The first deadline for the Trump administration’s new direct contracting value-based care payment model is right around the corner. But potential applicants are worried about key missing details. For instance: How will they get paid? To read more about the Direct Contracting program and what providers need to know, click here.
Fee-for-service reimbursement structures are slowly giving way to a new model. Taking the place of this framework is value-based care, in which reimbursement is directly tied to clinical outcomes. This shift is one of the biggest trends taking place in healthcare, yet there remain certain barriers to adoption — workflow challenges and interoperability among them, (…)
Healthcare executives see several barriers to value-based care success. At the top of the list is a lack of resources, including a shortage of staff and insufficient technology. Execs are also concerned that interoperability issues will make it difficult to coordinate care and efficiently exchange patient data, according to a recent survey. Michael Cousins, Chief (…)
One of the major challenges in healthcare is managing the shift from the traditional fee-for-service model for delivery of medical services to value-based models. The primary goal of these efforts is to replace fee-for-service contracts with payers with value-based contracts such as shared savings arrangements that include financial rewards for reducing cost of care. Learn (…)
After several years of testing value-based programs and payment models, health system LCMC Health was in need of a scalable population health system that could serve its patients and 2,000 medical staff and physicians. Among other successes, the health system surpassed its first-year revenue goals ($3.6 million versus $3.1 million) through a combination of quality (…)
In August, Medical Economics released its first-ever physician burnout survey. More than 1,200 physicians told us how burnout affects their careers. Since then, leaders across the healthcare space have been weighing in on the results, including leaders of Health IT organizations. Joe Gifford, MD, Senior Vice President at Lumeris, shares how the right technology can (…)
On Sept. 26, at the Fall Conference of the National Association of ACOS (NAACOS) in Washington, D.C., population health leaders from Mount Sinai Health System in New York described their efforts to transform primary care for value-based care, despite the fact that 50 percent of patient attribution in its value-based contracts lie with physicians who (…)
The healthcare industry is slowly starting to implement the type of consumer engagement best practices that have been hallmarks in the retail, travel, and financial industries for years: listening to individuals and designing personalized solutions to incentivize outcomes. Debbie Zimmerman, MD, Corporate Chief Medical Officer of Lumeris and Essence Healthcare, discusses how aligned incentives can (…)
Driven by a seemingly ever-expanding list of potential and innovative benefits such as at-home meal delivery and home-air cleaning, Medicare Advantage plans are pointing the way to a more consumer-centric approach to health insurance that could become a blueprint for the rest of the industry. Learn more about how successful Medicare Advantage plans are focused (…)
Listen to this podcast featuring Matt Cox, Chief Marketing Officer of Lumeris, discuss the importance of outcomes and how technology can enable a better healthcare system: Providers must take on risk—the industry is already moving to value Aggregating and cleansing clinical and financial data to deliver actionable insights is essential for successful population management An (…)