By 2018, the Centers for Medicare & Medicaid Services (CMS) will require 50 percent of payments to be value-based, meaning providers are compensated for healthy outcomes rather than each service provided. According to new research from Xerox, 69 percent of healthcare providers and payers are uncomfortable with the risks of value-based care, and 77 percent agree that some providers are losing money by adopting the approach. The Xerox survey reveals that healthcare payers and providers
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Consumer Engagement: The Quest for the Holy Grail
Editor's Note: Ryan Rossier is the VP of Product Innovation at digital health firm Medullan that specializes in amazing user experience. Realizing results by delivering the right information, at the right time, in the right way - remains the elusive holy grail of consumer engagement. A new study published by Accenture Life Sciences shows that only one out of every five patients is aware of the number and type of therapeutic services available to them after diagnosis. The study found
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Aetna, Mount Sinai To Form Accountable Care Alliance
Aetna and Mount Sinai Health Partners – the clinically integrated network that includes the Mount Sinai Health System and a group of voluntary providers are teaming up to form the form an accountable care collaboration designed to enhance coordinated patient care and lower health care costs. Accountable Care Alliance Details Under the three-year agreement, members of Aetna commercial plans who receive care from Mount Sinai physicians will benefit from quality and cost efficiency improvements
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What Is The Financial Impact of Value Based Healthcare for Physicians?
The Centers for Medicare and Medicaid Services (CMS) is working hard to transition physicians’ payments from volume to value of services. The current Acting Administrator at CMS is a former top executive at United Healthcare, a commercial health insurance corporation. The previous Administrator at CMS is currently the president and CEO of America’s Health Insurance Plans (AHIP), which is the dominant health insurance lobbying group. It may therefore behoove us to rephrase the opening sentence:
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CMS’ Next Generation ACO Model: The True Cost of Healthcare’s Transformation
Will providers taking on more risk produce create cost savings and better healthcare for the underserved? Healthcare experts April Wortham Collins and Dutch Dwight weigh in. The ACO. It was hailed as the care delivery and payment model that would cure healthcare’s inefficiency ills and financial woes. While we’ve seen some quality improvement from Medicare’s Shared Savings Program, the U.S government has yet to see actual savings. Now, CMS has unveiled a more enticing model for providers to
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Aetna, Meridian Health Partner to Create Co-Branded ACO
Aetna and Meridian Health are teaming up to create co-branded, commercial, product-based accountable care organization agreement, which is through Meridian Health Partners, Meridian’s clinically integrated network. It offers employers in Monmouth and Ocean counties a health care model designed to improve quality, efficiency and the patient experience. The ACO includes doctors who are part of Meridian Health Partners, doctors at Meridian hospitals, and affiliated ancillary providers and
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EvergreenHealth Selects Wellpepper as Mobile Patient Engagement Solution
EvergreenHealth, an integrated health care system has selected Wellpepper, a clinically validated platform for patient engagement as the mobile engagement solution for all total joint replacement and musculoskeletal care plans. The project was made possible at EvergreenHealth with a generous donation from The Schultz Family Foundation, a private not-for-profit foundation founded by Howard Schultz, CEO of Starbucks Corporation, and his wife Sheri. Patients with musculoskeletal issues that
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Report: 66% of Providers to Focus on Improving RCM in 2016
With the ICD-10 transition in our rearview, 66% of providers plan to focus on improving their overall revenue cycle management processes in 2016, according to the post-ICD-10 implementation survey from Navicure. Fifteen percent indicated they would be working towards a value-based care model while another nine percent are updating and automating patient collections strategies. Navicure and Porter Research deployed the survey in December 2015 as the final wave of a research study designed to
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5 Healthcare Supply Chain Trends to Watch in 2016
For the past several years, spurred by regulatory healthcare reform and the overarching need to make the industry more sustainable, the healthcare supply chain has evolved from simply a transaction-driven process into a strategic, data-driven operation. As a result, the healthcare supply chain acts as a backbone for the industry’s drive to reduce costs while simultaneously improving patient care. With the last few years defined by supply chain innovation and exploration in healthcare, Global
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Health Choice Preferred, Cigna Form Accountable Care Collaboration
Health Choice Preferred, a division of IASIS Healthcare, and Cigna have announced an accountable care collaboration designed to offer more than 16,000 Cigna commercial customers in Utah a more coordinated, personalized healthcare option. The collaboration ties value-based incentives to performance improvements that support population health management and improve outcomes for Cigna’s customers. Health Choice Preferred’s integrated network of healthcare providers utilize a broad range of
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