5 Imperatives For Your Value-Based Technology To Support APMs

June 23, 2022acoAPMs, technology, vbc

After years spent transforming your health care technology, you may feel like you’re almost done. But Value-Based Care Technology requires a different mindset. With reimbursement scaling to a tipping point for APM adoption, think “reboot” instead. Your health system or group has a long way to go if your aggregated and integrated data cannot support…

Technology’s critical role in successful value-based care

May 3, 2022acotechnology, value-based care, vbc

Championed by government entities like the Centers for Medicare and Medicaid Services and the Department of Health & Human Services, value-based care is here to stay. Hospitals are increasingly participating in value-based programs—such as the Hospital Readmissions Reduction Program and Bundled Payments for Care Improvement—in an effort to improve care delivery and patient outcomes while…

A Trio of Value Based Care Surveys Indicate Technology Opportunities to Address Administrative Challenges

November 10, 2021Garrett SchmittNo Commentsadministration, CMS, CMS APMs, Commercial Contracts, DEC, Direct Employer Contracted, healthcare administration, healthcare technology, managed Medicaid, Medicaid, Medicare, Medicare Advantage, surveys, technology, value-based care, vbc

The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:…

Value-based care shift hits inflection point with tech and policy advancements

June 18, 2021Garrett SchmittNo Commentscare coordination, chronic kidney disease, CKCC, CKD, CMS, Comprehensive Kidney Care Contracting, COVID-19, Data, end-stage renal disease, ESRD, ESRD Treatment Choices, ETC, Medicare, Medicare Advantage, policy, technology, value-based care, vbc

The healthcare industry in the U.S. has spent a whole generation talking about moving from a fee-for-service to a value-based model, focusing more on improved patient outcomes and early interventions rather than disease treatment. This shift has occurred gradually, sometimes purposefully, and sometimes in fits and starts, but overall, it has been slower than expected….

The Interoperability Effect: Driving Value-Based Care and Financial Health

June 18, 2021Garrett SchmittNo CommentsCOVID-19, Data, data systems, EHRs, financial health, Interoperability, technology, technology integration, technology interoperability, technology strategies, value-based care, vbc

To say that hospitals and health systems have had to do more with less in the past 18 months is the understatement of a lifetime. These organizations have faced more than their fair share of unexpected challenges – from spiking patient demand, increasing costs and lost revenue, to overworked staff, a downturn in elective procedures…

Leveraging innovative health technology solutions to combat social determinants of health

June 9, 2021Garrett SchmittNo CommentsChronic Care Management, COVID-19, Data, EMRs, health disparities, health technology, information sharing, remote patient monitoring, SDOH, technology, Telehealth

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…

4 SDOH Driving Health Disparities in Patient Portal Use

June 8, 2021Garrett SchmittNo Commentshealth IT use, patient portals, SDOH, technology

As patient portal use and access become more commonplace in healthcare, it would be prudent for health IT leaders and clinicians alike to understand the health disparities that can also emerge with patient portal use. The latest data shows that patient portal offerings are near universal. 2019 data from the Office of the National Coordinator…

New ACO Playbook: Three Touchstones For ACO Viability

May 13, 2021Garrett SchmittNo CommentsACOs, alternative payment models, community, coordination of care, Data, Fee for service, growth orientation, Hospital led ACOs, Medicare ACOs, MSSPs, physician-led ACOs, Primary Care First, Risk, technology, vbc

Some believe that an ACO’s leadership structure predicts its success. They point to differing savings results for physician-led versus hospital-led ACO shared savings models (MSSPs) to make their case. In particular, they make the argument that future Value-Based Care (VBC) policies should benefit the growth of successful physician-led ACOs, protecting them from policies that force…

Training clinicians and residents to succeed in value-based care

May 12, 2021Garrett SchmittNo Commentsclinicians, Coding, documentation, education, residency, residents, subscription revenue model, technology, Telehealth, training, vbc, virtual care

As providers and payers invest in the move from volume to value, they are facing the reality that clinicians are lacking when it comes to training, education, and technology specific to enabling value-based care over fee-for-service. In order to succeed in this transition, practicing clinicians and emerging residents need hands-on support and investment to evolve,…

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