Tag: Value Based Care

Top-Administrative-Challenges-for-Physicians-in-2023

Top Administrative Challenges for Physicians in 2023

Quality metric reporting can be a significant challenge to health care administration due to a number of obstacles. First and foremost, you need buy-in from the physicians providing the care to the patients. Without this, it is difficult to make any meaningful changes to the pattern of care provided. Second, it requires having a very […]
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Challenges-for-Health-Care-Industry-in-2023

Health Care Industry Will Face Myriad Challenges in 2023

Health care leaders are anticipating a turbulent 2023, according to a report. Staffing, inflation, shrinking margins, and supply chain issues are among the top concerns that will continue to challenge hospitals and health systems and have an outsized effect on overall strategy. Here are the four factors identified as being the most likely to impact […]
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Successful-Alternative-Payment-Models-CMMI

The Successful Alternative Payment Models from CMMI, To Date

The Center for Medicare & Medicaid Innovation (CMMI) has launched more than 50 alternative payment and care delivery model tests, with 33 models now or still operational, according to CMMI’s sixth report to Congress on its progress. These model tests have impacted the lives of millions of patients. In the two-year period covering the report, […]
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AI-Improves-Physician-Readiness-For-Patients

AI Improves Physician Readiness For Patients

Computerized artificial intelligence (AI) cut the time primary care physicians spent sifting through patient charts – but helped them feel better prepared for patient visits. The findings were part of a study by the American Academy of Family Physicians’ (AAFP) Innovation Lab. AAFP worked with a computer program developer to test its AI Assistant program […]
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Top-Investment-Areas-for-Primary-Care-Practice-Leaders

Top Investment Areas for Primary Care Practice Leaders

Nearly 75 percent of primary care practice leaders have invested in additional staff to accommodate the shift to value-based care, while 71 percent have added new technology. Staffing and technology are the top investment areas for primary care practice leaders as they manage the challenges of shifting from fee-for-service (FFS) models to value-based care, according […]
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ED-ICU-Model-Improves-Value-of-Healthcare-Delivery

ED-ICU Model Improves Value of Healthcare Delivery

The ED-ICU model has the potential to improve the value of healthcare delivery, as it has been shown to improve care quality and have little impact on emergency department costs. Total cost per emergency department (ED) patient encounter remained unchanged at an academic medical center after it implemented an emergency department-based intensive care unit (ED-ICU), […]
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Value-based-care-catching-up-to-FFS

Value-Based Care Catching up to Fee-For-Service

Outcomes-based models are spreading, but fee-for-service still dominates payment landscape. Is value-based care having a moment? Health care policy experts and institutions have long agreed that fee-for-service (FFS) medicine is wasteful, outmoded and at least partially responsible for the U.S. spending far more than peer nations on health care, but with outcomes that are no […]
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Prior Authorization Reform in Medicare Advantage | Case Studies | AllZone Management Services Inc.

Prior Authorization Reform in Medicare Advantage

Prior Authorization reform in Medicare Advantage would help relieve administrative burden for medical groups and reduce patient care delays, MGMA said. The Medical Group Management Association (MGMA) has urged CMS to implement policies that support prior authorization reform and value-based care contracts within the Medicare Advantage program. MGMA submitted comments to CMS Administrator in response […]
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How physicians can untangle the web of relationships essential for value-based care success

How physicians can untangle the web of relationships essential for value-based care success

Primary care physicians (PCPs) and other physicians continue to migrate away from the traditional fee-for-service (FFS) reimbursement model toward value-based and risk-bearing care models that reward better outcomes and reduced healthcare costs. Value-based care (VBC) contracts are projected by McKinsey to cover nearly 65 million Americans, or 22% of insured lives, by 2025, up from […]
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