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…
As the pandemic eases and state public health emergencies expire, healthcare providers are scrambling to figure out what they can and can’t do with telehealth any more. Florida Governor Ron DeSantis allowed his state’s state of emergency to expire this past weekend after extending it several times, ending a number of emergency measures aimed at…
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…
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,…
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…
Patients and physicians like telehealth and want it to continue after the pandemic comes to an end, according to one of the largest studies to examine the mode of practice during COVID-19. But there’s work to be done to make the most of the technology going forward. The AMA collaborated with the COVID-19 Healthcare Coalition—comprised…
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,…
With telehealth use skyrocketing over the past year and a half due to the coronavirus pandemic, some have wondered if there’s a limit to its effectiveness. Is there a certain number of virtual visits that a patient – especially one with a chronic condition – should get, after which the technology outlasts its value? The…
Earlier this month, Premier hosted a panel on value-based care (VBC), with providers from across the healthcare continuum discussing its merits and pitfalls. In attendance were members of Congress and their staffers to hear how precisely VBC has been effective and policy changes needed to continue its forward progress. One message came through above all…
When the COVID-19 pandemic began to disrupt daily life in the U.S., many medical practices were left scrambling. Patient volumes plunged immediately, non-urgent care was postponed, and no one was sure exactly how long the shutdowns and mitigation precautions would last. By late April, 97% of practices reported a negative financial impact from the pandemic,…