IMAT Solutions’ Post

Why is Healthcare in America so much more expensive than other developed countries? Because we charge more. This isn’t meant to be a riddle, and the reasons why we charge more and varied and complex. But at a ground level, we have significantly higher costs in the delivery of care, we have a Medicare-based reimbursement system (that HEAVILY influences price negotiations commercial insurance networks) which rewards higher reimbursement to facilities with higher resource consumption, and a network contracting model that blindly locks consumer into going to their same doctor at the same facility at prices that vary WILDLY. More than twenty years ago the late Uwe Reinhardt, and his co-authors, Gerard F Anderson, Peter Hussey, and Varduhi Petrosyan, published a paper called “It’s rhe prices, stupid.” The sentiment still stands. Having spent the last year digging through the now-public pricing data, and trying to figure out how to present it in a way that the average consumer could understand, it’s clear just how convoluted things have become. I would encourage everyone to go read the updated article on Health Affairs. Alongside a personal finance class in High School, this should be required reading for every American who touches the healthcare system as patient, provider, payer, plan administrator, or policy maker. https://lnkd.in/e4Vn99s

42% of adults and 19% of children in the U.S. are now obese. 🤯 This is concerning. It is a health crisis impacting individuals, families, and our healthcare system. What are we doing about it? smartData Enterprises is leading the way in tackling this complex challenge with innovative, data-driven solutions. We're not just about tracking weight; we're about empowering healthcare providers to deliver personalized, effective, and sustainable care for a healthier future. https://lnkd.in/e6rfeMfp #obesity #healthcare #personalizedmedicine #dataanalytics #smartdataenterprises

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

In the short history of #pricetransparency, this article from Boston Consulting Group is an "oldie but a goodie." Here are some key takeaways: 1️⃣ "Providers and insurers that want to be prepared have 12 to 18 months to get ready as the new competitive environment takes shape." 💡This was written 19 months ago. ⏰Time's up! 2️⃣"[D]isruptive regulatory changes often attract new players to the value chain. In this case, the new entrants will likely exploit an ability to aggregate and manage pricing data and potentially marry it with other data..." 💡 Two of the many examples: Serif Health: transparency data and rate insights supplemented with external sources Vairate: transparency in payer-provider negotiations 3️⃣ "Cross-provider and cross-insurer price disparities will likely narrow" 4️⃣ "Negotiations between providers and insurers can be expected to become more fact-based and detailed" 5️⃣"Insurers will need...databases, maintained in real time, that track how other insurers are reimbursing the providers in their networks." 6️⃣"[A]rming physicians in the insurer’s network with the information needed to guide patients to the most cost-effective option may be a potentially powerful tool for modifying patient behavior." So how did they do? Spot on? What do you think? https://lnkd.in/gUxsc8nt

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare

Data is revolutionizing RCM in rural health. See how providers can leverage their data to optimize RCM strategies, boost financial performance and improve the patient experience: #DataAnalytics #RevenueCycle #Healthcare