Zero-Sum Game: The Current Healthcare System Is Reaching a Breaking Point
It’s tragic that it takes a shooter, aggravated by his back pain and frustrated with the healthcare system, to spark a necessary conversation about healthcare.
A Guide for Specialty Practices Navigating a Future of Healthcare that Does Good and Feels Good
As the healthcare evolves toward service-based models, providers increasingly look to balance service delivery demands while keeping their core medical values without yielding to an overburdened system's pressures.
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The Top Surgical Instruments Needed for Extractions
Discover what tools are essential for efficient, safe surgical extractions in today’s health care landscape, from elevators to forceps and beyond.
Rethinking Healthcare: Navigating the Uncomfortable Path of Value-Based Care
In aggregate, value based care has yet to produce the consistent, positive results that we seek. But VBC’s slow start is actually a reflection of the difficulty of transitioning away from our entrenched healthcare compensation system.
Report: Many Employers, Consumers Don’t Understand Value-based Care
Although many employers and consumers don't understand the difference between value-based care and fee-for-service, most are in favor of value-based care after being given the definition, a new survey found.
Report: MA Enrollees Are More Likely to be Socioeconomically Disadvantaged than Traditional Medicare
The average income of a traditional Medicare enrollee is $85,085, versus $76,720 for a Medicare Advantage enrollee, according to a whitepaper done in partnership between Harvard Medical School and software solutions company Inovalon.
Providers Need to Commit to VBC Sooner Rather Than Later, Experts Agree
Experts argued that value-based care is here to stay and will play a major role in the future of healthcare during MedCity's Invest conference in Chicago. A panel of four agreed that the success of value-based care depends on organizational commitment — it’s a quixotic mistake to think these alternative payment models can gain traction overnight.
Navigating The Right Steps For Your Healthcare Startup
This webinar will explore how a banking platform approach could be the resource for your company.
VBC Won’t Save Safety Net Hospitals, Experts Say
A shift from fee-for-service payment models to value-based models is not an effective way to address the severe financial pressures that safety net hospitals are facing, experts argued at the HIMSS conference in Chicago. One called for a paradigmatic shift “away from cost savings and toward understanding where investments are needed.”
Remote patient monitoring use is on the rise, but reimbursement needs to catch up
The reimbursement model for remote patient monitoring needs to evolve as it may be holding providers back from investing in these programs, according to panelists at the MedCity INVEST Digital Health conference. Key issues with the structure as it stands now include the fact that there are too many gray areas that result in claims denials.
CMS changes to Stark Law appear largely positive, experts say
CMS has finalized changes to the Physician Self-Referral Law, also known as Stark Law. Healthcare law experts say that these changes will generally make it easier for hospitals and physicians to remain in compliance with the statute.
The three horizons of the value-based care continuum
During a presentation at the World Congress Integrated Delivery Systems Summit last week, NextGen Healthcare's Bruno Nardone took a closer look at today's value-based care environment.
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The Top-Rated Orthopedic Surgery Centers in the Houston Area and Beyond
Discover Houston's best orthopedic surgery centers and what features — from personalized treatment plans to rehabilitation services — make these top providers stand out in their industry.
Survey: 43 percent of physicians say they have the needed tools to succeed under value-based care
What does the future of value-based care look like, and how does technology tie in? A new survey from Quest Diagnostics and Inovalon takes a closer look.
Three things health systems must do to take on risk – and succeed
Everyone in the healthcare world is trying to figure out how to manage risk – whether that is something basic – like switching to online appointment scheduling – or something major – like moving a health system’s providers to value-based contracts. I spoke with Valence Health President Todd Stockard recently to understand what it takes […]
Report: Fee for service still dominant method of healthcare payments
Commercial health plans have “dramatically shifted” in how they pay hospitals and physicians, with 40 percent of all payments reflecting value over volume, but 60 percent of payments remain tied to the traditional fee-for-service model, according to the nonprofit Catalyst for Payment Reform. The San Francisco-based organization issued the findings as part of its annual […]
Why Do I Only Get 10 Minutes With My Doctor?
Good question. You call for an appointment and are told it will be about 20 days. You arrive on time only to sit in the apt named waiting room for 40 minutes. Finally you get to see your primary care doctor (PCP). You begin to explain why you came in but are interrupted within about […]
Medicare and the Continuing Loss of Primary Care Physicians
Primary care physicians (PCPs) have been marginalized by Medicare for decades with low reimbursement rates for routine office visits which has led to the 15-20 minute office visit with 10-12 minutes of actual “face time” and a panel of patients that well exceeds 2000. Is there a good solution to the Medicare cost and quality […]