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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

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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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

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. There are, of course, other approaches available, such as direct primary care. This will have implications for patient choice of provider, and possibly for total cost of care as well.

Focus on advanced primary care improves success of ACOs, study finds

FierceHealthIT

What do the most successful accountable care organizations (ACOs) have in common? A focus on advanced primary care, according to a new study

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.

HIE 95

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.

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.

HIE 60

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.

HIE 60

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.

HIE 60

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.

HIE 60

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.

Aledade expands into California to bring more physician-led ACOs to the state

FierceHealthIT

the startup company that is working to reshape primary care, is partnering with the California Medical Association to create new physician-led accountable care organizations in the state Aledade Inc.,

Video: Farzad Mostashari on patient engagement, ‘physician ACOs’

Meaningful HIT News

Mostashari, now a visiting fellow at the Engelberg Center for Health Care Reform at the Brookings Institute in Washington, discussed how the years of searching for a business model to coordinate care and engage patients is finally starting to pay off. As I alluded to earlier, I was leaving the press room one afternoon at HIMSS14, and there I see former national health IT coordinator Dr. Farzad Mostashari hanging around Gregg Masters and Dr. Pat Salber of Health Innovation Media.

The Future of Hospitals in Post-COVID America (Part 1): The Market Response

Henry Kotula

examines how market forces are consolidating, rationalizing and redistributing acute care assets within the. broader industry movement to value-based care delivery. The second article , which will publish next month, examines gaps in care delivery and the related public policy challenges of providing appropriate, accessible. For a decade, the transition to value-based care has dominated debate within U.S. Accelerated innovation in care delivery resulted.

Blue Cross, Aledade team up to support independent practices in North Carolina through ACOs

FierceHealthIT

Blue Cross and Blue Shield of North Carolina and Aledade are joining to launch a new initiative that will support hundreds of independently owned and operated primary care physician clinics in the state through accountable care organizations

CMS rolls back more Medicare, telehealth regs for providers working through pandemic

Henry Kotula

Dive Brief: CMS issued a another round of sweeping regulatory rollbacks Thursday that will temporarily change how some providers care for patients and get compensated during the ongoing pandemic. Accountable care organizations also scored a major win in the Thursday rule drop, with CMS pledging they wouldn’t be dinged financially for lower-than-expected health outcomes in their patient populations from COVID-19.?. [link].

MedPAC members weigh future of telehealth coverage

Healthcare IT News - Telehealth

"Telehealth has played a key role in delivering health care to patients during the pandemic, which has raised many questions about its future role in the healthcare system after the pandemic," said MedPAC Senior Analyst Ledia Tabor.

Telemedicine triage kiosks reduce ER visits by 11% for ACO

Healthcare IT News - Telehealth

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). A large number of the beneficiaries present multiple complex chronic health conditions with a high coexistence of mental health conditions making the coordination of care more complex and inefficient. " Duane Schielke, Alliance for Integrated Care of New York.

Stopping Referral Leakage with Telemedicine

GlobalMed

But there’s one virtual care benefit that doesn’t get the spotlight quite as much: stopping referral and patient leakage. Managed care organizations like Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs) typically require patients to see providers in their network. Systems like accountable care organizations (ACOs) that use value-based care or payment models can no longer manage the cost or quality of the patient’s care.

12 Ways Telehealth is Saving Small Hospitals

GlobalMed

As community hubs of healthcare, they are tasked with delivering expert medical care across emergency departments, outpatient practices, surgical suites, labs, radiology departments, intensive care units and more. Meet accountable care and risk contracts. In addition to ending the employment of hundreds of local residents, from nurses to cafeteria staff, the closure will force patients to travel further for basic care. One solution: virtual care.

3 Ways Collaborative Care Can Drive Better Outcomes

Hinduja Global Solutions

3 Ways Collaborative Care Can Drive Better Outcomes. To this point, and in light of industry focus as per a recent Forbes article, I suggest three ways to improve care connectedness, including: Proactive collaboration to facilitate and reduce frustration of interactions. While electronic data exchange solutions and accountable care contracts have been implemented, the improvement in resolution is negligible, according to HGS internal research, at less than 5% in best cases.

