What You Should Know: - Providers believe 96% of payment is now value-based in some capacity, and 58% believe their EHR vendor won’t be able to support the data strategies required to thrive under value-based care, according to a new study conducted by Morning Consult and Innovaccer. - The 37-page national research study uncovers key IT infrastructure issues healthcare leaders said are impeding or essential for progress towards accelerating their transformation to value-based
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
6 Success Strategies as CMS Drives More Accountable Care by 2030
For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). Working to develop, test and evaluate new payment and delivery models in Medicare, Medicaid and the Children’s Health Insurance Program, CMMI has taken aim at improving the provider experience, generating better patient outcomes and reducing the overall cost of care. Recently, CMMI stated that by 2030 every Medicare
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Indegene Partners with Amwell to Customized Digital Patient Engagement
What You Should Know: - Indegene, a technology-led healthcare solutions provider, today announced a partnership with Amwell to facilitate life sciences organizations to connect patients to better quality care and drive better health outcomes. - This partnership will facilitate Indegene to enable life sciences organizations to drive virtual care automation and patient companionship to advance longitudinal care, behavioral health, and other specialty and chronic care segments. It will help
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Why Health Plans Are Vital to Health Equity
In Florida, where Black residents are three times more likely to be hospitalized or die from asthma-related complications than white residents, one researcher’s efforts to “strip away the jargon” related to asthma treatment strengthened patients’ engagement in a year-long clinical trial. The impact: development of an asthma regimen to help combat disparities in asthma management and outcomes. The results are one example of the gains that can be made in addressing health inequities—differences
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What Hospital Success Looks Like Under Value-Based Care
Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. Unlike traditional fee-for-service (FFS) models that reimburse providers based on volume (i.e., the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Ultimately, success under these reimbursement models hinges upon seamless coordination between all stakeholders across the continuum
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Breaking Down the Implications of New No Surprises Act Regulations
The importance of the No Surprises Act (NSA) cannot be overstated, as surprise medical bills have long been burdensome for patients in the U.S. healthcare system. In fact, more than half of all U.S. consumers have received an unexpectedly large medical bills. The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. For example, if your appendix bursts while at work, you would be rushed to the nearest hospital for an emergency
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The No Surprises Act: How Payers Can Stay Compliant
As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. Surprise billing can occur when a patient unknowingly receives care from providers that are outside their network. This can result in balance billing, the practice of billing a patient the difference between what their health plan covers and what the provider charges. Unfortunately, these bills are often the result of care provided in
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Five Types Of Abuse In A Nursing Home
Nursing homes care for the elderly, people with disabilities, or those who are terminally ill. However, abuse can take many different forms in nursing homes and can devastatingly impact the residents. It’s especially true if the abuse is not reported or if it's not taken seriously. The elderly and those with dementia are especially at risk for abuse, as they may not be able to communicate their needs or recognize when they're being mistreated. Implementing some steps can help protect the
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3 Senior Living Providers Merge to Form Curana Health
What You Should Know: - Three leading organizations that provide healthcare services to senior living communities – Elite Patient Care, Provider Health Services, and AllyAlign Health – have joined forces to form Curana Health. Curana Health’s mission is to improve the health, happiness, and dignity of senior living residents. The Curana Health ACO is a value-based care program for original Medicare beneficiaries. - The combined Curana Health organization spans 26 states and over 1000+
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Vytalize Health Raises $50M for Value-Based Care Platform for Seniors
What You Should Know: - Vytalize Health raises over $50 million to advance its value-based care platform for seniors helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. - Led by Enhanced Healthcare Partners, the financing round signals an enormous opportunity for Vytalize Health to accelerate the adoption of value-based care programs by providers. Vytalize Health, a leading value-based care platform for
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