As healthcare costs continue to grow, value-based initiatives like bundled payments are here to stay and are increasingly moving to the ASC setting. The outpatient space is going to continue to explode as a lower cost setting, especially for patients who need a defined pathway of care, like a total knee or hip replacement. However,…
In a survey of the NEJM Catalyst Insights Council in July 2018, sponsored by Optum, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care. Indeed, this transition is already happening. Respondents report that a quarter of reimbursement at their organizations is based on value, on…
What does it take to achieve member-centric, value-based care in population health? At a conference in New Jersey on Thursday, speakers talked about using partnerships and data to solve challenges, especially ones made worse by poor social determinants of health. Allen J. Karp, MBA, the executive vice president of healthcare management and transformation at Horizon…
What gets measured gets attention. Coverage of physician burnout is bringing awareness of increasing rates of physician suicide and the systemic issues that contribute to this problem. Physicians are unhappy with their loss of autonomy, billing complexity and electronic health record (EHR) burdens that interfere with their day-to-day work with patients. Programs focused only on…
Secretary of Health and Human Services (HHS) Alex Azar said that moving to a value-based healthcare system is a top priority for the Trump administration, speaking Thursday at the Patient-Centered Primary Care Collaborative annual conference here. Azar also stressed that to achieve this transformation requires “real experimentation” using mandatory payment models. “I want you all…
Greater use of the emergency room has been linked to homelessness, diabetes-related hospital admissions have been attributed to food insecurity, and social isolation has been identified as a risk factor for stroke and heart attack. These are just a few of the ways in which the social determinants of health (SDoH) contribute to health outcomes,…
The 2018 midterm elections shifted some control back into the hands of Democrats, who flipped the House and won some governorships, which will have mixed results for the healthcare industry, according to PwC’s Health Research Institute. Informed by interviews with healthcare advisers, association executives and a survey of 1,500 consumers, PwC’s HRI outlined five key…
Where does the healthcare stand today? Are we way ahead than what people think or do we still have to walk a lot more? Anybody who has seen the US healthcare closely would have encountered these questions at some point in their journeys. And who could be better poised to answer these questions than the…
There’s a growing body of research that affirms what Geneia’s nurses have long known. What happens outside of a patient’s clinical care – where a patient lives, what they eat and whether they have a support system – all have a tremendous impact on patient health. In fact, research suggests medical care accounts for only…
How important is it to agree on principles and best practices for population health? More important than most providers believe, and here’s why: Population health can be a powerful engine for improving patient outcomes and cost performance in Value-Based Health Care. Failure to create a standard of population health practices means that every ACO or…