Despite—or perhaps because of—the uncertain timing of the shift from fee-for-service to value-based payment, most healthcare providers are eager to prepare for risk-based reimbursement. They are trying different arrangements with and without payers. But providers are leery of taking on higher levels of risk exposure, such as shared profit-and-loss with insurers or opening their own payer business units. The mixed results of early...
As data analytics technology becomes increasingly sophisticated, healthcare informatics—the use of data to improve care delivery and patient health— is essential to meeting the goals of hospitals and health systems today. Big data on patient responses to specific clinical interventions can become the basis for development of evidence-based care practices. Sharing of patient data across the care continuum can improve care coordination. Telehealth to connect patients and providers can bolster care access. But leaders must direct the use—and limit the misuse—of data...
After years of talking about the transition from fee-for-service to value-based payment, most provider organizations are still waiting for the tipping point. Increasingly, the future revenue picture looks like a combination of both payment models, with some revenue...
Healthcare provider organizations have increased their embrace of population health management, according to HealthLeaders Media research. How they approach population health is strongly connected to leaders' strategic vision. One route is a clinical integration strategy, another to receive funding from federal programs, such as Delivery System Reform Incentive Payment. The choice of strategic pathways determines how a provider organization builds and executes a population health strategy, and is tightly bound with the governance process. Organizations are at...
What does patient engagement really mean today? As patients take a more active role in managing their own health, healthcare organizations are challenged to enact strategies that improve customer loyalty. Increasingly, that challenge can be met with an infrastructure that encourages wellness and appropriate utilization built from sharing transparent information with patients about your organization's outcomes and expertise. Patients want a partner in their healthcare decision-making that is focused on what's right for them. At the same time, healthcare...
With the shift from volume to value in healthcare, efficiency gains and a widening scope of responsibility are transforming revenue cycle operations. Health system revenue cycle teams are deploying several strategies to maximize revenue in financially lean value-based business models, such as building strong financial relationships with patients to boost point-of-service and billing collections. Information technology is playing a key role in the transformation process.
