Considerable attention has been given to the large proportion of healthcare spending concentrated among a small proportion of patients. This five to 10 percent of the population has been the driving force behind many value-based purchasing models, e.g., chronic health condition management for the high cost, high utilizers, and health home models for care coordination and management services. A recent thought piece (March, 2017) in the The New England Journal of Medicine, “Focusing on
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
3 Roadblocks to Achieving Interoperability In A Value-based Care System
I am sure I am not the only one who has lost count of the times I’ve been asked “Why can’t the systems talk to each other?” or, in more technical terms, “Why don’t we have interoperability?”The numerous health IT solutions that we have around us today were meant to improve not just the delivery of care, but also enhance patient outcomes as the care continues across multiple practices. At the most basic level, I suppose we can define interoperability as two or more systems communicating with each
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Einstein, Humana Enter Value-based Care Agreement to Offer Better Patient Experience
Einstein Healthcare Network and Humana Inc. have entered into a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members achieve their best health. The value-based care agreement, in turn, teams Humana with Einstein Healthcare Network’s Accountable Care Organization, Einstein Care Partners, toward enhancing both the patient experience and patient outcomes in the Philadelphia area.Einstein Healthcare Network is a leading
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Study: More Than 40 States Have Invested In Value-Based Payment Models
A recent national study of state government programs finds more than 40 states strategically invested in value-based payment models, 23 with targets or mandates, and just 7 states trailing the trend. The study commissioned by Change Healthcare reveals 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of ACOs or ACO-like entities, and 12 have or are considering episodes of care programs. Just 7 states have little to no
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MACRA: The Yardstick for Quality that Health Systems Need
The number of quality initiatives is rapidly rising in the healthcare industry as stakeholders shift their focus toward the value of patient care. In addition, with the recent implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the rules surrounding healthcare reimbursement are being rewritten, incentivizing healthcare providers to prioritize the quality of patient visits over the quantity.Historically, it has been difficult to achieve consensus on defining quality;
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Texas HIE Selects Innovaccer to Advance Data-Driven Valued-based Care Initiatives
The Paso del Norte Health Information Exchange, PHIX, an El Paso, TX-based health information exchange (HIE) has selected Innovaccer, Inc., a Silicon Valley-based healthcare platform company, to leverage its technology for data-driven value-based initiatives. As a Health Information Exchange, PHIX will provide access to patient's longitudinal health record from across the care continuum. PHIX’s goal is to improve efficiency, increase quality of care, and improve patient safety.To realize their
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6 Reasons Why Healthcare Needs The Internet of Things (IoT)
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.Technology can never replace humans because the ultimate decision-making authority always lies with the individual. He or she can, however, in the course of time, opt for technological solutions that simplify their work and bring about efficiency.Convenience. Efficiency.
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Care Intelligence System: The Revolution of Innovations in Value-based Care
Keeping a system of records for storage and backup has always been a must for healthcare organizations all over the U.S. As the method of storing data went from paper to electronic, healthcare became more and more adept at collecting data and archiving it.However, the route of exchanging meaningful information was still lost on many. As of 2017, a majority of the health industry has adopted EMRs, however, gaining meaningful insights out of them is still an unfulfilled promise.The real trouble
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3 Ways MACRA is Changing Physician Payment in Medicare
The entry of the MACRA proposed rule, a little more than a year back, flagged a solid and remarkable consent to move towards esteem-based care, yet up to this point, a hefty portion of the subtle elements encompassing how it would be executed stayed obscure.In any case, a week ago, CMS discharged about 1,000 pages that shed light on how a doctor can improve their payments by following MACRA proposed rule.History Before MACRA proposed rule was introduced, specialists were paid for giving
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How Will ACA-Repeal Legislation Impact The Medicaid Population?
The expansion of Medicaid and insurance subsidies through the ACA meant 20.4 million more people had health insurance in 2016 than in 2010. According to the non-partisan Congressional Budget Office, somewhere just north of 20 million Americans would lose health insurance in the various repeal-and-replace scenarios that have been floated of late and rejected, for now. That number jumps to 30 million-plus if Obamacare is simply repealed.What all proposed ACA-repeal legislation has in common is
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