On June 24, 2019, the president issued an executive order on health care cost transparency. The overall aim was to “enhance the ability of patients to choose healthcare that is best for them.” Since the initial executive order, additional guidance has been released (CMS-1717-P) that requires hospitals to post their contracted rates with commercial payers […]
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More than 1,500 clients, partners, industry analysts and health care leaders will attend Optum Forum 2019 in Las Vegas next week. The annual health care event will feature thought-provoking content delivered by industry-leading speakers, interactive experiences, and extensive opportunities for our guests to connect and share. Moving health FORWARD The Optum Forum theme – FORWARD […]
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A Q&A with value-based care expert, Jeremiah Reuter Almost 10 years into the Affordable Care Act (ACA), value-based care has undoubtedly hit its stride. From commercial to federal payers, nearly every organization and provider has started engaging in risk-based contracts. And while some have embraced the change, many still have more work to do before […]
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Many hospitals and health systems have invested extensive time and resources developing and implementing clinical decision support (CDS) to help improve patient outcomes. As a physician, I believe we achieve the best outcomes when CDS technologies work in-sync and at the speed-of-care delivery to ease clinician cognitive burden and provide timely patient-specific evidence-based guidance at […]
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Reducing clinical variation continues to be a hot topic in health care. However, it’s the idea of reducing or eliminating variation that makes many physicians who may not like the idea of standardization take pause. As a physician myself, I understand the concern and have had the opportunity to see how evidence-based medicine can be […]
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Collaboration around the business of health care is critical In a recent marketplace survey by NEJM Catalyst on the transition from fee-for-service to value-based care, we gained interesting insight into the state of value in health care. These included snapshots of revenue distribution, models in use, barriers, important measures and more. All are important points […]
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Medical bills: trying to understand them may be nearly as painful as the injury or illness that generated them. This is an exaggeration, of course. But for many consumers, those bills can represent big problems, such as how to pay for their health care, how to plan for future care and how to achieve financial […]
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The artificial intelligence (AI) journey from theory to mainstream has evolved in waves. While health care may see AI as an abstract concept, I believe that technology capabilities have already entered their second wave of evolution. The roots of artificial intelligence (AI) technologies go back to 1950, when Alan Turing suggested that machines could be […]
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The Centers for Medicare and Medicaid Services (CMS) delivered sweeping changes on December 21, 2018. Yet they should come as no surprise given the clear indications of the new direction throughout 2018. CMS has set the foundation for “Pathways to Success.” The most apparent change in the Final Rule is to reduce participants’ time in […]
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Healthcare is experiencing unprecedented change at the moment; some would say this is long overdue. Between regulatory and reimbursement reforms, emerging technologies, and the pursuit of the Triple Aim, managing population health has become a fundamental requirement for most health systems. While the benefits of value-based care are many, the transformation to a more patient-centric […]
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