aggregate that data. THE PROBLEM Staff were able, through a manual process, to look at trends and utilization. But that…
A flurry of recent mandates will completely upend the negotiating table between payers and providers, but how the final contracts will change going forward all depend on enforcement. Although most negotiations between hospital systems and insurers have been finalized for 2021, Rick Kes, a senior analyst at RSM, said recent mandates around surprise billing, price…