What You Should Know:
- A new analysis from the Urban Institute, supported by the Robert Wood Johnson Foundation, projects that U.S. healthcare providers could lose more than $770B in revenue over the next decade if a budget reconciliation bill recently passed by the House of Representatives becomes law.
- The financial blow would stem from an estimated 11 million people losing health coverage through Medicaid and the Affordable Care Act (ACA) marketplaces. The report further
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Critical Role of Transitions of Care in Medicare Advantage Success
The Medicare Advantage (MA) market is at a tipping point, with more than half of all seniors enrolled in an MA plan for their healthcare. Utilization of services is skyrocketing and the Centers for Medicare and Medicaid Services (CMS) has increased pressure to deliver supplemental benefits in a high-quality, low-cost and reportable manner.
As enrollment continues to grow, how health plans are paid — and how much —will be central to the debate over the efficiency and sustainability of
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Inaccurate Provider Data: The Biggest Obstacle to Value-Based Care
Just months into office, the new administration is doggedly focused on reducing costs and increasing efficiency and transparency across a swath of functions. However, like many journeys, an emphasis is being placed on the final destination and not on how to navigate the road ahead. Even so, expect value-based care (VBC) to move from the back to the front burner and the heat to get turned up.
VBC is a business model for healthcare in which providers are paid based on the quality of care
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5 Ways Trump Administration Tariffs Are Impacting U.S. Healthcare Now
What You Should Know:
- Recent changes to U.S. trade policy under the Trump Administration, including a new baseline tariff on imports, are sending ripples through the healthcare industry, creating significant uncertainty and cost pressures.
- According to recent analysis by Premier Inc., while a temporary pause on reciprocal tariffs (excluding China) is in effect until early July, the new landscape presents immediate challenges.
Trump Administration Tariffs
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Hidden Healthcare Crisis: Healthcare Dollars Buy Patient Harm
Everyone in America has felt the effects of uncoordinated healthcare, from the hassle of medical records lost between providers to devastating stories of medical errors that caused patient harm or a loss of life, uncoordinated care in medicine leaves no one behind. Uncoordinated care in the US directly contributes to out-of-control healthcare costs by adding roughly $340 billion annually in wasted resources – surpassing heart
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AMGA and Wilmington Health Launch AMGA Value Care Network
What You Should Know:
- The American Medical Group Association (AMGA) and Wilmington Health have announced an exciting new partnership poised to significantly impact the landscape of value-based care in the United States.
- The two organizations are collaborating to establish the AMGA Value Care Network, a strategic initiative with the ambitious goal of empowering healthcare practices nationwide to successfully implement and thrive within Accountable Care Organization (ACO)
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5 Value-Based Care Strategies to Control Patient Care Costs
The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a curated value-based care approach. Here are the fundamentals you need to know and five strategic steps to
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Aledade Expands Humana Value-Based Care Agreement to Serve FQHCs
What You Should Know:
- Aledade has announced an expanded collaboration with Humana, designed to bolster the ability of Federally Qualified Health Centers (FQHCs) and rural health clinics to succeed in value-based care.
- The enhanced partnership aims to improve health outcomes, enhance quality of life, and increase healthcare affordability and accessibility for patients.
Empower FQHCs and Rural Clinics in Value-Based Care
By providing upfront resources, comprehensive
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Medicare Advantage Organizations: 7 Ways to Ensure Your Document Management Platform Offers Full Automation
For Medicare Advantage Organizations (MAOs), the summer months have historically been defined by the high stakes, tight turnarounds and document management challenges of the Annual Enrollment Period (AEP). From the first Monday in June to late September, employees of MAOs clear personal calendars to carry out the demanding responsibilities of modifying all plan documents to reflect a variety of updates, including those for each individual plan offering, as well as the model document language and
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New President – What’s Going to Happen to Healthcare?
High insurance premiums and medical costs don’t discriminate or differentiate based on your political affiliation. Therefore, healthcare should be one of your top priorities for the new administration. As a country we have been passengers passively watching the medical costs increase while the services deteriorate, only reacting when the problem lands on our doorstep.
This is a complex topic with fingers pointing everywhere passing the blame game like a hot potato. In my
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