During the past year, the pandemic strained the entire health care system. Many health care providers experienced significant disruptions with reductions in use and lower revenue. Some providers were able to weather the crisis by relying on the organizational competencies they had built for value-based payment models. Providers in more advanced payment models had more…
Over the past decade, adoption of value-based payment (VBP) models has increased substantially. The Center for Medicare and Medicaid Innovation’s has launched multiple new models since its authorization, commercial payers have structured almost one-third of their payments as alternative payment models (APMs), and state Medicaid programs have increasingly included payment reforms in their waivers and…
Nearly every chronic health condition has an increased prevalence with declining income; in fact, the life expectancy of the wealthiest American is ten to fifteen years longer than that of the poorest. Health disparities negatively affect people who experience larger obstacles to achieving optimal health due to lack of access to care. Healthcare systems face…
Dr Ahmed El Saeed, Focal Area Lead at the United Nations Global Pulse Finland, Executive Office of the UN Secretary-General, said: “International development is everybody’s business. You can do business and do good, and this is a message to the private sector, there is a very important role for the private sector to play in…
The COVID-19 pandemic exposed many health equity gaps that have long existed. The long-term impact of the pandemic on low-income communities has yet to be fully realized. As a result, the demand for social services will continue to rise. Currently, federal and state government, payers, and providers are responsible for funding the community organizations that deal…
Earlier this month, the Biden administration announced it will commit $250 million in funding to improve COVID-19 vaccine health literacy in vulnerable and medically underserved communities. With the logistics of administering vaccines no longer an overwhelming question mark and an ample supply of doses available, vaccine hesitancy has quickly emerged as one of the biggest…
“I can see people again.” As the number of Americans fully vaccinated against Covid-19 grows daily, the collective feeling of liberation is emerging as the next chapter in our national pandemic story. “I can see people,” declares what we have been deprived of and want to receive — the nourishment of human interaction. However, though…
The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue Cycle Management Summit. “Remote patient monitoring programs are growing,” Andrew Solomon,…
“Low-value care” has been defined as care in which the potential for harm far outweighs possible benefits. When one has the opportunity to consider the phrase in conjunction with its definition, it evokes the notion that patients, their clinicians, and care team are discussing several dimensions of care, weighing the “pros” and “cons,” and arriving…
Health plans in the United States are increasingly shifting away from traditional fee-for-service (FFS) reimbursement toward value-based care (VBC) models, which incent the quality of care as opposed to quantity. Although the promise of high-quality, cost-effective care is alluring, the adoption of and engagement in these programs has proven challenging for both plans and providers…