New research aims to determine whether a claim that bundled payments may actually increase costs rather than control them holds any weight. Becker’s Hospital Review and McKnight’s reported on the study from the Centers for Medicare and Medicaid Services and the Altarum Institute. At issue was whether bundled payments — also known as episode-based payments […]
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Medicare is allowing physicians and group practices to set their own course toward compliance with the Medicare Access and CHIP Reauthorization Act, or MACRA. But regardless of the path chosen, accurate measurement is key. That’s because the most basic level of participation requires physicians to submit data on one quality measure and one improvement activity […]
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Digital technology is revolutionizing health care — but everybody who adopts it knows that it presents challenges in a clinical setting. There are learning curves with hardware and software, new habits to develop, glitches to deal with, and a whole lot more — while you’re taking care of patients under time constraints. According to Judy […]
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As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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Since the Patient Protection and Affordable Care Act was signed in 2010 there has continued to be some uncertainty about how healthcare reform will evolve. However, most large health care organizations agree that value-based care is here to stay. They invested in robust technologies and began implementing population health management strategies. The market’s smaller players […]
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Providers and payers are converging and seeing new opportunities to collaborate to improve care quality and control costs under new value-based care models. Increasingly, providers are evolving to take more accountability for cost of care and patient outcomes—issues historically laid at payers’ feet. However, providers must continue to operate in a fee-for-service environment while transitioning […]
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Medicare Accountable Care Organizations (ACOs), the Bundled Payments for Care Improvement program, and value-based contracting in general have driven the health care industry to invest in population health management (PHM) applications and services. But it turns out that it takes more to succeed in value-based care than purchasing technology or engaging in a short-term consulting […]
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Ready or not, here it comes — risk-based, fee-for-value health care is here or coming to a market near you! Health care providers are no longer asking whether they should get ready. They are asking: How fast should we make the transition? They know it may not be pretty. “Organizations need to set a goal […]
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How do you define population health management (PHM)? If you’re like most health care leaders, you believe that PHM is the practice of improving health outcomes of a large population of patients and identifying groups that are most at risk and need additional care by applying clinical analytics. That’s correct, but execution against this is […]
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“Anytime you have a patient that’s more engaged and involved in their care, your outcomes are better.” That’s a quote from Judy Herrington, who has 30 years’ experience in the health care field and serves as the vice president of nursing, medicine services at Parkland Hospital in Texas. Her front-line observation echoes the results of […]
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