Health plans, providers, and systems face a familiar challenge in today’s healthcare landscape. They manage financial risks once a patient is discharged into the post-acute ecosystem. The post-acute ecosystem is an extension of their initial inpatient care and those that patients come into contact with directly impact the outcomes of their care and well-being. Those […]Read More
UnitedHealthcare, Seeing Success, Increases Commitment to Value-Based Care Programs
UnitedHealthcare, the nation’s largest private payer, is increasing its commitment to value-based care models. In the last three years, the amount of UnitedHealthcare’s care-provider reimbursements tied to value-based care programs has nearly tripled to $64 billion annually. By the close of 2020, that number is expected to reach $75 billion. Nearly one in every three […]Read More
How to Get Your Organization Ready to Meet the New Post-Acute Quality Measurement Goals
Achieving most of the Centers for Medicare & Medicaid Services’ (CMS) value-based care efforts requires the ability to monitor patients through the continuum of care and accurately report on that patient’s journey. It also requires that several disparate organizations coordinate their efforts and work together to achieve the best outcomes at the lowest costs. However, this […]Read More
Building a Trusted Post-Acute Network Improves Patient Outcomes and Lowers Costs
Two recent reports have determined that building an effective post-acute care network will help healthcare systems improve patient outcomes while reducing costs and spending variations. Analysis from The Institute of Medicine and a Deloitte survey both indicate that—in order to succeed in value-based care—health systems need to establish a trusted, narrow network of high-quality, post-acute care partners. Not […]Read More
Skilled Nursing Facilities and the Post-Acute Care Industry are Facing a Tumultuous 2018. Is Your Organization Ready?
For the post-acute healthcare industry, last year was full of fear and uncertainty. After the initial (and prolonged) tumult of the Affordable Care Act and the eventual (uneasy) alliance the industry formed with it, the new Trump administration seemed poised to shake everything up again. Well, the dust has cleared after the administration’s first year, […]Read More
Can CMS’s New Advanced Payment Bundles Save Healthcare?
The Centers for Medicare & Medicaid Services (CMS) recently launched its newest bundled payment model, the voluntary Bundled Payments for Care Improvement (BPCI) Advanced, and they are doing something unique in the healthcare industry – pleasing both clinicians and management. “Volunteer bundles are a very attractive proposition for providers and health systems to generate outside […]Read More