Fee-for-service reimbursement is still an integral part of the healthcare system as providers are scattered along a spectrum of payment models, Emily Sokol, director of research at Xtelligent Healthcare Media, explained on Healthcare Strategies. An Xtelligent Healthcare Media Insights report shed light on how pervasive fee-for-service reimbursement models are in today’s healthcare system. Over 200 providers responded to…
Speaking during a Sept. 15 eHealth Initiative panel discussion, Devdutta Sangvai, M.D., M.B.A., executive director of Duke Connected Care, said clinicians are under such stress during the pandemic that value-based care initiatives need to focus on enhancing efficiency to ease their burden. “If you can create efficiency in your value-based model, I think you’re likely…
If there’s a silver lining to the Covid-19 pandemic, it’s the spotlight it has put on the role of value-based, virtual health care models to address issues such as access to specialists, healthcare speed and efficiency, and healthcare inequities. Indeed, approximately 75 percent of employers in a recent survey said they plan to ramp up their implementation…
U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and other value-based payment reforms because they believe that holding health care systems accountable for population-level costs and quality will be more…
The COVID-19 pandemic compressed a decade of healthcare transformation into mere months. Healthcare leaders have been challenged with rethinking every aspect of the business, from how care is delivered to planning for the workforce needs of the future. At the same time, consumers continue to be a driving force in shaping healthcare’s mission. Today’s healthcare…
“All in.” “Bet on the future.” “Go big or go home.” “No guts, no glory.” “Nothing ventured, nothing gained.” None of those forward-looking, motivational words of encouragement describe how most healthcare providers feel about value-based reimbursement. A better word would be “fear.” That’s my read of the latest population health survey by Numerof & Associates…
Value-based care has gained significant traction in the U.S. over the past few years, and for good reason. With healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago….
There’s a strong possibility that Medicare will move to mandate value-based payment models (VBP) for the nursing home industry in the years to come, according to industry executives. Dr. René Lerer and Brian Cloch, CEOs for Longevity Health Plan and Transitional Care Management, respectively, spoke at a panel on the future of VBP models during…
Decades in the making, the transition to value-based care may soon be complete. In June, Liz Fowler, the new deputy administrator of the Centers for Medicare & Medicaid Services (CMS) and director of its Center for Medicare & Medicaid Innovation (CMMI), suggested that CMS may soon require providers to be reimbursed based on patient outcomes. This…
Healthcare interoperability issues have always been confusing, changing, and difficult to address. The reason why is not straightforward: we have a fragmented health system with a myriad of specialized applications that are not universally used. Instead, we have a system where each organization elects which technology tools to use and in what configuration. Compounding this…