Aligning strategies across all healthcare stakeholders is necessary to successfully incorporate health equity into alternative payment models. https://bit.ly/3WgJWO3
Rev Cycle Management的动态
最相关的动态
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If you are working on your Medicare Star rating, you may want to read this article. #medicare #medicarestar #healthequity
Last year, CMS announced changes to Medicare Star Program measures, which raised the threshold for obtaining high-star ratings and signaled an increased focus on health equity. Is your organization ready? Here are four actionable ways to maintain or increase star ratings in 2024 and beyond.? ... #healthequity #starratings #medicareadvantage
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The health system leadership team that acknowledges the affordability issue and thinks differently about how we can redesign healthcare delivery to be high value will win in this latest era of funding cuts and rising costs. Every other industrialized country has a higher value healthcare delivery by several multiples of what we do. We can and need to do better. There are new, innovative strategies to meet today’s healthcare challenges.
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In today's healthcare landscape, ensuring health equity among patients is essential to provide every patient with the same level of care. By optimizing health equity, every patient should have a fair opportunity to achieve ideal health. Alternative Payment Models (APMs) play a crucial role in health equity with the rise of value-based care as they incentivize high-quality, coordinated healthcare models. Some challenges remain, such as accurately measuring disparities and standardizing data collection, but there's growing optimism for meaningful progress towards advancing health equity across the board. ?? Priority Practice Management can help optimize your healthcare practice to relieve the administrative burden of running it yourself. Learn more on our website ? https://lnkd.in/gpYmTyzz #ValueBasedCare #PracticeManagement #RevenueCycle #HealthEquity ?? Article: https://lnkd.in/gCKdZ67u
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William H. Foege Global Health Fellowship, Atlanta Georgia. Healthcare & Public Health Consulting | Graduate Student with International Experience | Biotechnology and Community Health Advocate"
US health system: What is the overall goal of the US healthcare? The tragic death of UnitedHealthcare CEO Brian Thompson has indeed sparked renewed discussions about the need for reforms in the U.S. healthcare system. Many argue that the current system falls short in several key areas, including health equity, responsiveness, social and financial risk protection, and efficiency. Health Equity: The U.S. healthcare system often struggles with significant disparities in access and outcomes across different populations. Responsiveness: The system's ability to respond to the needs of patients promptly and effectively is another area of concern. Improving responsiveness involves better coordination of care and reducing administrative burdens Social and Financial Risk Protection: Many Americans face financial hardship due to medical expenses. Enhancing social and financial risk protection means ensuring that healthcare costs do not lead to financial ruin for individuals and families. Efficiency: The U.S. spends more on healthcare than any other country, yet it often ranks poorly in terms of health outcomes. Improving efficiency involves reducing waste, optimizing resource use, and focusing on preventive care. These discussions highlight the urgent need for comprehensive reforms to create a more equitable, responsive, and efficient healthcare system.
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No one wins when there is animosity between health plans and healthcare providers, least of all patients. But there are signs that payer-provider relations have become more contentious in the past two years, with rising rates of denials contributing to increased tension. Find out more in this report from the Healthcare Financial Management Association (HFMA), "Bridging the Payer-Provider Divide." #healthcare #finance #revenuecycle #revenuecyclemanagement #denials #denialsmanagement #AI
The tensions between health systems and third-party payers continue to mount. In fact, nearly 60% of health system CFOs recently surveyed by Healthcare Financial Management Association (HFMA) said their relationships with health plans had changed for the worse over the past three years. Among that group, eight in 10 blamed health plans for "intentional or systematic efforts to increase denials." In our latest report, "Bridging the Payer-Provider Divide," we take a close look at the state of these tense relationships and where it is all heading. The truth is, nobody wins when there is animosity between health plans and healthcare providers — least of all patients. Stellar reporting from Jennifer Williams as always and a great product from the award-winning HFMA editorial team. Special thanks to Cedar for its support of this important project. Check out the full report here: https://lnkd.in/ga5CbZpk #HealthcareFinance #Healthcare
