CMS recently calculated that the United States spent $3.8 trillion — or 18 percent of the gross domestic product — on healthcare in 2019. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have formed to address the alarming growth in healthcare spending and simultaneously improve the quality and coordination of care in the U.S. Let’s take a look at these models and their ability to secure value-based contracts for better disease and population...
HealthEC Pushes PHM Forward with Recognition from KLAS, Gartner and Others
2020 was a year unlike any other, posing unparalleled challenges to the healthcare industry. If there was ever a time to focus on the importance of population health management, this was it. HealthEC rose to the challenge. And in the process, the company earned accolades from four of the industry’s leading voices: KLAS®, Chilmark, Black Book, and Gartner. Additionally, HealthEC took home top honors from the CIO 100, Indian Achievers’, and American Business Awards®. KLAS HealthEC received an overall score of 91.9 for the 2021 Best in the KLAS Software & Professional Services Report for PHM services, with high performance...
Preparing for the Future of Population Health 4.0
Public Health 1.0 identifies the initiation and growth in both knowledge and tools for medicine and public health. Public Health 2.0 characterizes the development of our traditional public health systems within both local and the federal government. Public Health 3.0 encapsulates the involvement of multiple sectors including other governmental agencies, community-based organizations, and the private sector. It also defines the focus of the social determinants of health. Public Health 4.0, or rather Population Health 4.0, is the recognition of health as a global entity and the focus on identifying and eliminating health disparities. The focus is on population health management....
CMS Interoperability and Patient Access Final Rule – Part 3
Where are you going to invest to maximize benefits?
CMS Interoperability and Patient Access Final Rule Blog – Part 2
Making the Economics Work for You
Chasing Stars: HealthEC’s Sita Kapoor Inspires Women in Healthcare IT
This month we celebrated International Women’s Day, a time set aside to honor immense and varied contributions of women made over the course of history and in contemporary society. HealthEC is proud of its female leaders in our organization who have gone above and beyond to drive healthcare and population health management (PHM) since its inception in 1997. Sita Kapoor, Chief Information Officer at HealthEC, winner of the 2021 CIO 100 Award, the 2021 Indian Achievement Award in Business Leadership, and 2019 winner of Health Data Management’s Most Powerful Women in Healthcare IT, has played a tremendous role in leading...
CMS Interoperability and Patient Access Final Rule Blog – Part 1
What are we really talking about?
CMS Regulation Impacts on MSSP and QPP
The Top 10 Changes ACOs Need to Know ACOs participating in shared savings programs face a number of opposing forces in 2021. From a decline in the number of Medicare beneficiaries to new CMS regulations to force downside risk sooner, ACOs are carefully weighing their options in the year ahead. In fact, the number of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP) dropped by 7.7% in 2021 as reported by Modern Healthcare. This nascent decline raises a red flag for everyone involved in the programs; MSSP and the Quality Payment Program ( QPP). Both programs are...
Chilmark Research Affirms that Community Connections Address SDoH
Addressing SDoH through Community Referrals A 2020 report from Chilmark Research highlights the impact of social determinants of health (SDoH) on the healthcare system and spotlights HealthEC as an effective solution in seamlessly connecting healthcare providers with community partners with significant reductions in unnecessary healthcare expenditures and dramatic improvement in patients’ overall health and well-being. Chilmark presented the findings during an industry webinar on December 20, 2020. Medical care is estimated to account for only 10-20% of the modifiable contributors to health outcomes for a population. Yet, data integration and collaboration between clinical providers and community partners remains the biggest...
How to Negotiate Value-Based Contracting in Healthcare
Negotiating value-based reimbursement & Value-based contracting is a complex process for healthcare providers. Organizations participating in value-based agreements need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked. And because each contract varies, negotiators rely on every available insight to truly understand where bonuses, cost savings and better patient outcomes for each population are possible.