The Triple Aim & Value-Based Care – Improving Quality, Decreasing Costs, and Improving the Patient Experience

Posted in Value-Based Care

While the US healthcare system continues to make extraordinary advancements in medical innovations, such as new treatments, devices, and therapies – when it comes to the operational side of things, we’ve got a lot of work to do to catch up with other developed nations. Our healthcare spending per capita is more than $12,000 a …

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How Improving Provider-Payer Relationships Can Drive Quality & Value

Posted in Value-Based Care

The healthcare industry is abuzz with talk of accountable care, population health, and the shift to value-based care.  And, while it’s a new world for providers and payers alike, there’s a great deal to be gained for everyone involved – particularly patients, especially when it comes to attaining the quality and value that accountable care …

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Value-Based Care – It Starts and Ends With Documentation

Posted in Value-Based Care

We’ve all heard the adage – when it comes to healthcare, if it wasn’t documented, it wasn’t done. This couldn’t be more true when it comes to value-based care – particularly as it relates to the Centers for Medicare & Medicaid Services risk adjustment program. This innovative program offers higher payments to providers who deliver …

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What’s Up With MIPS? New MVPs Framework Could Bring Sweeping Changes

Posted in Value-Based Care

The Merit-based Incentive Payment System (MIPS) – which is just one element of the government’s proposed alternative payment models (APMs) designed to reduce healthcare costs – has been a moving target since the concept was introduced in 2015. Just last week, the Centers for Medicare & Medicaid Services outlined a new proposal to its Medicare …

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Five-Year Growth Explosion Anticipated for Medical Billing Outsourcing

Posted in Health Information Management (HIM), Value-Based Care

The administrative costs associated with medical billing outsourcing within a physician practice are becoming unmanageable for independent and major health system affiliated practices alike. A 2018 research study was conducted by experts at Duke University and Harvard designed to examine the administrative costs specific to large academic medical centers using electronic health record (EHR) technology …

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Keeping an Eye on Value-Based Care – 3 Things to Watch

Posted in Healthcare Technology, Value-Based Care

“Work smarter, not harder.” This age-old philosophy is the mantra behind value-based health care. After all, more health care doesn’t necessarily mean better outcomes – this much has been proven by evidence-based medicine time and again. As the fee-for-service model of health care slowly fades away, true value-based care (and all the benefits that come with it) is finally becoming a reality. Better coordination of patient care, communicating with patients, decreasing unnecessary and/or duplicate services – and incentivizing those who truly improve care (and not just those who deliver more) is happening across the country as health systems and providers shift models of care while desperately trying to preserve their reimbursement.

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