Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Why AI-Enabled EHRs & Telemedicine is Transforming Behavioral Health
Behavioral healthcare is on the precipice of an exciting new frontier. While the sector has been slow to adopt major tech innovations, emerging tools are ushering in unique advantages that allow providers to maximize profit, advance their sector and improve care for patients more than ever before.As a CEO working within the tech and revenue cycle management industries, I listen to the concerns of both insurance companies and healthcare providers to identify trends in behavioral healthcare every
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3 Principles to Value-based Care Contracting Arrangements for Behavioral Health
It’s long past time for the U.S. health system to improve care for our behavioral health patient population.With every headline about our country’s mental health crisis or opioid crisis, this painful reality becomes more apparent – and as time passes, more expensive. At $201 billion annually, mental disorders top the list of the most costly conditions in the U.S., according to Health Affairs. The economic toll of the opiate crisis alone has exceeded $1 trillion since 2001, according to research
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Report: Revolutionizing Healthcare with Augmented Intelligence and Social Determinants of Health
New Innovaccer research report applies machine learning algorithms to 55+ factors to deliver one of the most accurate views ever for social determinants of healthUS clinicians are at a critical juncture, newly responsible for both the quality and value of care and expected to have a deeper understanding of their patients’ risk factors. The health impacts of the environment in which patients live affect their health and these health impacts need to be documented and studied properly.According to
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Value Exchange: The Solution to Patient Fatigue?
Living with a rare disease can be exhausting. Symptoms, limitations, and medications are all obvious contributors, but there is another, less obvious challenge to living with a rare disease: the experience of simply being a patient.Patients, especially those with rare and complex diseases, are required to be their own health historians to manage and track all of their health needs and keep documents and paperwork up to date. They are also asked to fill out the same forms repeatedly – the same
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Survey: Executives Predict Accelerated Shift to Value-based Payments in 2019
According to a recent Lumeris-sponsored survey, forty-six percent of healthcare executives believe their organization’s pace of change toward value-based payment is moving quickly or very quickly, up 14 points from Q2 2018. Additionally, sixty-two percent of health systems indicated that they plan to assume additional risk in the next 12 months. Of these, ACOs (46%), Medicare Advantage (31%), and bundled payments (23%) were common methods for increased risk assumption. The Lumeris-sponsored
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HHS Launches New Payment Model for Emergency Ambulance Services
Today, the U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (Innovation Center), today announced a new payment model for emergency ambulance services that aims to allow Medicare Fee-For-Service (FFS) beneficiaries to receive the most appropriate level of care at the right time and place with the potential for lower out-of-pocket costs.Emergency Triage, Treat and Transport (ET3) Model OverviewThe new model named the Emergency Triage, Treat and
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Survey: Health Plans Are Struggling with Value-Based Reimbursement
Health plans are struggling with value-based reimbursement (VBR) due to internal and external barriers are hampering payers’ adoption of value-based programs, according to a new survey by HealthEdge and Survata. The survey reveals that for payers to have a significant chance at success with VBR programs, they must have modern and flexible technology systems that can easily collect and share data, quickly test and model new programs, and are designed to build more trust among providers of all
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Innovaccer Launches AI-based Data Activation Platform for Value-based Care
The decade-old technologies have held back the innovation on the data healthcare has worked so hard to collect. Innovaccer unlocks this data and brings a fundamental data-first approach to the industry. To provide a single source of truth for providers, today announced Innovaccer Inc. is launching their first Artificial Intelligence-based Data Activation Platform. With added Artificial Intelligence applications on top of it, the Data Activation Platform helps care providers with improving
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HIMSS Report: 4 Trends Driving the Rise of Consumer-Driven Reformation
Less than two weeks ahead of the annual HIMSS19 conference, HIMSS announced the availability of a new annual report, “2019 Healthcare Trends Forecast: The Beginning of a Consumer-Driven Reformation.” The white paper details what the industry can expect in 2019, including how digital health innovators and policymakers will be held accountable now that the hype cycle has peaked, why consumer pressures will drive healthcare toward a value-based model, new care delivery methods spurred by growing
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