Currently most healthcare in the U.S. is delivered via “fee-for-service” arrangements. Providers are paid for each service: an office visit, a CAT scan, surgery, etc. In a value-based care (VBC) model, one of the most promising approaches to addressing the healthcare crisis in America, providers are instead compensated based on outcome. VBC radically changes incentives — or shall we say, flips the script — for healthcare providers. Major healthcare entities are embracing this change, driving a potential transformation in how care is delivered. Norwest Principal Irem Rami, investors Suraj Shah and Sam Lesser, and senior advisor Unmesh Srivastava are bullish on the promises of the model and the enormous opportunities it presents for healthtech entrepreneurs. Read their blog for more details: https://lnkd.in/ggkxRwwi
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The move from Fee for Service to Fee for Value is the only way to improve overall health outcomes. Through financial incentives and other methods, value-based care programs aim to hold providers more accountable for improving patient outcomes while also giving them greater flexibility to deliver the right care at the right time. The use of data and technology can enable providers and payors to move to value-based reimbursement. More details on technology opportunities are in this article. Norwest Venture Partners Clever Care Health Plan
Currently most healthcare in the U.S. is delivered via “fee-for-service” arrangements. Providers are paid for each service: an office visit, a CAT scan, surgery, etc. In a value-based care (VBC) model, one of the most promising approaches to addressing the healthcare crisis in America, providers are instead compensated based on outcome. VBC radically changes incentives — or shall we say, flips the script — for healthcare providers. Major healthcare entities are embracing this change, driving a potential transformation in how care is delivered. Norwest Principal Irem Rami, investors Suraj Shah and Sam Lesser, and senior advisor Unmesh Srivastava are bullish on the promises of the model and the enormous opportunities it presents for healthtech entrepreneurs. Read their blog for more details: https://lnkd.in/ggkxRwwi
The Technological Challenges – and Entrepreneurial Opportunities – of Value-Based Care - Norwest Venture Partners
nvp.com
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Breaking ground in healthcare innovation, Harbor Health's recent $95.5M funding is shaping the future of patient-centric care in Texas. As someone who's passionate about the intersection of technology and healthcare, it's thrilling to see companies like Harbor Health and Peerlogic not just attract significant investment but also push the boundaries of what's possible. Harbor Health's vertically integrated model is a game-changer for personalized care, while Peerlogic's AI revolutionizes dental practice management. And let's not overlook QuantHealth's AI-driven strides in clinical trial design - optimizing and potentially de-risking one of the pharmaceutical industry's costliest stages. These developments aren't just exciting, they're pivotal. It's a future where improved efficiency meets enhanced care – and it's happening now. Who else is feeling optimistic about healthcare's tech-driven path? #HealthcareInnovation #DigitalHealth #FundingNews #PatientCare https://lnkd.in/g3BHG_ck
Hybrid care provider Harbor Health secures $95.5M and more digital health fundings
mobihealthnews.com
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DNA MEDSOLUTIONS, LLC℠| Healthcare Optimization & Workforce|Political Science|Healthcare Law-FWA|ASCs Development|CMS Proficiencies Compliance|Real Estate Notary Signing Agent|Value Based|"The Synergy of El and AI"™
Given that the care model has been found to improve patient outcomes, lower costs and reduce burnout, many ASCs have set their sights on value-based care. Many ambulatory surgery centers (ASCs) are indeed focusing on value-based care due to its potential to improve patient outcomes, lower costs, and reduce provider burnout. Here are some key ways ASCs are working to succeed in this model: 1. Improving quality while reducing costs: ASCs are moving procedures like joint replacements from hospitals to outpatient settings, reducing costs by 30-40% while maintaining or improving quality. They're also implementing minimally invasive techniques and robotic platforms to enhance outcomes]. 2. Tracking long-term outcomes: ASCs are using patient-reported outcome measures to monitor patients for up to a year post-surgery. This data helps demonstrate sustained quality improvements to insurers and supports value-based care goals[. 3. Partnering strategically: Some ASCs are engaging in direct-to-employer contracting and narrow networks to better align with value-based models. They're also collaborating with other organizations to increase negotiating power and lower costs[. 4. Leveraging technology: ASCs are exploring robotic technology to improve care quality and efficiency. They're also developing detailed data streams on costs and utilization to identify improvement opportunities. 5. Creative contracting: ASCs are working with insurance companies to develop innovative payment models, including volume commitments and tiered pricing structures, to create financial incentives aligned with value-based care]. By focusing on these strategies, ASCs are positioning themselves to thrive in the evolving healthcare landscape that prioritizes value over volume. #valuebasedcare #ASCs #valuebasedsuccess
