Like politics, it’s been said that all healthcare is local. But when it comes to the role of community-based organizations (CBO) in supporting health, payers and other stakeholders haven’t quite known how to include their closest neighbors. Add to this the rising importance of social determinants of health (SDOH), which CBOs may be qualified to…
Organizations that do strong vendor relationships, invest in the organization, and are willing to take on commercial risk will be poised to take on downside risk financial contracts. Through working with population health management vendors, KLAS released a recent report identifying which of their customers are most advanced in adopting downside risk contracts. In the…
Health equity is increasingly a priority for providers, and insurers can be a key partner in supporting those efforts, according to the Institute for Healthcare Improvement (IHI). More than half of health systems surveyed (58%) identified health equity as a top priority, up from 25% saying the same in 2019. Equity placed second to safety in the…
HHS needs to expand the list of social determinants of health that public payers can cover and hold public payers accountable to covering preventive services that can help address social determinants of health, the Bipartisan Policy Center said in a report. “The U.S. can improve population health and health outcomes by integrating social services with the…
If there’s a silver lining to the Covid-19 pandemic, it’s the spotlight it has put on the role of value-based, virtual health care models to address issues such as access to specialists, healthcare speed and efficiency, and healthcare inequities. Indeed, approximately 75 percent of employers in a recent survey said they plan to ramp up their implementation…
Value-based care has gained significant traction in the U.S. over the past few years, and for good reason. With healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago….
As the toll of the pandemic has continued to be evident, many are contemplating what lasting changes healthcare providers and health systems may face at the end of pandemic. But what should healthcare leaders be thinking about now to prepare their organizations for the post-pandemic environment. Staffing Review your strategy for recruiting and retaining key…
As the healthcare industry gravitates toward value-based care, population-based payment models have become the golden fleece for payers, the ultimate state of value-based care payment. Unfortunately for health insurers, the healthcare industry has lagged in population-based payment uptake. Population-based payment models are models that are detached from fee-for-service reimbursement altogether, as opposed to other alternative…
Payers may be prepared to comply with the interoperability rule for the July 1 deadline, but are they ready to adopt healthcare interoperability long-term? For the past couple of years, CMS has pushed the industry to take bigger steps toward standardizing interoperability. “CMS continues to build on its roadmap to improve interoperability and health information…
There’s a growing awareness among employers, community advocates, and the public health sector that issues of diversity, equity, and inclusion (DEI) must be addressed in the healthcare ecosystem if we are to implement genuine value-based care (VBC). Unlike traditional fee-for-service healthcare, VBC emphasizes keeping people well over “sick care.” As a holistic approach to healthcare,…