While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. These mandates are designed to hold Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) accountable. While the rollout of SDOH code sets across our healthcare ecosystem is one phase, alone it’s not enough. The next phases are even more critical: codes must be collected, used,
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Health IT | News, Analysis, Insights - HIT Consultant
Advancing Health Equity by Addressing The Health Data Desert
Massive disparities continue to plague healthcare in the United States. Many Americans do not have access to quality care, leading to higher rates of diseases like diabetes, hypertension, cancer, and obesity. Health equity means ensuring that health resources and services are accessible and affordable for everyone, regardless of gender, sexual orientation, race, geography, ethnicity, or financial circumstances.
Health equity allows people to lead active and productive lives, reduces the
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60% of Ground Ambulance Rides Were Out of Network in 2022
What You Should Know:
- Out-of-network ground ambulance rides accounted for a larger percentage of ground ambulance claim lines1 than in-network rides from 2018 to 2022. In 2022, out-of-network transport accounted for 59.4% of all ground ambulance claim lines, while in-network transports made up 40.6% of the distribution, according to other findings reported in a FAIR Health brief released today, A Window into Utilization and Cost of Ground Ambulance Services: A National Study
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ShiftKey Expands to Acute Care Facilities Across 4 States
What You Should Know:
- ShiftKey today announced its expansion into acute healthcare facilities and will now be available to acute care facilities in the states of Kansas, Missouri, Tennessee and Texas – providing solutions to workforce challenges and maximizing access to high quality care for patients.
- Additionally, beta testing of the technology has already rolled out at acute care facilities in Alabama, Louisiana, Nebraska, New Mexico, South Carolina and West
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Why Home-Based Care Needs Smarter Referral Management
In home-based care, the way we manage care transitions must change.
Poorly managed care transitions have become more prevalent in the sector and have a considerably negative impact on patients. In addition, less-than-ideal transitions place a tremendous amount of pressure on providers, who face the risk of referral rejections, hospital readmissions and the consequences of below-average value-based care performance – often all due to messy processes or important data slipping through the
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Provider AI Strategy Moves From The IT Dept. To The C-Suite
What You Should Know:
A new study from Bain & Company and KLAS Research shows US healthcare providers are accelerating spending on IT and software. The research shows nearly 80% of healthcare executives say they increased spending materially over the past year, spurred by emerging technologies—particularly generative AI—labor shortages, and cost pressures.The survey of more than 200 US healthcare provider executives showed nearly 75% are expecting growth in software and technology
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Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery
Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery
What You Should Know:
- Walgreens and Pearl Health, a provider enablement company has announced a strategic partnership to accelerate the expansion of value-based care in collaboration with community-based primary care physicians.
- Pearl Health offers technology and insight solutions that empower clinical teams to provide holistic, personalized treatment necessary for value-based, quality-focused care.
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79% of Healthcare Execs Believe Most Drug Diversion Goes Undetected
What You Should Know:
Substance use disorder has far-reaching impacts across society, and healthcare workers are not immune. In some cases, healthcare worker addiction can lead them to use prescription drugs intended for patients or steal them to be sold for personal benefit.A recent survey sponsored by Invistics, acquired by Wolters Kluwer Health earlier this year, found that despite 98% of healthcare executives agreeing that drug diversion occurs in hospitals, nearly four in
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High Drug Costs Threatening Affordability of Employer-Sponsored Healthcare
Large employers report that the biggest threat to self-funding medical coverage is the increasingly high cost of pharmacy claims. In their annual Health Benefits Priorities survey, MBGH found that employers consider pharmacy costs extremely problematic. Ninety-one percent of employers cited million-dollar treatments approved by the FDA, and 89% pointed to specialty drug spending as a top threat.
Source: PSG 2023 Trends in Specialty Drug Benefits Report
Employers already pay
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Report: The State of the Healthcare Employee Experience 2023
What You Should Know:
- Nurses with managers who support their development are 10.6X more likely to stay in their job, according to a new study by Perceptyx, the employee listening and manager effectiveness platform.Nurses who have opportunities for learning in their roles (e.g. upskilling) are 7.3X more likely (and those who have greater career opportunities are 6.2X more likely) to stay with their organizations in the near term.
- The report, State of the Healthcare
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