Why ASC operations are the foundation of success
beckersasc.com
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Growth Leader shaping the future of healthcare through technology | Board Member | Investor | Author | Keynote Speaker
While thinking about the future, we must always remember to act now. Healthtech and AI are reshaping healthcare, especially with the integration of surgical data collection. This technology captures everything from laparoscopic feeds to team dynamics, offering unprecedented insights into procedures and patient care. As investors, it’s time to jump in! Despite the decline in the investment world, 1.482 VC deals were reported in the first half of 2023 alone. Also, North America held the largest revenue share of the AI in healthcare market in 2023, with 57.7%. However, markets such as UAE are within our reach and they are growing very fast, as they built a culture around knowledge, innovation and future oriented investments. The potential growth in this sector is also confirmed by McKinsey's outlook for 2024 that suggests an estimated growth of healthcare profit pools at a 7 percent CAGR from $583 billion in 2022 to $819 billion in 2027. Read more on the topic at: https://lnkd.in/eSphyk64 Still, with each medical breakthrough action must be taken. As investors, we must seek the opportunities and not be afraid to jump! #Investment #VC #HealthTech #DigitalSurgery #AIInHealthcare #FutureOfSurgery McKinsey & Company Bjoern von Siemens Dennis Kogan Matt Krueger Etienne Bauer Amel Mokrani Bois Gargee Kashyap Hamza Moftah
What to expect in US healthcare in 2024 and beyond
mckinsey.com
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Physician decisions affect the performance of every health economy stakeholder, but there is little in the current – and still dominant – fee-for-service reimbursement system to limit what treatments, diagnostics or therapeutics a physician orders. The volumes of every hospital, surgery center, imaging center, physical therapy clinic and life sciences firm depend on physicians to provide healthcare services for patients, to admit patients for inpatient stays, to refer patients for outpatient care, to implant medical devices and to write prescriptions. Likewise, the medical loss ratio of every health plan and the healthcare costs underwritten by every self-insured employer are impacted by the products and services physicians provide or order, as well as those they forego. Develop more effective physician strategies: https://lnkd.in/dg3kMJYx
Physician Strategies | Trilliant Health Field Guide
fieldguide.trillianthealth.com
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I have recently had multiple discussions within my network involving startups and investors who are eager to gain a better understanding of the hospital and practice software market in Germany. This post should be a good starting point to understand the key players and the key dynamics. I wrote down a few additional thoughts. 1️⃣ 𝐌𝐚𝐧𝐲 𝐢𝐧𝐢𝐭𝐢𝐚𝐭𝐢𝐯𝐞𝐬 𝐚𝐫𝐞 𝐰𝐞𝐚𝐤𝐞𝐧𝐢𝐧𝐠 𝐭𝐡𝐞 𝐫𝐨𝐥𝐞 𝐨𝐟 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬' 𝐄𝐇𝐑/𝐄𝐌𝐑 𝐬𝐲𝐬𝐭𝐞𝐦𝐬 𝐢𝐧 𝐭𝐡𝐞 𝐯𝐚𝐥𝐮𝐞 𝐜𝐡𝐚𝐢𝐧 In Germany, patient portals are being implemented, enabled by the "future hospital act". These patient portals are building patient pathways on top of EHR/EMR, capturing most of the value in the new digital value chain. The 15 BG clinics are implementing a "vendor-neutral, API-first interoperability layer" on top of their EHR/EMR systems and MedTech devices, effectively reducing EHR/EMR to the role of mere back-office databases. 2️⃣ 𝐈𝐧 𝐨𝐮𝐭𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐜𝐚𝐫𝐞, 𝐭𝐡𝐞 𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐜 𝐝𝐞𝐜𝐢𝐬𝐢𝐨𝐧𝐬 𝐦𝐚𝐝𝐞 𝐛𝐲 𝐌𝐕𝐙 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐜𝐫𝐮𝐜𝐢𝐚𝐥 Medical Care Centers (MVZ) are independent facilities where multiple outpatient doctors collaboratively work under one roof, often owned or financed by private investors. In 2020, Medical Care Centers (MVZs) accounted for 15% of ambulatory care practices in Germany. If current trends persist, MVZs are projected to represent 33% of all ambulatory care practices in Germany. This represents a significant portion of the market. MVZs are organized into an association. There is a scenario in which they could choose to promote a specific practice software in the market, or even develop or customize their own. This would structurally change the landscape of practice software in Germany. 