CBO Score Allows CHRONIC Care Act to Pass Hurdle

American Well

A bipartisan group of US Senators recently reintroduced the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (or CHRONIC, for short) Care Act of 2017 (first introduced in 2016 ), intended to improve healthcare outcomes for Medicare recipients living with chronic conditions. All of that changed when the Congressional Budget Office (CBO) released their preliminary cost estimate report on the CHRONIC Care Act. Will Expand Medicate Telehealth Coverage.

CBO Score Allows CHRONIC Care Act to Pass Hurdle

American Well

A bipartisan group of US Senators recently reintroduced the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (or CHRONIC, for short) Care Act of 2017 (first introduced in 2016 ), intended to improve healthcare outcomes for Medicare recipients living with chronic conditions. All of that changed when the Congressional Budget Office (CBO) released their preliminary cost estimate report on the CHRONIC Care Act. Will Expand Medicate Telehealth Coverage.

Fellow Physicians: Join the Telehealth Revolution

American Well

Primary care doctors, on average, see 20 to 30 patients a day, maybe more, back-to-back. care; feeling like you are always in a hurry. Talk with them about their immediate concern, address other topics, close some care gaps. Healthcare is becoming more consumer-driven and consumers are demanding new ways to access care. We physicians felt that these provided fragmented and substandard care. Collaborating and coordinating care is now a reality.

Fellow Physicians: Join the Telehealth Revolution

American Well

Primary care doctors, on average, see 20 to 30 patients a day, maybe more, back-to-back. care; feeling like you are always in a hurry. Talk with them about their immediate concern, address other topics, close some care gaps. Healthcare is becoming more consumer-driven and consumers are demanding new ways to access care. We physicians felt that these provided fragmented and substandard care. Collaborating and coordinating care is now a reality.

Parsing Volume to Value, Proxy Measures, and the Streetlight Effect

Docnotes

I love the last paragraph: The failure to prioritize value improvement in health care delivery and to measure value has slowed innovation, led to ill-advised cost containment, and encouraged micromanagement of physicians’ practices, which imposes substantial costs of its own. Aligning reimbursement with value in this way rewards providers for efficiency in achieving good outcomes while creating accountability for substandard care.

Virtual Healthcare: Your Telehealth Questions Answered by a Doctor

American Well

If you follow the latest developments in health care, you may have noticed: telehealth has taken off. Our country is focused on making health care more accessible for Americans, and naturally, telehealth has emerged as a key innovation that can help to make this a reality. As President and Medical Director of the world’s first telehealth practice, Online Care Group, I’m often asked a handful of common questions about telehealth. It’s time to embrace the now of health care.

HIPAA 48

Virtual Healthcare: Your Telehealth Questions Answered by a Doctor

American Well

If you follow the latest developments in health care, you may have noticed: telehealth has taken off. Our country is focused on making health care more accessible for Americans, and naturally, telehealth has emerged as a key innovation that can help to make this a reality. As President and Medical Director of the world’s first telehealth practice, Online Care Group, I’m often asked a handful of common questions about telehealth. It’s time to embrace the now of health care.

HIPAA 48

Value Based care models as alternatives to Fee for Service

Perficient

Aetna CEO, Mark Bertolini, according to an article published in the Hartford Courant, sent his team back to the drawing board to develop another plan due to the potential repeal of the Affordable Care Act by the Trump administration. One thing the two administrations (Obamacare and Trumpcare) should agree upon is the concept of Value Based care as an alternative to Fee for Service. Bundled Payments – administered for services related to a specific care episode.

“Pathways to Success,” an Overhaul of Medicare’s ACO Program

CMS.gov

Today the Trump Administration announced our overhaul of the program for Accountable Care Organizations, or “ACOs,” in Medicare. million individuals in Fee-for-Service Medicare (of the 38 million total Fee-for-Service beneficiaries) receive care from providers participating in a Medicare ACO. Therefore, it is incumbent on our agency to not just pay for healthcare services as they are billed but rather to ensure that patients are getting value for the care that is provided.