HSBlox, Inc’s Post

Healthcare has a major opportunity to embrace new models of care and support patients more effectively. However, industry transformation is complicated by differences in how stakeholders perceive value and the disparate approaches to achieving it. Executives joined Modern Healthcare Custom Media for a dialogue on how to identify, develop and adopt new care delivery models that positively impact patients, organizations and the industry as a whole. Don Antonucci, Pamela Oliver, MD, Lisa Shannon, Michael Eaton #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Rahul Sharma, Lynn Carroll, Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/epmbawxx

At Sunflower Health Advisors, we recognize the urgency of accelerating #valuebasedcare (VBC) adoption highlighted in the recent Black Book Market Research LLC survey findings. With 81% of respondents emphasizing the importance of predictable compensation, our organization specializes in expediting this transition by providing strategic guidance and financial modeling. Moreover, we prioritize enhancing provider confidence by fostering trust and stability throughout the #VBC transition process, ensuring #healthcare practices can thrive in the evolving landscape of #caredelivery. ▶️READ ARTICLE: Only 37% of Med Practices Receive Value-Based Care Payments https://lnkd.in/gmj4EE_D HIT Consultant Media

I’m happy to share some fantastic news about our Accountable Care Organization (ACO) model. A UC Berkeley study confirms the success of the model, which uses a smaller network of engaged providers and comprehensive care navigation. The study compared data between a small-network HMO plan and a large-network HMO plan offered by Blue Shield to San Francisco Health Service System members. While both showed positive results, the small-network plan had lower costs and greater patient engagement: Results include: $1,200+ annual cost savings per member 7.1% higher overall satisfaction with plan 10.1% more likely to visit primary care physician (PCP) when needed 8.4% easier to get PCP referrals 11.2% more likely to see specialists promptly 36% higher satisfaction with mental health care Researchers attributed the small-network plan’s strong results and lower costs to the ACO model’s robust patient navigation and customer support system. Under the model, which Blue Shield launched in 2010, members can resolve a claim and get help with appointments, care transitions, medications, and questions about their doctor’s instructions. We're proud of these results and excited to continue innovating for our members' benefit.

❕NEW BLOG❕Value-based #healthcare is changing the game for how care is provided. Heavy volume, fee-based models for care are out. Insurers are beginning to reimburse #physicians based on the quality of care they provide, not just the amount of patients they see. For patients and providers, it means more focused and successful care, ultimately creating better outcomes. Read the full blog linked below to learn more about how MHT can help #valuebasedcare models.

Ambulatory is the way to grow/go! It is #1 for a reason. I think it will be also interesting to see what traditionally was considered inpatient grow/go the ambulatory route! Digital health is definitely paving that way

HSBlox, Inc's COO (Lynn Carroll) shares his perspective on the increased adoption and future trajectory of value-based care and alternative payment models. "We believe in value-based care and that the trajectory will continue to accelerate, primarily driven by #CMS. As we move forward, I think we're going to see commercial payers, as well as employers engaging more around value-based types of programs. Typically, those programs are following a little bit behind the push from CMS, in terms of certainly managing the Medicare and Medicaid populations. And we usually will see commercial populations and employer-based, self-funded populations following closely behind. I think health equity is also in the mix in terms of looking at how health equity issues can be addressed underneath these types of programs, and that will also continue to accelerate the adoption of value-based programs." #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Rahul Sharma, Lynn Carroll, Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/gQKrk3TJ

The landscape of healthcare is undergoing a profound transformation, and at the core lies the concept of value-based care. The model of value-based care has shifted dramatically over the years, driven by promises of revolutionizing healthcare quality and scalability. But for providers considering this approach, understanding the below viewpoints can better position you against the curve. 💡 Reevaluate Risk Scores and Reimbursement Models: Stay aligned with updated criteria to ensure your business and patients benefit seamlessly. 💡 Balance Patient-Centered and Outcome-Driven Models: Redefine your current preventive care initiatives, chronic disease management and engagement programs to create an ideal balance. 💡 Drive Holistic Patient-Centered Care: Remain proactive so you can tackle social factors that influence health outcomes for more comprehensive care offerings. 💡 Tech Integration: From analytics to telehealth solutions, technology has the ability to revolutionize care coordination and decision-making, enhancing outcomes and patient satisfaction. As the healthcare landscape continue to evolve, these transformative trends heighten the need for more adaptability, innovation, and collaboration. Not only does Northwell Direct understand these paramount factors, but we embrace these trends as means of opportunity to redefining care models, resource allocation, and more to ultimately improve patient outcomes in our evolving ecosystem. https://lnkd.in/d2JZHtcZ #valuebasedcare #vbc #northwelldirect #futureofhealthcare #healthcaretransformation #healthcaretrends #2024healthcare #valuebasedcarespotlight #providercare

"Healthcare is becoming a consumer-based industry as patients have more freedom to choose when and where they receive care. Hospitals are adjusting their operating models as a result." As the data reflects more consumers are researching providers prior to making a health plan, a great way in fostering patient loyalty is offering a 0% financing program. I had an unexpected ER visit a couple years ago and was fortunate enough to be admitted to a provider who offered such a solution. As a father of three, the peace of mind is essential and greatly influences where we take our family for care. Providers: Our financing program allows you to be paid upfront prior to service. If you'd like to take a second look on how patient financing can work with your existing revenue cycle process, please reach out. #CommerceHealthcare #HSF #PatientFinancing #ChallengeAccepted #RCM #PatientAccess

📚 Read our blog post by Brian Heersink, BS, MBA, Director of Healthcare IT at San Luis Valley Health and learn how San Luis Valley Health elevates patient access with MEDITECH's #Expanse #EHR #HealthIT https://hubs.ly/Q02lgB3x0

🎥 Exciting News from #HITshow! 🚀 We're thrilled to share an insightful #interview with Lyle Berkowitz, MD, FACP, FHIMSS, CEO of KeyCare, discussing the future of #virtualcare in #healthcare recorded during #HIMSS24.. 🏥 Dr. Berkowitz highlights the growing acceptance of #telehealth among #patients, stating, "Almost 70% said, 'Yes!' They'd be comfortable doing that type of visit from home via a video visit." He emphasizes that access to medical records is key, with 75% of patients open to seeing a doctor who isn't their primary as long as records are accessible. 💻 KeyCare, as the nation's first #EPIC-based virtual care company, bridges this gap by offering #healthsystems access to a panel of virtual care #providers integrated with EPIC. Dr. Berkowitz explains, "Our two EPIC instances can connect, so we can take care of their patients in a really seamless and coordinated manner." 🔍 Dr. Berkowitz points out a crucial issue >> Many #Medicare patients aren't receiving their annual wellness visits, leading to potential gaps in care. He notes, "Unfortunately, most patients, Medicare patients who are eligible, are not getting their annual wellness visit." 🤝 With 15 health systems signed on in just over a year, KeyCare's impact is growing. They've expanded beyond urgent care to primary care, behavioral health, rheumatology, and beyond, continually broadening the marketplace of virtual care providers available to EPIC-based health systems. #health #healthit #HCLDR #HITsm #VirtualCare #HealthcareInnovation #Telehealth #EPICIntegration #PatientCare #HealthTech #HITshow #Interview #KeyCare #HealthSystems #Medicare #WellnessVisits 🚑💼