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“Payer-provider relations are always tense, and the reason they’ve been tense is because, typically, we see them as zero sum: I win, you lose; you win, I lose,” said Sachin H. Jain, MD, MBA, the CEO of SCAN Health based in Long Beach, Calif. “And I think the cure to that is deeper, longer, more intentional partnerships between payers and providers.” Read this insightful Healthcare Financial Management Association (HFMA) report by Jennifer Williams on the need to build stronger collaboration between healthcare providers & health plans and how to find a path forward. #healthcare #healthsystems #healthplans #collaboration #innovation #patientexperience
The tensions between health systems and third-party payers continue to mount. In fact, nearly 60% of health system CFOs recently surveyed by Healthcare Financial Management Association (HFMA) said their relationships with health plans had changed for the worse over the past three years. Among that group, eight in 10 blamed health plans for "intentional or systematic efforts to increase denials." In our latest report, "Bridging the Payer-Provider Divide," we take a close look at the state of these tense relationships and where it is all heading. The truth is, nobody wins when there is animosity between health plans and healthcare providers — least of all patients. Stellar reporting from Jennifer Williams as always and a great product from the award-winning HFMA editorial team. Special thanks to Cedar for its support of this important project. Check out the full report here: https://lnkd.in/ga5CbZpk #HealthcareFinance #Healthcare
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The tensions between health systems and third-party payers continue to mount. In fact, nearly 60% of health system CFOs recently surveyed by Healthcare Financial Management Association (HFMA) said their relationships with health plans had changed for the worse over the past three years. Among that group, eight in 10 blamed health plans for "intentional or systematic efforts to increase denials." In our latest report, "Bridging the Payer-Provider Divide," we take a close look at the state of these tense relationships and where it is all heading. The truth is, nobody wins when there is animosity between health plans and healthcare providers — least of all patients. Stellar reporting from Jennifer Williams as always and a great product from the award-winning HFMA editorial team. Special thanks to Cedar for its support of this important project. Check out the full report here: https://lnkd.in/ga5CbZpk #HealthcareFinance #Healthcare
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Emergency Physician and Clinical Operations Leader Building Solutions to Improve Healthcare Delivery
“Don’t hate the player, hate the game” is what David N. Bernstein should’ve titled this. But it’s not wrong! “Incentive structures focused solely on volume and efficiency (e.g., number of procedures) sacrifice resources aimed at avoidance of death and negative hospital events, such as falls or infection, because there is no reward structure (or substantial financial penalty structure) built around these more patient-centered outcomes. The result? Private equity firms … focus on what optimizes profit, not … patient-centered outcomes.” Systems are structured to incentivize whatever it is they value. If we truly value outcomes over profits, we need to realign our healthcare system - and its incentives - accordingly, including safeguards to prevent PE and its behavior if we believe it doesn’t belong in healthcare.
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Partner/Owner at Columbia Pain Management, P.C. | Expert in Interventional Pain Management and Physical Medicine & Rehabilitation
"Case studies highlight how PE firms loaded hospitals up with debt, sold the hospitals' underlying assets, and paid investors through dividends and financially engineered sales, resulting in negative consequences such as bankruptcy, closure of facilities and service lines, staffing shortages, and patient safety and quality concerns."
I have been working with the Biden-Harris administration at HHS in collaboration with the FTC and DOJ to promote competition in healthcare markets. Did you know... - Today fewer than half of physicians practice independently. - Nearly half of all metropolitan areas have only one or two hospital systems providing inpatient care. - PE-backed companies own more than 30% of physicians in approximately one quarter of metropolitan areas across the country. Healthcare markets have been increasingly consolidating, driven by health systems, insurers, and private investors. Research unambiguously shows consolidation drives up prices, and responses to a recent tri-agency inquiry highlight firsthand experiences of how it reduces quality of and access to care for Americans. Today, HHS released a report on the topic I wrote with our amazing cross-agency competition team here:
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The U.S. government is driving health equity by integrating Social Determinants of Health (SDOH) into healthcare policies. Discover how initiatives like Healthy People 2030 and CMS mandates are paving the way for better health outcomes. Read more: https://loom.ly/WpDXbtQ #HealthEquity #SDOH #HealthcareAnalytics #MedicalResearch #HealthcareReform #IQR HealthPolicy
