Clinical pharmacists are in an ideal position to manage multiple aspects of patient care within value-based care models. In 2015, Nova Southeastern University College of Pharmacy founded the Accountable Care Organization Research Network, Services, and Education (ACORN SEED), a team of pharmacy practice faculty dedicated to using innovative approaches to patient care while providing unique…
In a recent post, we addressed the many types of population health initiatives and some guidelines for creating the most benefit. Now let’s take a closer look at one of those guidelines: integrating population health into regular or routine care of patients—specifically, with greater involvement and communication by the patients’ physicians. ACOs and their participating…
Dive Brief: The growth of accountable care organizations is cutting physician work hours as well as the likelihood of doctors being self-employed, according to a new JAMA report. The study of nearly 50,000 doctors found a 10% increase in ACO enrollment in a hospital referral region is connected with 0.82 fewer work hours per week…
Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury. Moral injury is frequently mischaracterized. In combat veterans it is diagnosed as post-traumatic stress; among physicians it’s portrayed as…
Physicians are still getting a lot of their pay from personal productivity despite broader attempts to shift to value-based payment models. An analysis (PDF) from the American Medical Association found that 31.8% of the average physician’s compensation came from personal productivity in 2016. Salary continued to be the dominant method of physician compensation, but productivity was…
In January 2015, the Department of Health and Human Services set a goal to tie 50% of the Medicare payments to value or quality by 2018. This transition has put physicians on the frontlines of healthcare, as they play a major role in the value-based roadmap of an organization. However, on the downside, this shift…
A Health Affairs blog article co-authored this past year by 10 prominent health system CEOs describes the problem of physician burnout as a national public health crisis and “a matter of absolute urgency.” The numbers support their contention. The Medscape Lifestyle Survey 2017 reveals that 51 percent of physicians report experiencing this energy-depleting affliction, characterized…
Hallmarks of the post-Affordable Care Act era are a significant shift toward value-based and risk-sharing contracts. The leader of the reimbursement pack, the Centers for Medicare & Medicaid Services (CMS), has moved aggressively in the direction of value-based reimbursement arrangements with providers. To provide some perspective, in 2011, no Medicare payments were delivered under risk…