With more than 20,000 apps available to address myriad mental health challenges with varying degrees of support, it’s clear that digital mental health is experiencing a boom. But there seems to be little consensus regarding the true role that digital therapeutics can and should play within the greater context of a patient’s mental health care journey. In order to better articulate this role, we need to take a person-centered view and understand how digital therapeutics can help people not just
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Why Provider-Payer Collaboration is the Secret to Value-Based Success
Just before the COVID-19 pandemic emerged, 48% of healthcare providers surveyed said three-quarters of their organization’s payments were grounded in fee-for-service models of care. Fast forward a year and the financial aftershocks of the pandemic have highlighted some of the benefits of value-based models for providers as well as health plans and consumers.
Despite the benefits of incentive-based payment models in healthcare, including indications that it may reduce readmissions and
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Applying A Hedge Fund Mentality for Investing in Social Determinants of Health
While I am a practicing clinician, I am a firm believer that improvements in healthcare most often come from borrowing the best ideas from other business models. For example, I have sometimes borrowed from software company and payer colleague insights to describe value-based care (VBC) reimbursement as a subscription model. This model would provide more consistent revenue and allow organizations to better weather challenging times like a pandemic. For providers, this would allow freedom from the
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4 Common Pitfalls of Remote Patient Monitoring to Avoid
COVID-19 created a colossal opportunity for health plans and providers to reimagine how they engage with patients. With patients apprehensive about going to the doctor during the pandemic, it became even more vital to keep track of their health in between visits. This is where remote patient monitoring (RPM) becomes critical to every payer and provider’s virtual health strategy. RPM uses digital technologies to collect data about symptoms, medications, treatment, and biometrics from individuals
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The Crucial Role of SDOH Data in Value-Based Care
Roughly $4 trillion is spent on healthcare annually in the U.S. Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral and environmental factors, known as social determinants of health (SDOH).
What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the health of patients and members. Technological and cultural barriers have made it difficult for disparate parties such as
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What Population Health Management Providers Need to Know About HITRUST CSF Certification
Healthcare companies continue to implement value-based care and population health management initiatives to coordinate healthcare delivery and improve the quality and value of patient care. These initiatives depend on the ability to access, aggregate, and analyze massive amounts of patient data, often coming from hundreds of source systems. Critical system interoperability and data-sharing agreements enable healthcare organizations to aggregate data and build massive data assets to support their
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Finetuning Quality Measure Reporting to Perform Like Professional Athletes
Healthcare organizations deal with a seemingly endless list of demands, including expanding access to care, financial sustainability, staffing shortages, rigorous data security, government regulations and quality improvement initiatives. Many organizations can operate at full speed and still find they cannot keep up with all the demands.
Quality programs facilitated by CMS and commercial health plans provide critical funding to support healthcare operations. They require diligent data
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As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands
The answer to solving a healthcare crisis that exacerbates barriers to care among some of the most vulnerable patient populations in the country is staring us in the face. For rural hospitals straining under the weight of erratic patient volumes, sicker populations and lack of funding, the path forward is in value-based care. But providers can’t stand idly by waiting for the government to step in and help them make that change. They need to save themselves.
That may sound like a big lift for
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Can Technology Improve How We Treat (or Prevent) Chronic Conditions?
The prevalence of chronic disease in the United States will increase over the next several decades among all age groups, as will the associated care costs, and physical, mental and social consequences. Major obstacles to effective chronic care management (CCM) include:
- Patients rarely suffer from a single chronic condition at the time of their diagnosis1. They are given multiple prescriptions and treatments with differing instructions and guidance, which is overwhelming and can lead to
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Making Telehealth Accessible to Underserved Communities Requires a Multifaceted Approach
Over the last year, people across the U.S. have adopted telehealth in record numbers, signaling what people in the industry have long believed — virtual doctor visits and prescription delivery has the potential to truly increase access to high-quality, convenient care.
The meteoric rise of telehealth has also come with its challenges, one of the biggest being equity. A recent study published in the American Journal of Preventive Medicine details that the people who use telehealth in the
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