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...
Category: Value-Based Care (VBC)
Health Plans, Mobile Applications, and Closing the Referral Loop
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.
Innovation Gives Vendors the Opportunity to Prove Themselves in the Healthcare Market
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.
PHM, IDD Patients, and the Importance of Practical Approaches
An organization’s computers may run on the most powerful software in the world, but if the servers aren’t plugged in, the system will be, shall we say…ineffective.
State Medicaid agency, Medicaid Community and a Field of Dreams
Remember the baseball movie Field of Dreams?
Addressing the Needs of FQHCs with PHM Solutions | HealthEC
Community health centers (CHCs) and Federally Qualified Health Centers (FQHCs) are in a tricky position. They are poised to benefit from the innovative data aggregation and analytics platforms available in today’s healthcare marketplace, but don’t have the resources available to implement these solutions.
Factors ACOs Must Consider as They Transition from CMS’s Medicare Shared Savings Program to Pathways to Success
ACOs have big decisions to make regarding CMS’s Pathways to Success value-based initiative. With new rules dictating how long they can stay in the Shared Savings track before moving towards a risk arrangement, eligible ACOs must now determine:
Trouble Ahead for Some Medicare Shared Savings Program Providers
A healthcare storm is brewing between CMS and Medicare Shared Savings Program providers who have not engaged with the agency’s value-based care efforts, an essential step in readying for the new “Pathways to Success” initiative.
Year in Review and a Look Toward 2019
We strive each day to help healthcare organizations succeed with value-based care and population health management (PHM), but let’s take our foot off the gas for just a moment to reflect on the past year, with an eye on what’s coming in 2019.
It’s Too Early for ACO Pathways to Success under MSSP
When it comes to the proposed “Pathways to Success” for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), my suggestion is this: Don’t throw the baby out with the bathwater.