Plotting the Roadmap to Value-based Reimbursements in 2017 & Beyond

Value-Based Health Care is Antithetic to Patient-Centered Care

Editor's Note: Mark R. Anderson, FHIMSS, CPHIMS is the CEO of AC Group and a member of Innovaccer’s Board of Advisor, a Silicon Valley-based healthcare analytics company. Previously, he is a former CIO for 5 IDNs, an interim CFO, and CEO of Rural Hospitals.  Policymakers and private industries have been pushing for a change in healthcare reimbursement policy. Back in January of 2015, several of the nation’s largest health care systems and payers, joined by the purchaser and patient stakeholders,
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What Does The Cures Act Mean for Mental Health Care? 5 Things to Know

Can We Balance Civil Liberties with Mental Health Treatment?

Remember that the two things you don’t want to watch being made are sausage and law. Then recall that while the process for both may be unappealing and seem incongruous, the product is not always so.  Take the 21st Century Cures Act, for example, which is a lengthy (996 pages) piece of legislation (summary here) that focuses primarily on health-related scientific research and medical devices. It also broadly outlines the terms for an upcoming drawdown of America’s strategic petroleum reserve,
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Mount Sinai, CityMD Partner to Expand Urgent Care Services in NYC

Mount Sinai, CityMD Partner to Expand Urgent Care Services in NYC

Mount Sinai Health System has teamed up with urgent care provider CityMD to expand urgent care service throughout New York. The partnership will combine Mount Sinai’s network of providers with CityMD’s urgent and clinical care management expertise to develop a unique model that ensures patients have timely access to healthcare. A key component of the partnership will establish quality metrics for a shared preferred provider network to ensure patients receive high-quality care and immediate
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The Rise of Trump Care: 6 Ways Trump Could Impact Healthcare Reform

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Editor's Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care. On November 9th, 2016 the United States of America witnessed a major turnaround in the administration. Republican candidate Donald Trump is the 45th president-elect of the United States, leading with 279 electoral votes. Donald Trump plans to bring about numerous changes
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PwC Report: Most Primary Care Teams Are Not Designed to Optimize Care

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Most primary care teams are not designed to optimize care or meet consumer demands for convenience and value, according to the latest report from PwC’s Health Research Institute (HRI). The PwC report reveals that a primary care dream team designed around the needs of complex chronic consumers, for example, could potentially result in $1.2 million in savings for every 10,000 patients served. Designed with consumer needs and preferences in mind, the primary care dream team can bring together
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3 Immediate Priorities for MACRA Success

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Editor's Note: Mark Hefner is CEO of Infina Connect Healthcare Systems, the leading provider of SaaS referral coordination solutions. Previously he led healthcare IT businesses for Allscripts, GE Healthcare and Hill-Rom.Providers of Medicare Part B services must stand up and take note: The way they are paid for Medicare is about to change drastically. The Medicare Access and CHIP Reauthorization Act of 2015 was passed to replace the flawed Medicare Sustainable Growth Rate.  When the final rule
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MACRA, Brexit and the McDonaldization of Healthcare

Physician Burnout_10 Mandatory Issues for Physicians to Watch in 2015_Comprehensive Primary Care Plus Model

MACRA seems to be the talk of the town right now. MACRA and MIPS and APM and the dozens of sub-acronyms flying around like so many arrows in this Game of Thrones, Battle of the Bastards. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law over a year ago. That’s right, MACRA is the “law of the land” now, and it became law of the land with overwhelming bipartisan support in Congress and with much lobbying and cheerleading from medical associations. MACRA is not a
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3 Ways Private Exchanges Can Help Provider-Sponsored Plans Thrive

3 Ways Private Exchanges Can Help Provider-Sponsored Plans Thrive

Editor's Note: Jonathan Rickert is the CEO and Co-founder of Array Health, a provider of private insurance exchange technology that simplifies the process of buying health insurance with e-commerce platform. Provider-sponsored plans (PSPs) are a disruptive force in today’s evolving healthcare market. By combining healthcare financing and care delivery with strong, familiar brands in the local community, PSPs are able to break the traditional constraints of the fee-for-service model and deliver
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6 Implications for 2017 Medicare Advantage & Medicare Part D Programs

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Editor's Note: Kyle Stapp is the Program Director at Eligibility.com where he oversees the educational center inside Eligibility.com and works daily with program applicants to answer their questions. His programs include Medicare, Unemployment and more. Follow him on Twitter at @kyle_stapp or connect with him on LinkedIn.According to the Center for Medicare and Medicaid Services (CMS), 32% of Medicare beneficiaries are enrolled in a Medicare Advantage plan, amounting to 17.1 million people. This
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At The Heart & Soul of MACRA Is Waste

Physician Burnout_10 Mandatory Issues for Physicians to Watch in 2015_Comprehensive Primary Care Plus Model

Ms. Jeannie is a 65 years old woman, slightly overweight with mild hypertension that is perfectly controlled. Ms. Jeannie is the office manager at Dr. Abrams, the pediatrician down the hall, who’s been taking care of your kids since you moved here. Ms. Jeannie called earlier because her allergies are killing her today and she’s out of refills for her blood pressure meds anyway. After an uneventful 15 minutes, and a brief chat in the hallway, Ms. Jeannie pays her $15 copay and heads back to work.
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