American Academy of Otolaryngology’s Post

As we enter 2024, we’re continuing to see a push toward #ValueBasedCare (VBC). The Centers for Medicare & Medicaid Services are promoting a shift to have all Medicare beneficiaries engaged in some form of VBC by 2030. According to a recent McKnight's Long-Term Care News podcast, there is still confusion about the VBC model — which was designed to focus on the quality of care, provider performance, and patient experience. The ultimate goal is to increase the quality of care while making services more affordable. Adopting the right technology will play a critical role in achieving it. #SeniorLiving providers are uniquely positioned to play a major role in driving down U.S. healthcare costs. while improving health outcomes through the VBC model. Listen in to learn more about why #NursingHomes need to adopt a VBC strategy: https://bit.ly/3RT1WKB

Listen Here: https://lnkd.in/g6ebYVBZ This episode features Jakob Emerson, Associate News Director at Becker's Healthcare. Here, he discusses UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies and an update on Medicaid redeterminations. For more information about Becker's Healthcare, please contact Jessica Cole or Scott Becker. #podcast #healthcarenews #leadershipexcellence

The #Medicaid "unwinding," #MedicaidExpansion, tough financial times for hospitals, and Arkansas's low health rankings are discussed in this Talk Business & Politics story featuring remarks from ACHI President and CEO Joseph W. Thompson, MD, MPH and other experts. #ARHOME

It's remarkable that one of the most fundamental design tools for empathy has evolved so far in two decades of practice. Journey maps are still anchored on human experience, but the most sophisticated ones now reveal real opportunities for system leverage, including policy change. Every time an individual encounters a challenge in self-navigating their care experience is an indication of where system gaps exist. I had the privilege, on the panel, of referencing this work on congenital heart disease, led substantially by the team I led at the Design Institute for Health (http://bit.ly/3PG2t2J). Where in your work are you leveraging a journey map to challenge the present system?

Brag Moment: Advanced Health Outcomes' CEO, Dr. Sharon Hibay, was reaccepted to the Mathematica and Centers for Medicare & Medicaid Services CCSQ Hospital Harm Technical Expert Panel (TEP) for measure development. Such a great way to give back to our healthcare industry, generating measures that genuinely drive care transformation, outcomes, and just accountability. #MeasureGeek #PatientSafety #ReduceHospitalHarm

Listen Here: https://lnkd.in/g_6imJmb This episode features Jakob Emerson, Associate News Director at Becker's Healthcare. Here, he discusses UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies and an update on Medicaid redeterminations. For more information about Becker's Healthcare, please contact Jessica Cole or Scott Becker. #podcast #healthcarenews #leadershipexcellence

The Centers for Medicare & Medicaid Services (CMS) has hosted several recent webinars highlighting how it's National Quality Strategy is being implemented. Two of the sessions I attended, "Prioritizing Patient Safety Through Quality Measurement" and "AI in Quality Measurement" emphasized current cross-agency federal collaboration (AHRQ-CDC-CMS-FDA-ONC) and a focus on the shared strategy goals highlighted below. This initiative, launched in 2022, sets and raises "the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities." 👏 👏👏👏👏 https://lnkd.in/ecrEtSwu https://lnkd.in/eSRyisWT #healthcarequality #patientsafety #healthcareoutcomes #highvaluecare #patientaccess #patientcenteredcare #healthadvocacy

Don't miss this...You should bookmark this survey... The RWJ Institute for Medicaid Innovation has just released their 2023 comprehensive survey of the health plans' perspective on Medicaid managed care. Plans from 31 States participated. This survey is a must read for anyone who is in Medicaid leadership, has State or Federal oversight responsibility or who desires to sell into the space. The document covers value based care, maternal health, high risk case management, LTSS, behavioral health, health equity, telehealth, pharmacy and a variety of other aspects of plan activity. It also provides a comprehensive update on redetermination. In the coming days, I'll share thoughts on specific areas of the report, but if this space is on your radar, you should dive in.

Thursday, January 25, 2024 - 10:00 AM - 12:00 PM ET The Future of Healthcare Delivery, Medicare, and Medicaid Thomas Bane, LMSW 2 Contact Hours | SW NASW-NYC Members: FREE | Other Chapter Members: $48 | Non-Members: $57 REGISTER BY 1/23/2024: https://lnkd.in/gwBhdmUi DESCRIPTION: With this workshop, participants will be able to: - Better understand current health policy related to Medicare, Medicaid, and the Marketplace - Learn new policy updates related to the Inflation Reduction Act - Increase their knowledge about potential post- COVID-19 Public Health Emergency policies and programs - Become more familiar with data they can use data for effective actions and impact on behavioral health

Humana is helping create a health care ecosystem where value-based care is the new standard of care. In 2022, 70% of their Medicare Advantage plan members were aligned with a value-based care provider. How'd that go? My The George Washington University colleague Kate Goodrich put it this way: "The data are clear. Value-based care works." I couldn't agree more. Humana's Medicare Advantage beneficiaries benefitted: ✅ Higher preventive screening rates ✅ Increased medication adherence ✅ Improved experiences ✅ 13% fewer ED visits The value-based care providers in their networks benefitted: ✅ They earned 3.4x the Medicare physician fee schedule ✅ They received a greater share of the overall health care dollar in medical claims and capitation, bonus, and surplus payments Humana itself benefitted: ✅ They generated $8 billion in cost savings ✅ They experienced improved compliance with HEDIS performance measures ✅ They lowered disparity scores on their Medicaid plans Amazing things happen when we align incentives behind patient health. Kudos to Kate and the team at Humana for taking this leap and reaping such incredible rewards for everyone involved. More: https://lnkd.in/ggFC3Kxd #valuebasedcare #valuebasedhealthcare #humana #medicare #medicareadvantage