Ensure Data Solutions’ Post

https://lnkd.in/gya9xJks A recent survey from Deloitte suggests that U.S. healthcare executives have a more positive outlook on the sector this year, driven by higher expectations for revenue and profitability despite potential regulatory uncertainty.   A recent survey from Deloitte suggests that U.S. healthcare executives have a more positive outlook on the sector this year, driven by higher expectations for revenue and profitability despite potential regulatory uncertainty. Deloitte #Medicare #Medicaid #Healthcare UnitedHealth Group CVS Health Sanofi Kaiser Permanente Healthcare   AI and Healthcare - https://lnkd.in/gisN4nmW

How Regulatory Ambiguity is Impeding Healthcare Innovation America should be a global leader in healthcare. Instead, we rank last among our peers, and outmoded regulations are holding us back. https://lnkd.in/gvTUNMhE #DigitalHealth #Innovation #Healthcare #Regulations #DigitalTools #Ambiguity #Patients #Providers #FraudPrevention #HealthcareLaws #ProtectionVsInnovation 

Through a new collaboration with Emergence Program and Stanford Mussallem Center for Biodesign, HMA’s Strategy & Transformation practice aims to foster innovation in Medicaid and public healthcare. This collaboration seeks to support a new generation of public health innovators, focusing on transformative approaches to healthcare payment, policy, and delivery. Read our full blog here: https://bit.ly/4fM9Hfu #innovation #Medicaid #publichealth #policy

Health Management Associates and its Strategy and Transformation team are helping to educate a new generation of healthcare leaders and foster innovation by working with Stanford University's Emergence Program. Let me know if you would like to learn more about how we can assist your healthcare strategy and innovations team. #medicaid #healthcarestrategy #healthcaretransformation #strategy #Transformation

📢 Healthcare is at a Crossroads 📢 https://smpl.is/a0atg The government’s expansion of medical coverage has made healthcare more accessible, but Medicare HMOs are struggling with stagnant funding. Companies like WellCare are leaving the market, while others are passing costs onto patients with higher co-pays and deductibles. As millions of Boomers turn 65, the demand on Medicare is only growing. It's time for hospitals and insurers to rethink their partnerships and embrace preventative care to ensure sustainability. Learn what the future of healthcare funding could look like. 💡 #Medicare #HealthcareInnovation #PreventativeCare #RevenueCycleManagement

Navigating value-based care (VBC) requires #healthcare organizations to address reimbursement models, clinical workflows, and #data analytics. From bundling payments to adapting to managed #Medicaid, the journey towards VBC is complex but promising. Key practices include: -Developing programmatic #ClinicalModels -Highlighting unique service offerings -Adapting #workflows and measuring outcomes -Prioritizing robust analytic strategies Innovative reimbursement initiatives are emerging, catering to specialized providers like healthcare at home and #BehavioralHealth services. Simplifying management and reporting efforts can encourage widespread adoption of VBC, driving improved patient care and financial sustainability. "The Road to the Value-Based Care Promised Land" By Paul Barnes Janie Tremlett Kim Williams CWH Advisors 📰 Read the article: https://lnkd.in/eyJ3xex8

And what will the impact of this action be, #HHS? "The ONC released the HTI-2 proposed rule that implements provisions of the 21st Century Cures Act and introduces new standards and updates to enhance healthcare interoperability and data sharing. The rule also aims to support technical requirements included in the CMS' Interoperability and Prior Authorization final rule released in January that aims to shift payers to electronic prior authorization." #HTI2 #PublicHealth #Interoperability #DataSharing Evelyn Gallego, MBA, MPH, CPHIMS Priya Bathija AHIMA RISE

As we embrace the latest updates in value-based care, it’s essential to highlight the key differences between V24 and V28 and their implications for healthcare providers. V28 refers to an updated version of a coding system or regulatory framework used in value-based care. While the specifics may vary depending on the context (such as Medicare or specific healthcare organizations), it generally encompasses updates aimed at improving care delivery and reimbursement models based on patient outcomes rather than service volume. Key elements include: Updated Coding Guidelines: Enhanced codes for documenting patient conditions, which help in accurately reflecting the complexity of patients. Quality Measures: New or revised metrics that focus on patient outcomes, encouraging providers to prioritize high-quality care. Risk Adjustment: Improved methodologies for adjusting risk scores, ensuring that providers are fairly compensated for caring for high-risk populations. Data Transparency: Increased emphasis on data reporting and transparency, which supports accountability and informed decision-making. Patient Engagement: Strategies that promote active patient involvement in their care, which is critical for achieving positive health outcomes. In summary, V28 is part of the ongoing evolution of value-based care, aimed at enhancing the quality of care delivered to patients while ensuring that providers are appropriately reimbursed for their efforts. #ValueBasedCare #HealthcareInnovation #PatientOutcomes #V24toV28 #HealthcareTransformation

CMS passes rule to enhance patient access and streamline prior authorization. Providers can expect reduced administrative burdens and faster approvals, while patients gain greater control over their health information and treatment options. Payers will benefit from standardized processes and improved data sharing capabilities. This pivotal move signals a shift towards a more patient-centered and efficient healthcare system. Let's work together to harness the full potential of these reforms for better health outcomes nationwide. #medicalbilling #priorauthorization #medicalcoding #revenuecyclemanagement https://lnkd.in/gJ3BPeUU

Join PYA tomorrow (7/31) as we continue our webinar series on the proposed Medicare payment rules for 2025. In Part 2, Valerie Rock, Martie Ross, and Miriam Murray will cover the following topics from the MPFS proposed rule: • 2025 payment rate reduction • Deadline for reporting overpayments • Advanced primary care management payments • Telehealth • Rural health clinics and federally qualified health centers #MPFS #ProposedRule