The COVID-19 pandemic has created great uncertainty for Accountable Care Organizations (ACOs). From the complete demise of value-based care payment models to loss of shared savings incentives, ACO concerns abound and rumors run rampant. Every day our nation’s ACO leaders are being bombarded with both superfluous perceptions and stark realities. And the pressure shows.
Infrastructure, Staffing, and Culture Work Together to Navigate Risk
Medical staff members are often the last to be informed of new risk-based contracts. However, they are usually the first to feel the financial impact of taking on greater risk. With our nation’s medical staff leaders and professionals in mind, I recently coauthored an article for the March 2020 issue of Medical Staff Briefing (MSB) in collaboration with Cliff Frank, interim executive director at Shore Quality Partners in Somers Point, New Jersey.
Behavioral Health: Looking Back at Open Minds Performance Management Institute
While the world of physical medicine has seen a steady progression in the development and adoption of value-based care models and payer contracts, behavioral health has been on a slower road to adoption. At the 2020 Open Minds Performance Management Institute earlier this month, payers, providers, and vendors convened to discuss a number of topics related to where behavioral health services are on the road to value, and how the sector can move forward more quickly. There are certainly some issues that need to be addressed.
Health Plans, Mobile Applications, and Closing the Referral Loop
In my last blog, I talked about the communication gaps between primary care providers and specialists when it comes to referrals, the need for healthcare IT vendors to close this referral loop, and HealthEC’s success in already doing so.
The Social Determinants of Health – More Than Just Buzzwords
While the introduction of the proposed Medicaid Fiscal Accountability Rule (CMS-2393-P) grabbed headlines at last week’s National Association of Medicaid Directors (NAMD) Fall Conference, discussions about social determinants of health could also be considered front-page news.
Closed Loop Keeps Primary Care Providers and Specialists on the Same Page
As a patient, have you ever felt a bit confused about next steps after your primary care provider (PCP) refers you to a specialist?
Innovation Gives Vendors the Opportunity to Prove Themselves in the Healthcare Market
Remember when the doctor dusted off a paper copy of your medical record ahead of an office visit? While the days of medical record isolation are long gone, data remains a critical part of today’s healthcare market.
PHM, IDD Patients, and the Importance of Practical Approaches
An organization’s computers may run on the most powerful software in the world, but if the servers aren’t plugged in, the system will be, shall we say…ineffective.
State Medicaid agency, Medicaid Community and a Field of Dreams
Remember the baseball movie Field of Dreams?
Addressing the Needs of FQHCs with PHM Solutions | HealthEC
Community health centers (CHCs) and Federally Qualified Health Centers (FQHCs) are in a tricky position. They are poised to benefit from the innovative data aggregation and analytics platforms available in today’s healthcare marketplace, but don’t have the resources available to implement these solutions.