Healthcare has been forced to stretch their muscles during the COVID-19 pandemic. For both safety and efficiency, providers must be creative in caring for a growing patient population. After reading CMS’ recent announcement of the Acute Hospital Care at Home program, it is clear that clinical care will continue to expand beyond the four-walls of...
Communities across the United States are looking for better ways to manage mental and behavioral health disorders, with the recognition that social determinants of health (SDOH) are inextricably linked with an individual’s mental health status. This is particularly true among individuals with comorbid medical conditions. Broadly put, SDOH represent the complex political, socioeconomic, and cultural...
Back in June we conducted a webinar titled Power Over Uncertainty – Five Steps for ACOs to Take Now, where we outlined five steps we suggested ACOs take to improve quality outcomes, while also ensuring organizational sustainability. With CMS’s release of the 2020/2021 Shared Savings Quality Measure Benchmarks this month, I wanted to share some...
Dr. Nick van Terheyden, host of HealthcareNOW Radio show The Incrementalist, recently sat down with HealthEC CIO and Chief Data Scientist, Sita Kapoor, to discuss high-volume data processing in healthcare and the role of artificial intelligence in delivering clinically actionable insights to caregivers.
In most parts of the United States, the use of value-based care (VBC) arrangements are growing, and health systems today typically participate in a diverse VBC portfolio. Nevertheless, the proportion of total net patient revenue derived from these programs is usually small. Based on CHIME’s Most Wired Data, an average of 26% of hospital revenue...
Influx of New Medicaid Participants Millions of unemployed Americans are losing employer-sponsored healthcare coverage. Without income or affordable insurance options, a large percentage of the U.S. population now find themselves eligible for Medicaid, many for the first time in their lives. As state Medicaid agencies and managed care organizations (MCOs) shore up systems to welcome...
The COVID-19 pandemic has created great uncertainty for Accountable Care Organizations (ACOs). From the complete demise of value-based care payment models to loss of shared savings incentives, ACO concerns abound and rumors run rampant. Every day our nation’s ACO leaders are being bombarded with both superfluous perceptions and stark realities. And the pressure shows.
Medical staff members are often the last to be informed of new risk-based contracts. However, they are usually the first to feel the financial impact of taking on greater risk. With our nation’s medical staff leaders and professionals in mind, I recently coauthored an article for the March 2020 issue of Medical Staff Briefing (MSB)...
While the world of physical medicine has seen a steady progression in the development and adoption of value-based care models and payer contracts, behavioral health has been on a slower road to adoption. At the 2020 Open Minds Performance Management Institute earlier this month, payers, providers, and vendors convened to discuss a number of topics...
In my last blog, I talked about the communication gaps between primary care providers and specialists when it comes to referrals, the need for healthcare IT vendors to close this referral loop, and HealthEC’s success in already doing so.
