By Sou Chon Young – Rapidly changing payment methods. Shift from fee-for-service to value-based care. Declining insurance reimbursements. Increased government regulations. Sound familiar? The litany of changes impacting the healthcare industry appears to grow longer every day.
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By Celeste Daye – Leading healthcare organizations like Mayo Clinic, Kaiser Permanente, and Cleveland Clinic have dubbed 2016 the “year of integration” for revenue cycle. They see consolidating complex revenue systems as the best way to reduce waste, increase efficiency, and improve the patient experience.
By Don Michaels PhD – The U.S. Department of Health and Human Services (HHS) has a stated goal of shifting 85% of Medicare fee-for-service reimbursement into value-based models by 2016. Private payers will no doubt follow close behind. Meeting this aggressive goal is causing angst among healthcare providers with much conjecture about what it means for their organizations going forward.
HIMSS16 in Las Vegas this year was an amazing event, attracting almost 42,000 attendees and 1,300 exhibitors. It was five days of educational sessions, keynotes,…
By Robert Rowley MD – The way we pay for healthcare is changing. The transition from fee-for-service (“fee for volume”) to value-based care is beginning to take shape, and will do so increasingly in the next few years. Federal pressures as well as private industry pressures are driving this change, as reviewed nicely in a white paper by Houlihan Lokey, “Value-Based Care.”
Adoption and utilization of digital health tools among providers, clinical research organizations, payers and pharmaceutical companies is set to increase this year, according to a paper Validic published in advance of the and Healthcare Information and Management Systems Society (HIMSS) association’s 2016 Annual Conference & Exhibition.
By Robert Rowley MD – We are at the threshold of a new way of paying for healthcare. We have paid for it traditionally with fee-for-service, a legacy that goes back to the beginning of third-party payments for healthcare (insurance) in the early and mid-1900s.
PwC’s Health Research Institute new report highlights the top 10 issues expected to have the greatest impact on the industry this year and offers a look back at key trends that will help shape the coming year. So, what will 2016 bring us?
By Robert Rowley MD – A recent study of healthcare organizations showed that most are not prepared to deliver standardized longitudinal care across multiple provider systems. Shared care plans will be the centerpiece of coordinated care delivery, incentivized by the move from fee-for-service to value-based care.