The Health Management Academy’s Post

This morning I was listening to the excellent Relentless Health Value Podcast by Stacey Richter as I do many mornings. This week's episode is about some of the misaligned incentives in healthcare like hidden fees for brokers and PBMs, non-transparent bidding processes and pay-to-play arrangements designed by brokers and consultants and not disclosed to clients. In general healthcare reformers get obsessed about spend. But the single biggest thing that could truly change healthcare is something rarely talked about: how the existing fee schedules reward extreme, critical negative health outcomes and disincentivize prevention. At Diathrive Health we're seeing enormous success removing the barriers in traditional healthcare that hinder individuals from managing diabetes. A similar approach across chronic conditions could remove a meaningful percentage of the expense in our healthcare system. But so many people get paid a percentage of the spend that few people have an incentive to reduce it.

This week on Sg2 Perspectives, host Trevor DaRin is joined by Associate Principal Joe Maher from Vizient’s value transformation and payer-provider alignment team. Joe is our expert on the payer side of health care, so in this episode, he’ll cover payers (eg, new entrants and models, partnership opportunities for health systems) and health plans (eg, Medicare Advantage, care delivery capabilities), as well as implications for 2025. https://bit.ly/3JccyAf

We’re excited to share the latest episode of the Enabling Health Value #podcast, with Susan Dentzer, President and Chief Executive Officer of America's Physician Groups (APG). As one of the leading experts in value-based care and health policy, this episode is a must-listen for anyone interested in navigating and shaping the future of #healthcare. In this episode we cover various important topics including:   • The true meaning of value-based care and common misconceptions.  • Insights on the proposed 2025 Medicare Physician Fee Schedule and its impact on ACO models.  • The importance of primary care reimbursement reforms.  • The implications of the Supreme Court’s rejection of the Chevron doctrine for healthcare regulation.  • Challenges and opportunities with ACO REACH and Medicare Advantage.    Tune in to explore how we can take responsibility for America’s health and drive forward meaningful change! Listen to the full episode here: https://bit.ly/46ErRN7 #ValueBasedCare #Medicare #HealthPolicy #ACOREACH #MedicareAdvantage #PrimaryCare #EnablingHealthValue

🌟 Learn how Cardinal Health is shaping healthcare policy for a brighter future! Tune in as our SVP of Government Relations, Rebecca McGrath, shares insights on our impactful work. #HealthcareInnovation #GovernmentRelations #CardinalHealth 🏥

Announcing the release of a groundbreaking report by Health Management Associates (HMA), a proud sponsor of the National Association of Latino Healthcare Executives (NALHE), shedding light on the dynamic landscape of emerging value-based entities and their implications for advancing accountable care. Titled “Analyzing the Expanded Landscape of Value-Based Entities: Implications and Opportunities of Enablers for the CMS Innovation Center and the Broader Value Movement,” this report fills a crucial gap in research by offering a comprehensive analysis of the growth and impact of the value-based care market. Supported by Arnold Ventures, this report introduces a novel framework for classifying these entities and estimates the market’s size. With the expansion of various risk-bearing care delivery organizations and provider enablement entities, aligned with the functions and aims of accountable care, the need for a deeper understanding of this evolving landscape has never been more pressing. This report has already sparked significant interest from healthcare professionals across the industry. As a sponsor of NALHE, HMA is committed to contributing to this essential conversation shaping the future of healthcare. Download your copy today to gain valuable insights into the future of accountable care and discover opportunities for transformation in value-based healthcare. https://lnkd.in/geuSikhJ #AccountableCare #HealthcareInnovation #ValueBasedCare #NALHE #NALHE2024 Debbie Hofsess, SHRM-SCP, MSHROD Jose Robles

Today: 3pm (ET) - Webinar hosted by Unlock Health Mapping the Volatile Future of Medicare Advantage "If you’re looking to chart a proactive, strategic course amidst the changing MA landscape, this webinar is for you. Don’t miss this opportunity to gain invaluable insights into the future of Medicare Advantage and position your health system for success. Reserve your spot now and equip yourself with the knowledge and strategies needed to thrive in the evolving MA market." With Brandon Edwards, CEO, Unlock Health & Kevin Thilborger, Chief Revenue Strategy Officer, Chief Managed Care Officer, Unlock Health

Why is it so hard to get paid for healthcare? Challenges from payers, policymakers, providers, and patients have made the U.S. healthcare system one of the most complex in the world. "20 Reasons to Rethink Revenue Management", hosted by Jonathan Wiik, VP of Health Insights, provides an overview of the “20 reasons” why RCM needs to evolve into RM and a few ideas about how to rethink RM at your organization. Register for this on-demand webinar here: https://hubs.li/Q02F3NmS0

Want a quick summary of what we're doing to boldly reform healthcare policy at The Cicero Institute? Check out my discussion with Christopher Habig on his Healthcare Americana podcast where we talk the importance of state policy reform in healthcare. And check out our beautiful new website too! #healthcare #policy #statepolicy #boldreform

Tommy Ibrahim, MD, MBA, MHA, president and CEO of Sanford Health Plan, joined the Becker's Healthcare Payer Issues Podcast to discuss his journey from clinical practice to leading a health plan, the challenges and opportunities in rural healthcare, and strategies for driving growth and innovation in a rapidly evolving industry. Listen to the conversation here: https://san.fo/3SQQIYf

Tommy Ibrahim, MD, MBA, MHA, president and CEO of Sanford Health Plan, joined the Becker's Healthcare Payer Issues Podcast to discuss his journey from clinical practice to leading a health plan, the challenges and opportunities in rural healthcare, and strategies for driving growth and innovation in a rapidly evolving industry. Listen to the conversation here: https://san.fo/3SQQIYf