Healthcare at the Crossroads: Value-Based Care and Interoperability

October 7, 2021Garrett SchmittNo CommentsCAQH, CARIN Alliance, CMS, Council for Affordable Quality Healthcare, Da Vinci Project, EDI, Electronic Data Interchange, interoperabiity, Interoperability and Patient Access Rule, LTSS, patient access, patient health outcomes, value-based care, value-based healthcare, vbc, WEDI, Workgroup for Electronic Data Interchange

Amid the difficulties of the last year, a bright spot has emerged that may provide a strong indication of renewed movement toward the transformation of the healthcare industry that we know today. Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs…

FLASH INTERVIEW — HealthEC — October 2021

October 5, 2021Garrett SchmittNo CommentsACO, ACOs, advisory services, CareConnect, clinically-proven, community health, community-based resources, Dr. Sanjay Seth, HealthEC, KLAS, Population Health, Population Health Management, value-based care, value-based healthcare, vbc

 HealthEC offers a KLAS-recognized, end-to-end population health management platform designed to help ACOs succeed with value-based care. Our HealthEC CareConnect® generates personalized, clinically-proven plans that enable teams, including community-based resources, to deliver patient-centric care. Advisory services are also available to guide our ACO partners in defining their strategic goals as they transition from volume…

Advocate Aurora’s ACO Success Is Setting Up Value-Based Healthcare

October 4, 2021Garrett SchmittNo CommentsACO, ACOs, Advocate Aurora, Medicare, Medicare Shared Savings Program, MSSP, value-based care, value-based healthcare

Accountable care organizations (ACOs) participating in the Medicare Shared Savings Program had a record performance year in 2020. The ACOs saved Medicare $4.1 billion while achieving an average quality score of 97.8 percent. One of the health systems participating in the program—Advocate Aurora Health—led the nation in savings and quality. Advocate Aurora’s affiliated ACOs generated $110 million in…

How to Add, Pay Community-Based Organizations in Value-based Care Contracts

August 12, 2021Garrett SchmittNo CommentsCBOs, community healthcare, community organizations, SDOH, social determinants, social determinants of health, value-based care, value-based healthcare, vbc

Value-based care is now firmly entrenched in our healthcare system. Payers credit value-based care with lowering costs, improved outcomes, enhanced payer/provider relationships, and improved patient engagement. With the growth of value-based care models, a trend gaining traction is the transition from treatment at a provider’s site to a patient’s home. This shift to home and…

The impact of value-based mental health care on racial and ethnic disparities

August 3, 2021Garrett SchmittNo Commentsethnic disparities, mental health, mental healthcare, racial disparities, SDOH, social determinants, social determinants of health, value-based care, value-based healthcare, vbc

Despite high demand, access to quality and affordable mental health care remains a challenge for many Americans. Less than half of those with mental health illness receive care and only about 10 percent of those with substance use disorders receive treatment, according to the National Survey on Drug Use and Health. For people of color,…

How the pandemic paved the way for value-based healthcare

August 2, 2021Garrett SchmittNo CommentsCOVID-19, pandemic, value-based care, value-based healthcare, vbc

Even before the pandemic, health systems were moving tentatively towards data-enabled, value-based health models. Ibo Teuber, partner of Deloitte’s healthcare practice, says the acceleration of transformation will take patients and players to the next stage of the journey. Full Article

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