It was recently calculated the United States spends $3.8 trillion — or 18 percent of the national economy — on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…
Starting the transition from fee-for-service to value-based care is a challenge. Many provider organizations are simultaneously juggling new reimbursement models with old ones and breaking institutional memory to meaningfully move toward changes. One hospital began its journey to value-based care with an organizational assessment. The value-based care assessment helps the hospital understand which value-based care…
In a highly competitive world, winning requires unconventional thinking. Consider professional sports – MLB scouts understand that finding the right players to add to their roster means looking beyond the surface. And healthcare professionals, especially those participating in value-based care models, have to do the same. Billy Beane, General Manager of the Oakland A’s, knew…
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…
High quality, patient-centered care requires a hybrid primary care payment system that encourages value-based care and physician quality assurance, according to an opinion article published recently in JAMA. Researchers responded to a recent report from the National Academies of Sciences, Engineering, and Medicine (NASEM), titled “Implementing High-Quality Primary Care.” The NASEM report depicted a fragile primary care structure in the US…
Many healthcare systems have made creating high-quality and value-based care a top priority. Southwestern Health Resources (SWHR) used clinical data and predictive analytics to put a total cost of care plan in place to provide affordable and quality care to thousands of patients in North Texas and cost-effective care for their employers. Oftentimes in the healthcare market, purchasers…
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,…
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
COVID-19 necessitated widespread loosening of state and federal restrictions on and rapid expansion of telehealth. Now, as policy makers consider telehealth in the post-pandemic period, they must make decisions about payment parity—whether to continue reimbursing clinicians equivalent amounts for in-person and telehealth visits. Some argue that telehealth requires less clinical effort and fewer overhead costs…
Stellar Health partners with both payors and Accountable Care Organizations to develop a tailored incentive program to reward the completion of granular value-based care actions by primary care providers. The Stellar Health Platform includes the web-based Stellar Application, which delivers a simple checklist of recommended clinical actions to practices based on each patient’s medical…