Emory Healthcare launches accountable care plan with Walmart

FierceHealthIT

A slightly different twist on the traditional ACO arrangements makes the Walmart-Emory Healthcare agreement one to watch, says Hunter Sinclair, vice president of value-based care consulting at The Advisory Board Company. As part of the deal, Emory is also included in Walmart's Centers of Excellence program, launched in 2013

Farzad Mostashari: CMS should look to Medicare Advantage to improve accountable care

FierceHealthIT

HHS Secretary Alex Azar has made it clear that the transition to value-based care is one of his priorities. To help meet that goal and support accountable care organizations, he should look to Medicare Advantage for inspiration, say Farzad Mostashari, M.D., and Travis Broome

Health Care for a Typical Working Family of Four in America Will Cost $28,166 in 2018

Health Populi

The $28,166 includes inpatient facility care (e.g., hospitalizations), outpatient facility care (e.g., Note in the second chart that inpatient care is the largest component of medical spending, closely followed by professional services which, together, equals 60% of spending.

Accountable care needs to help patients as well as cut costs

FierceHealthIT

Two JAMA articles regarding value-based care suggest that accountable care organizations must help patients as well as they cut costs and reduce unnecessary care. One article lays the framework for an alternative payment model, the other calls for more teamwork to advance value-based care

Why It's Time to Embrace Telemedicine

eVisit

I t’s more than 40 years old and was developed as a way to use improvements in communication technology to bring quality medical diagnoses and care to individuals in remote parts of the world. What’s this new thing called Telemedicine? For starters, it’s not new!

Improving Health outcomes with Telemedicine

eVisit

Incorporating virtual care into a service line strategy has proven to have many benefits, not the least of which is improving patient outcomes.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

How would you like to change HIPAA?

Health Blawg

There’s an RFI out right now, published as part of the federales’ “ Regulatory Sprint to Coordinated Care ,” announced by HHS Secretary Alex Azar in mid-2018. Hey, coordinated care is a good idea. Let’s start with the care coordination question.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

Caradigm is focusing on population health by stratifying patients with multiple chronic conditions, and supporting ACOs in managing their care. PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health. Health Care Law and Consulting. David Harlow The Harlow Group LLC Health Care Law and Consulting.

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

OIG: Medicare ACOs have yet to realize full potential of health IT

FierceHealthIT

Medicare accountable care organizations aren't using electronic health records to their potential, a new report shows.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Maintaining patient identities across care settings improves the quality of the longitudinal record, with both clinical and payment data, and improving consent management, privacy protections and communications will improve patient buy-in. That generates a call from the care team to the ED.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Maintaining patient identities across care settings improves the quality of the longitudinal record, with both clinical and payment data, and improving consent management, privacy protections and communications will improve patient buy-in. That generates a call from the care team to the ED.

ACOs with Multiple EHRs Struggle with IT Health Care Coordination

BHM Healthcare Solutions

ACOs connected by a single EHR were more successful at care coordination, though most also supplement their EHR platform with other tools and technology, according to a report from HHS’ Office of Inspector General.

HIE 52

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Meanwhile, many traditional primary care providers are running scared.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Meanwhile, many traditional primary care providers are running scared.

How would you like to change HIPAA?

Health Blawg

There’s an RFI out right now, published as part of the federales’ “ Regulatory Sprint to Coordinated Care ,” announced by HHS Secretary Alex Azar in mid-2018. Hey, coordinated care is a good idea. So here’s the thing: Do the HIPAA regulations in their current form stand in the way of “encouraging information sharing for care coordination”? Let’s start with the care coordination question. Health Care Law and Consulting.

HIPAA 60

CMS Reveals New Direction for MSSP Which Adds Risk on ACOs

BHM Healthcare Solutions

The changes will redesign participation options in hopes of encouraging accountable care organisations to take on risk quicker. MSSP includes 561 Accountable care organizations and serves more than 10.5

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

Blog Accountable Care Organizations Behavioral Telehealth Centers for Medicare & Medicaid Services How to Stay Out of Hot Water: Telehealth Documentation! For years, the CMS and Medicare have been open to recognizing telehealth. Although telehealth is covered, there are restrictions. For instance, to date, Medicare has limited its coverage to serving only clients/patients in rural Health Professional Shortage Areas (HPSA). As … Read more.

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

Blog Reimbursement Strategies: Increasing Authorization & Payment TMHI Certification Program Accountable Care Organizations Centers for Medicare & Medicaid Services How to Stay Out of Hot Water: Telehealth Documentation! For years now, the CMS and Medicare have been open to recognizing telehealth. Although telehealth is covered, there are restrictions. For instance, Medicare limits its coverage to rural Health Professional Shortage Areas (HPSA).

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

Bridges Health Partners, Aetna form managed care partnership in western Pennsylvania

FierceHealthIT

Bridges Health Partners and Aetna have entered into an accountable care agreement for Aetna’s Medicare Advantage members