As healthcare moves from a fee-for-service model to a value-based care (VBC) model, many providers are having to reengineer aspects of their business. "Value-Based Care. Making the Shift: Who Can Help?" is the first report published about this market segment by KLAS. The report found that Advisory Board, Conifer and Evolent scored high with providers in giving them confidence to deal with evolving alternative payment models and preparing for future risk.
Top Firms for VBC Consulting/Management
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge
In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA) said new and novel ways to deliver care will rely on dynamic uses of information technology (IT) and other informatics tools, so
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4 C’s of the Quantified Doctor-Patient Relationship
So far the doctor-patient relationship escaped rigorous quantification, because “relationship” is largely a nostalgic quantity, and because “communications” was deemed to be a reasonable substitute. There are various tools and instruments for subjective measurement of communications with one’s doctor, with the most common being the ubiquitous patient experience survey. However, if we accept a broader definition of the doctor-patient relationship, such as the 6C’s proposed by Dr. Emanuel, a more
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New Jersey ACO Model Yields Improvements in Quality of Subacute Patient Care
A collaboration of hospitals, doctors and skilled nursing facilities (SNFs) has resulted in improvements in the quality of subacute patient care, and reductions in costs, length of stay and hospital readmissions. This marks major progress in meeting and exceeding standards of patient care for Medicare beneficiaries in New Jersey, a state that has traditionally ranked low for key performance measures among SNFs.
The Atlantic Accountable Care Organization (AACO) and Optimus
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5 Ways Supply Chain is Improving Patient Care Today
Editor's Note: Scott Kelley is the VP of North American Sales & Marketing at healthcare supply chain provider GHX and is responsible for all commercial activities across the healthcare provider and supplier markets in North America. Kelly has spent more than 20 years focused on the issues facing the healthcare issues, addressing the issues of cost and improved operational efficiency while working at companies such as GE Healthcare and Fuji Fuji Medical Systems.
Kelley
The modern,
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25 HIM Benchmarking Trends and Insights to Know
As the healthcare industry embarks upon a post ICD-10 world, the landscape of health information management (HIM) is evolving. So how are HIM professionals responding to today’s current challenges such as ICD-10, coder productivity, Clinical Documentation Improvement (CDI), Computer Assisted Coding (CAC) and outsourcing? To gather these insights, ADVANCE for Health Information Professionals and himagine solutions, Inc. recently published their inaugural 2015 Benchmark Report: The Landscape of
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3 Trends Driving Medicare Towards Bankruptcy
The 50-year old Medicare program is not aging well; and that’s not good news for seniors, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. When President Johnson signed the Medicare program into law on July 30, 1965, no one anticipated the program to grow at the rate it has. In 2014, the Medicare program spent over $613B to cover healthcare for 54 million beneficiaries. The law states that seniors do not qualify for Medicare until age
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Healthgrades: 1 in 6 Patients Receive Care In 1-Star Rated Hospitals
1 out of every 6 patients in the U.S. received care in a hospital rated 1-star[1], according to new research released by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Had those patients researched local doctors and hospitals to identify and select a physician practicing in a 5-star hospital for their specific procedure or condition, they would have faced a 71 percent lower risk of dying or a 65 percent lower risk of experiencing
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Relay Health Financial Processes $25B Worth of ICD-10 Claims
Today, RelayHealth Financial released its ICD-10 claims volume numbers, and the results are impressive: $13 million claims worth more than $25 billion processed. With a rise in claims, the industry must focus on addressing the next hurdle: ensuring timely and correct reimbursement. To monitor those KPIs that are most likely impacted by ICD-10, many providers are monitoring ICD10Central.com.
“From having our entire portfolio ready a full two years before the deadline to our comprehensive testing
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3 Medicare Reforms That Could Keep Seniors Healthier, Wealthier
Empowering seniors to take control of their own health spending and rewarding the doctors who coordinate patients’ care, as well as the providers that reduce patients’ costs and improve the quality of their treatment, could vastly improve the health of seniors on Medicare, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. Medicare reform requires empowering seniors to manage more of their own health care spending using Medicare Health Savings Accounts
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