Arrive Health’s Post

When it comes to choosing group medical coverage for your employees, decision makers know the importance of value. A Blue Cross and Blue Shield of Minnesota plan with integrated pharmacy benefits can deliver significant medical savings and better health outcomes. A recent analysis showed that employers can save an average of $422 per member per year on medical costs compared to a carve-out pharmacy plan.

When it comes to choosing group medical coverage for your employees, decision makers know the importance of value. A Blue Cross and Blue Shield of Minnesota plan with integrated pharmacy benefits can deliver significant medical savings and better health outcomes. A recent analysis showed that employers can save an average of $422 per member per year on medical costs compared to a carve-out pharmacy plan.

A new playbook has been released by the American Medical Association (AMA), AHIP, and the National Association of ACOs (NAACOS) to help providers transition to Value-Based Care (VBC) successfully. The playbook includes best practices for patient attribution, benchmarking, risk adjustment, quality performance, and payment incentives. It also provides guidance on financial risk levels, payment timing, and accuracy. If you're looking to make the transition to VBC, this playbook is a must-read! #VBC #valuebasedcare #healthcare #bestpractices

In the evolving landscape of healthcare terminology, a subtle but significant shift is taking place: Some healthcare practices are phasing out the term “provider.” In fact, the American Medical Association (AMA) has even adopted a policy that calls for ensuring that “all references to physicians by government, payers, and other health care entities involving contracts, advertising, agreements, published descriptions, and other communications at all times distinguish between physician … and nonphysicians, and to discontinue the use of the term ‘provider.’”....... Read more from AAPC below

This is another heart-wrenching story about what actually happens to the patient under the burden of prior authorization requirements of insurers. The needless costs that occur in this process--including the patient's health--are wasteful and should not be the aim of a healthcare system design. Let's design the healthcare system for CARE! #Changehealthcare #priorauthorization #redesignhealthcare

As we step out of the busy holiday season into the new year, there are ways in our day-to-day roles we can enhance our patient experiences. In this Healthcare piece that #beckershealthcare published, I have highlighted 5 tips to provide high-quality patient care this season #carelonrx #pharmacist #happynewyear #patientcare

Here are some of the benefits of direct primary care that are highlighted in this article. Increased access to their HCP: DPC providers are typically available 24 hours a day by phone, text message, email, or in person. Same-day visits are often available. Increased time and attention from HCPs: Because practice panel sizes are smaller, HCPs can spend more time with each patient, allowing for visits that don’t feel rushed, and address issues more thoroughly. Price transparency: Patients know up front what their fees will be, either for the month or annually. Discounts on ancillary services: This can mean discounts on on-site generic medications, labs, imaging procedures, and more. #Healthcare #DPC #YouHaveOptions #EmployeeBenefits

What do you think? The Direct Primary Care (DPC) market refers to the sector of the healthcare industry focused on the delivery and consumption of primary care services through a direct payment model between patients and healthcare providers. This and concierge medicine are greatly evolving. Will this trend continue and will we see a shift back to private practice within primary care and beyond?

Is the “No Surprises Act” that went into effect January 2022 working? The short answer: Yes. According to Healthcare Dive, the legislation aimed at helping patients better manage their healthcare costs is reducing the number of unexpected out-of-network medical charges and ensuring patients receive fewer surprises when opening their medical bills. “The ratios of allowed to billed amount for in-network and out-of-network services crept closer together from 2019 to 2023,” writes Healthcare Dive, “That suggests allowed amounts, or what patients and payers are actually paying for medical care, for out-of-network services are lowering closer to in-network levels.” Be sure to read more about the legislation and its impact on the patient experience at: https://lnkd.in/gvn24yjc #NoSurpriseAct #PatientBilling #ClaimsSubmissionProcesses

In the past few years, VMG Health has observed massive changes in call coverage arrangements. With a growing demand for physicians and an overall shortfall in supply, many care organizations are turning to concurrent call coverage shifts as a potential solution. Our latest article dives into the evolving landscape of concurrent call coverage and offers key considerations that are imperative to structuring these arrangements in a compliant manner.