3️⃣ 𝐈𝐧𝐯𝐞𝐬𝐭𝐨𝐫𝐬 𝐚𝐫𝐞 𝐬𝐜𝐫𝐮𝐭𝐢𝐧𝐢𝐬𝐢𝐧𝐠 𝐭𝐡𝐞 𝐨𝐮𝐭𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐜𝐚𝐫𝐞 𝐦𝐚𝐫𝐤𝐞𝐭 𝐢𝐧 𝐆𝐞𝐫𝐦𝐚𝐧𝐲 𝐯𝐞𝐫𝐲 𝐜𝐥𝐨𝐬𝐞𝐥𝐲... Traditional PE players are looking at a "buy & build" scenario for the practice software market in outpatient care. VCs have invested in new players such as Doctorly (cloud-based practice software), Eterno (co-working space for HCPs with its own Tech stack) and Doctolib (the #1 HealthTech in Europe bringing its own practice software early 2025). Corporate investors, like Mehiläinen, a leading Finish health system, has already acquired 50+ practices in Germany in the last months and is rolling out its own Tech Tech. 4️⃣ ... 𝐁𝐮𝐭 𝐏𝐨𝐥𝐢𝐜𝐲 𝐦𝐚𝐤𝐞𝐫𝐬 𝐚𝐫𝐞 𝐚𝐥𝐬𝐨 𝐰𝐚𝐭𝐜𝐡𝐢𝐧𝐠 𝐭𝐡𝐞 𝐬𝐩𝐚𝐜𝐞 𝐯𝐞𝐫𝐲 𝐜𝐥𝐨𝐬𝐞𝐥𝐲 The current German Health Minister has labeled external investors in healthcare as "locusts" and wants to stop the rising trend of Medical Care Centers (MVZs). Policymakers are exerting significant pressure on both hospital EHR/EMR systems and practice software in outpatient care to adopt the "open" FHIR standard. The market will also be redesigned by policy markers. #healthcare #healthtech #ehr #hospital #software
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Today I'm excited to announce IKONA Health's partnership with Lifeliqe to bring XR education and training solutions to our partners across the US kidney care market, starting with dialysis. This partnership aims to address key barriers in kidney care’s ongoing shift to value-based and in-home care delivery. Despite early signs of progress following regulatory and payment tailwinds in recent years, adoption of home-based therapies remains well below national goals and international peers. A lack of access to effective, scalable education and training solutions continues to stand in the way of this effort. We believe these same tools would not only address critical gaps in care and resource burden, but accelerate a shift towards the levels of adoption, retention, and ongoing support we all strive for on a daily basis. 𝐊𝐞𝐲 𝐁𝐚𝐫𝐫𝐢𝐞𝐫𝐬 An all-in-one learning platform opens up several near-term opportunities to tackle some of kidney care’s toughest challenge from staff training to home adoption and retention: • More Patients are Facing Kidney Failure • Patient Fears of Self-Cannulation • Low Uptake of Home Hemodialysis • Dialysis staffing challenges • Training Gaps in Home Modalities • Patient Transition & Retention Learn more about the data around these barriers in the press release below. If these issues resonate, we'd love to hear from you. 📰 😎 https://bit.ly/3vS8MZR *** Sending our thanks to Matouš Tlapák, Michal Mizerák, Mark Andersen and team Lifeliqe for your partnership, passion, and product vision. The future is brighter thanks to what you've built and what we'll do together for patients and kidney care teams across the globe. #healthtech #innovation #virtualreality #startups #medtech
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Despite economic headwinds in CRE generally, investment in healthcare real estate will continue in 2024 and the rest of the decade. This is due to an increased demand for care across all sites, particularly at ASCs. Healthcare is its OWN asset class - contact me for further discussion about the market and opportunities to enter! #healthcarerealestate
Double Digit Growth Expected for Ambulatory Surgery Centers
provista.com
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Mathematica announces publication of findings from Project Arkansas eConsultations, funded by the Peterson Center on Healthcare. BluePath Health provided consulting support to this multi-year pilot and evaluation. E-consults pave the way for a healthcare transformation, particularly in remote or underserved areas. By reducing the need for in-person consultations, e-consults expedite care, reduce costs, and enhance accessibility. The study found that e-consults save an average of $195 in expenditures per patient. Providers found e-consults easy to use and were motivated to use e-consults for the benefits they provide to their patients. https://lnkd.in/ef4cM2eQ
Project Arkansas eConsultations: Bridging Primary and Specialty Care Through eConsults
mathematica.org
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Check out Briauna Driggers and I's latest HCCA/SCCE compliance article on Navigating AI Reimbursement in Healthcare Revenue Cycle Coding Strategies Regents Health Resources, LLC
Navigating AI reimbursement in healthcare
compliancecosmos.org
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