A unified workflow for all referrals, resulting in fewer clicks and less confusion, means provider matching can be conducted based on specialty, location, insurance, and real-time availability, for an easier track to the right provider, not just any provider.
With new therapies being approved, and many others in the pipeline, they raise a critical question: Is our healthcare system prepared to deliver them effectively and sustainably?
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
We are building a more connected system that bridges acute and post-acute settings by uniting insights across the continuum. The insights empower clinicians with the information they need at the moment they need it, resulting in faster, safer, and more human-centered care.
All of us can see glaring issues with the healthcare system that need to be addressed — but system-level change is hard. The leap to VBC isn’t easy, but the results are undeniable.
VBC does not necessarily mean a reduction in all utilization. Rather, it means a rebalancing: fewer avoidable admissions, but possibly more use of home-based care, ambulatory services, and proactive outreach.
Care pathways are, in essence, the maps we follow to get patients from where they are to where they want to be. However, many rehab care plans are still too fragmented, too reactive, and too disconnected from the broader ecosystem of care. This won’t cut it in this next phase of transformation.
Across the nation, state-based health insurance exchanges are searching for ways to better serve their communities while making enrollment easier, more personal, and more accessible for everyone.
The move toward value-based care is inevitable and in-home care must not be left behind. To realize the full potential, here are a few key shifts that must happen.
As healthcare embraces value-based care, data-driven, targeted patient outreach helps close gaps in care that impact performance.
High-performing groups treat utilization with the same rigor they apply to coding and quality. Here are four key principles we’ve seen successful organizations adopt.
A systemic change from FFS to VBC would represent more than a payment model switch, but rather a holistic transition toward patient-centered healthcare that prioritizes outcomes over activity.
In a recent interview, Esperion president and CEO, Sheldon Koenig talks about the reality of statin intolerance and his company’s expansion into new diseases
The mandatory CMS TEAM program begins next year. Are you ready? As hospitals consider their options for addressing the mandate, here are some actions to consider.
The shift to a VBC model represents more than an evolution in healthcare delivery - it demands a fundamental redesign of our healthcare system and the economic models to support it.
Reimbursement models that align primary care with behavioral health offer low-income provider organizations serving rural Americans and other vulnerable populations an opportunity to enhance coordination and improve outcomes while generating sorely needed revenue.
We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?
Engaging and listening to physician leadership early and often can make the VBC transition smoother and less complex over time for both providers and payers.