While the fear, uncertainty, and isolation of the COVID-19 pandemic have practically disappeared, the mental health crisis sparked by these issues have not been so easily erased. Moreover, the number of people who need mental and behavioral health services continues to surge.
“We shall have no better conditions in the future if we are satisfied with all those which we have at present.” ― Thomas A. Edison
A clinically integrated behavioral health network was created to improve the integration of behavioral and physical healthcare by serving Medicaid beneficiaries in collaboration with payers. The evolution and transition to behavioral health value-based contracting was an initiative that proved rewarding for the independent practice association (IPA) providers and patients.
The Medicare Shared Savings Program (MSSP), the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs (NAACOs) and as recently published in Healthcare Finance. 513 ACOs participated in the...
We know data from population health technology can assist the provider organizations to make management strategy decisions that make a significant impact in disease management, for instance, with diabetic populations thanks to sophisticated technology and tracking tools that add real-time data from remote monitoring devices to influence the drug regime changes for optimizing patient outcomes,...
CMS recently calculated that the United States spent $3.8 trillion — or 18 percent of the gross domestic product — on healthcare in 2019. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and...
Negotiating value-based reimbursement & Value-based contracting is a complex process for healthcare providers. Organizations participating in value-based agreements need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked. And because each contract varies, negotiators rely on every available insight to truly...
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.
Remember when the doctor dusted off a paper copy of your medical record ahead of an office visit? While the days of medical record isolation are long gone, data remains a critical part of today’s healthcare market.
