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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Analysis: Population Health Management Market Growth Slows in 2018

by Michael Liberty, Senior Market Analyst at Signify Research 12/17/2018 Leave a Comment

Analysis: Population Health Management Market Growth Slows in 2018

2018 has proved to be another challenging year for the North American population health management (PHM) market, with growth limited to single digits for the second year running. There has been a growing sense of pessimism around PHM market development as a challenging 2017 market has continued into 2018. The market is now forecast to grow to $6.8B by 2022, at a CAGR of 9.6%.Highlights- North American Population Health Management (PHM) market estimated to reach $6.8B by 2022, growing at a CAGR
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SMART on FHIR: Is it Worth the Investment or Just Another Burden for Health IT Departments?

by Mitch Collier, Vice President of Product at StayWell 12/10/2018 Leave a Comment

Smart on FHIR

 As the healthcare industry continues to shift from fee-for-service to value-based care, data interoperability is increasingly becoming a key concern for providers trying to better engage with patients, improve clinical workflow, and ultimately drive better health outcomes. In fact, more than 70 percent of healthcare financial executives say that data interoperability must improve within the next three years to ensure the success of value-based care.The good news? The potential for secure,
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Betterment Through Automated Benchmarking in the Era of Value-based Care

by Raul Valdes-Perez, PhD, 12/04/2018 Leave a Comment

Betterment Through Automated Benchmarking in the Era of Value-based Care

In the era of value-based care provision, automated benchmarking technology in hospitals enables real-world, reliable data insights for understanding, improving and promoting provider performance.Value-based healthcare is here to stay. Hospitals across the U.S. are on a quest to deliver successful outcomes at the lowest overall cost, improving care delivery and patient wellness. Nationwide, 34 percent of total healthcare payments were tied to alternative payment models in 2017, a steady
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8 Common Characteristics of Successful Standalone Hospitals

by Fred Pennic 11/24/2018 Leave a Comment

8 Common Characteristics of Successful Standalone Hospitals

The Chartis Group shares 8 characteristics of successful independent hospitals and provides an assessment for hospital executives. Over the last 20 years, the percentage of U.S. hospitals over 200 beds, that are part of health systems, has risen from 56 percent to 77 percent. This trend continues as local regional and national health systems expand in search of greater scale, financial stability, and market presence. This seemingly inexorable trend towards systems expansion has caused industry
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Virta Health Puts 100% of Fees at Risk with New Value-based Care Model

by Jasmine Pennic 11/14/2018 Leave a Comment

Virta Health Puts 100% of Fees at Risk with New Value-based Care Model

Virta Health unveils new value-based care model that makes every dollar performance-based, with the majority tied to health outcomes for diabetes reversal. Virta Health, a San Francisco, CA-based provider of a clinically-proven treatment to safely and sustainably reverse type 2 diabetes without the use of medications or surgery, today announced a unique value-based care model that puts 100% of its fees at risk. The new model ensures that every dollar is tied performance-based benchmarks to
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Value-Based Care in Action: BCBS AZ Shared Savings Program Outperforms Cohorts Across Cost & Quality Measures

by Fred Pennic 11/02/2018 Leave a Comment

Value-Based Care in Action: BCBS AZ Shared Savings Program Outperforms Cohorts Across Cost & Quality Measures

BCBS AZ’s value-based care program outperformed cohort across cost and quality measures, underscoring program’s effectiveness at improving population health.Change Healthcare and ACO Partner released the results for the first complete plan year of its novel shared value-based care savings program with Blue Cross Blue Shield of Arizona (BCBS AZ). More than 600 in-network primary care providers treated over 41,500 patients through 2017 leading to the program remitting a total of $1 million to 603
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AMA-RAND Study: Physician Payment Models are Becoming More Complex

by Fred Pennic 10/26/2018 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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HHS Unveils International Pricing Index to Lower Medicare Part B Drugs for Patients

by Fred Pennic 10/25/2018 Leave a Comment

Behavioral Health Can We Balance Civil Liberties with Mental Health Treatment?

The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today announced unveiled the “International Pricing Index” (IPI) payment model to reduce what Americans pay for Medicare Part B prescription drugs.Under the IPI model, described in an Advance Notice of Proposed Rulemaking (ANPRM), Medicare’s payments for select physician-administered drugs would shift to a level more closely aligned with prices in other countries. Overall savings for
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Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

by Jasmine Pennic 10/24/2018 Leave a Comment

Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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Why Are Hospitals Still Using CDs to Exchange Medical Images with Patients?

by Mohammed Shoura, Founder and CEO at PaxeraHealth 10/24/2018 Leave a Comment

Why Are Hospitals Still Using CDs to Exchange Medical Images with Patients?

For nearly two decades, CDs have been the primary medium for medical image exchanges between providers and patients. In the mid-1990’s, CDs provided a solution to the point-of-care and transportation issues of bulky, static film and reports. Recent years have brought a widespread adoption of electronic methods for storing and sharing information in the healthcare sector---namely EMR and now interoperability. Despite the rapid (and necessary) adoption of HIT, CDs remain the primary means of
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