Tag Archives: managing risk

Preparing your organization for value-based care

Being prepared is sound strategy in all areas of life. The Boy Scouts live by it. Homeowners in hurricane zones stay ready for the worst. And health care executives know it’s the secret to longevity in the helter-skelter world in which they operate. Preparation is even more important now that value-based reimbursement is building momentum. […]
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Reimbursement: The narrowest curve on the value-based journey

Health care reimbursement isn’t as easy as a provider sending an invoice and the payer cutting a check. Since DRGs were introduced by Medicare in the early 80s, getting reimbursed for services performed has become increasingly complicated. Regulatory and industry changes related to the Affordable Care Act and the ICD-10 mandate have made it even […]
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Focusing on Consumers: A Key to Better Outcomes

Individuals can play a critical role in controlling medical risk. But for this to happen successfully, we have to ensure that health management programs feel relevant to the people who use them. Traditional models have centered around the programs, not the people. The program supplier dictates not just the program content, such as diabetes management, but […]
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Want Better Outcomes? Share the Risk

Imagine a system in which all health care stakeholders – providers, payers and consumers – share risk in clinical and financial outcomes. Then imagine that they also all have the tools they need to contain this risk. The result? Everyone wins, especially consumers! The problem? Our health care system today fails on both these accounts. […]
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