What You Should Know:
- Clover Health, a physician enablement company committed to bringing access to great healthcare to everyone on Medicare announced that it has delivered notice to the Centers for Medicare and Medicaid Services (“CMS”) that it will exit the CMS ACO REACH Program at the end of the 2023 performance year.
- Written notification will also be sent to all participating physicians in accordance with CMS requirements.
- The decision will have no impact on its ACO REACH
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
NextGen’s Value-Based Care Solutions Unlocks $82M in Medicare Savings
What You Should Know:
NextGen Healthcare, Inc. a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged NextGen® Population Health to achieve a cumulative $82 million in total Medicare savings last year.The MSSP incentivizes hospitals, associations of physicians, and other healthcare facilities to form accountable care organizations (ACOs) that
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Mobile Pay Revolutionizes Specialty Groups: Unlock the Data-Driven Potential
It’s no surprise that healthcare is doubling down on software investments for healthcare revenue cycle, including software with an AI component, like predictive analytics. What’s unique is that right-now value from AI in revenue cycle is happening outside the walls of a healthcare facility or medical practice. In fact, it’s originating from the device patients use most: their smartphone.
For specialty groups in particular, the ability to successfully engage patients in their financial
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NorthShore – Edward-Elmhurst Health Signs Largest VBC Deal in 5 Years
What You Should Know:
- Edward-Elmhurst Health (NS-EEH) has announced a significant, long-term partnership with Lumeris, a pioneer in value-based care (VBC). This partnership is a major development in the healthcare industry, representing the largest VBC provider deal since 2018.
- With rising expenses outpacing reimbursement rates, health systems and physician organizations are increasingly turning to value-based care to avoid layoffs and service cuts. NS-EEH, the third largest healthcare
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UnitedHealthcare, RUSH Health Form Medicare Advantage Relationship
What You Should Know:
- UnitedHealthcare and RUSH Health announced a new relationship that will give UnitedHealthcare Medicare Advantage plan members network access to all RUSH Health locations in Illinois for the first time, effective immediately.
- The multi-year agreement, effective Oct. 1, provides UnitedHealthcare Medicare Advantage plan members with enhanced access to quality care and provides a new option as they choose which health plan best meets their healthcare needs
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Chatbot Care Managers? Why ACOs Should Be Cautious in AI Adoption
Given Artificial Intelligence’s potential to improve patient care and reduce costs, it’s no surprise that AI applications are gaining momentum in health care. As your organization explores the benefits of AI in your journey towards Value-Based Care, however, you need to carefully assess the implications, for better and worse.
Evaluating AI implications can be tricky. Healthcare AI varies widely, with clinical technology paving the way for advancements in diagnostics and treatment. But
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Personalized Patient Engagement Can Help Cure America’s Non-Adherence Problem
Today, more than 131 million Americans – 66 percent of all adults in the U.S. – use prescription drugs, and one in four use three or more, according to the Health Policy Institute. Not only are we being prescribed more drugs than ever before, but we’re paying more for them too: the U.S. has the highest per-capita pharmaceutical spending among the developed countries. In 2021, the U.S. healthcare system spent $603 billion on prescription drugs.
But even as we’re being prescribed more drugs,
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LG Launches Patient Engagement Boards for Hospital Rooms
What You Should Know:
LG Business Solutions USA launches a new line of “Patient Engagement Boards” that empowers hospitals to outfit patient rooms with crisp high-definition screens for displaying patient information such as their name, schedule, a list of caregivers, native language and more. The new Patient Engagement Boards are now available in a 43-inch UHD model and 32-inch FHD model, featuring Power over Ethernet (PoE) capability, offering optimized solutions and simplified
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Chatbot Care Managers? ACOs Should Be Cautious in AI Adoption
Given Artificial Intelligence’s potential to improve patient care and reduce costs, it’s no surprise that AI applications are gaining momentum in health care. As your organization explores the benefits of AI in your journey towards Value-Based Care, however, you need to carefully assess the implications, for better and worse.
Evaluating AI implications can be tricky. Healthcare AI varies widely, with clinical technology paving the way for advancements in diagnostics and treatment. But
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What VBC Providers Demand From Their IT Solutions
Value-based care (VBC) is a healthcare delivery model that differs from traditional fee-for-service because rather than compensating providers based on the number of services provided, it ties the amount providers earn to the results they deliver for their patients. The quality of these healthcare services is measured by patient outcomes that are based on metrics such as rate of hospital readmission, timeliness of care, and overall patient satisfaction. This VBC model holds providers
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