Healthcare Consumerism News

How Specialty Pharmacies Enhance Patient Outcomes with Digital Tools

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By leveraging several tailored communication methods, specialty pharmacies can improve patient engagement and outcomes using digital tools. Digital-driven tools, such as patient portals, mobile apps...

The Pitfalls, Opportunities of Social Determinants of Health Philanthropy

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Philanthropic efforts can provide a needed boost to disadvantaged communities, but payers that want to offer this kind of support to lessen social determinants of health barriers should be wary of...

Providence’s Top Value-Based Contracting Lesson Is Collaboration

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You can’t do value-based contracting alone. That is one of the biggest lessons learned from Scott Anders, MD, MBA, FAAGP, CPE, chief medical officer of value-based care and ambulatory quality at...

Top Healthcare Predictions for 2023: Payer, Provider, Rev Cycle, Life Sciences

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Payers, providers, and life sciences industry leaders will face a variety of pressures in 2023, particularly financially, and they should be alert to their current condition and to opportunities for...

Making Medicare Advantage Plans for the LGBTQ+ Community

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For generations, the LGBTQ+ community has faced discrimination in the healthcare system. Seniors in the LGBTQ+ community, in particular, have faced a lifetime of inequity and many now enter some of the...

How to Establish an Industry Collaboration Team to Pursue Industrywide Goals

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Partnership in the healthcare industry can be fraught due to competing interests and competition within segments of the industry, but when a healthcare organization creates internal industry...

Challenges, Benefits of Global Capitation Models from a Provider Perspective

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There are four major challenges that organizations face when they try to implement global capitation model, Michael Weiss, MD, vice president of population health for Children’s Hospital of...

Physician Engagement, Data Transparency Earn ACOs Shared Savings

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Privia Quality Network is one of the top earners of the Medicare Shared Savings Program, the federal government’s largest running accountable care organization (ACO) program. Across its four...

Key Lessons on Value-Based Care Collaboration in Advanced Primary Care Efforts

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In 2019, a group of payers, providers, and other healthcare stakeholders converged to reimagine advanced primary care in the state of California through value-based care collaboration. The California...

How to Pursue Behavioral-Physical Healthcare Integration in a VBC Framework

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When MetNetOne Health Solutions established roaming physician teams that would go from practice to practice to help address chronic disease management needs around two decades ago, it became apparent...

Piecing Together Strategies for Better Cancer Patient Experience

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Like puzzle pieces coming together to form a picture, stakeholders from across the care continuum must come together to successfully enhance the cancer patient experience. As a team, leaders from the...

What Are Health System CEOs’ Growth Priorities in 2022?

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As health systems grapple with an evolving pandemic, consumer empowerment through digital tools and diversifying the workforce to care for diverse communities are at the forefront of healthcare...

How to Measure, Improve Strategic Primary Care Investments

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Strategic primary care investments—such as investing in sustainable EHR models and moving toward value-based care—can have an impact far beyond primary care services, according to Vivek...

How In-Home Primary Care Can Lower Costs, Boost Patient Satisfaction

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In-home primary care differs from traditional home healthcare and it can play a unique role in ensuring quality of care and access to care at a low cost for patients, according to Chris Dodd, MD, chief...

Exploring Rideshare as an SDOH, Value-Based Care Solution

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As the national healthcare industry works to address social determinants of health, rideshare companies like Lyft and its medical offshoot Lyft Healthcare assert how they can fill not just...

How Providers Take A Value-Based Care Approach to Chronic Disease

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The value-based care approach to chronic disease management relies on a committed clinical workforce, healthcare organizations have indicated. Hayden Schmidt, assistant editorial researcher at...

OIG Identifies Unnecessary Denials, Delays by Medicare Advantage Plans

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The Medicare Advantage program has proven quite lucrative for commercial health plans over the years, but a federal agency is calling into question whether certain business practices are leading to...

Court Ruling Brings an End to Proposed New Jersey Hospital Merger

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The tides appear to be changing with regard to healthcare mergers and acquisitions in both federal courts and the court of public opinion.  Interoperability Holding Back Healthcare Digital...

Not So Fast: Deadline Extended for Change-Optum Merger

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With a legal battle looming with the Department of Justice and major provider associations shouting foul, Change Healthcare and UnitedHealth Group have extended the merger deadline to year's...

Google to Bring Artificial Intelligence to Health, Maternal Health

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Google continues its push into healthcare, this time with applications of artificial intelligence to improve cardiovascular and maternal health. Google AI Efforts to Focus on Heart, Maternal...

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