For health care providers and payers, changes to the Stark Law, the Anti-Kickback Statute, and the reimbursement landscape encourage providing care that addresses social determinants of health for certain patient populations. Research shows that when medical care is delivered alongside non-medical services that affect health, patients, providers, and the health care system overall are better…
Health systems, hospitals, and community health clinics have a substantial part to play in patients’ lives. As trusted sources of healthcare and information, US providers may help patients understand the links between unmet basic needs—or social determinants of health (SDOH)—and health while supporting patients in meeting these needs (see sidebar, “Unmet basic needs and other…
Download Slides Find out what ACOS need to know about the latest CMS requirements. Learn about SDoH information capture and how equity will impact ACOS, providers and members. Plan for the future! Understand the new CMS requirements and what you need to do. Visit the mPulse Mobile Exhibit Booth
Appropriate Care: What’s the big deal? It is well known that the United States spends more than any other nation on healthcare, but as a nation, our health outcomes miss the mark. As evidence-based medicine evolves, it is important that our healthcare practices adapt. With burnout at an all-time high and staff shortages on the…
Doctors have long known that factors such as food insecurity, housing instability, transportation problems and financial problems can impact a patient’s health. Patients who are now returning to physicians’ offices and hospitals for routine checkups, deferred elective procedures, prescription refills and more are presenting with conditions made worse by lost jobs and the struggle to…
After nearly a year of health equity work, Department of Health & Human Services (HHS) Secretary Xavier Becerra said the department will continue to make justice in the medical space a top priority. “Dr. King famously called injustice in health the most inhumane and shocking form of inequality,” Becerra began in a keynote address during…
During the pandemic, health care providers and institutions ramped up innovative, sustainable and increasingly digital ways to improve population health outcomes, and I expect this trend to continue. For over 20 years, I’ve advised health care provider teams across the U.S. on leveraging and incorporating digital technology and tools like patient portals, health trackers and…
When I graduated from medical school and took the Hippocratic Oath, I vowed to not just treat the illness on a patient’s medical history form but to treat the person behind the diagnosis. To do this well, clinicians need to understand the whole person and the context in which they live — their race, gender…
CMS is proposing a nearly 8% revenue increase for Medicare Advantage plans next year, according to a proposed payment plan released Wednesday. The overall rate increase for 2023 includes a 4.75% effective growth rate and a 3.5% average increase in risk scores. The risk-adjusted benchmark trend, which analysts peg as the key number, comes out…
Patient navigators could be effective in closing racial disparities in primary care access, according to new data, with the healthcare professionals able to connect more Hispanic patients than if patients went at it alone. The report, published in the Journal of the American Board of Family Medicine, particularly showed that Hispanic patients working with a…