Healthcare Business Trends

Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.

Understanding the efficacy of high-cost drug across large patient populations will help providers, payers, and pharmaceutical companies to understand the value of certain drugs and offer patients their life-saving value.

Recent legislation allows for additional funding of medical detox or substance abuse treatment centers and allows for Medicaid coverage for mental health treatment.

One-third of healthcare finance leaders have created separate pricing for certain outpatient procedures versus inpatient procedures to mitigate volume migration from hospitals. Their greatest concerns are how low the pricing should go and how will this pricing impact the bottom line.

New processes, coupled with decision-support software, have helped New Jersey’s largest health system save on equipment service and better plan for equipment replacement.

There is little question that 2017 will be another year of unprecedented change for health care, potentially signaling another positive step toward better aligning systems to achieve the Triple Aim.

Robert Berenson, healthcare industry expert, says the healthcare value movement still has a ways to go to realize its full potential.

Amid many likely changes in healthcare policy under the Trump administration, the transition to value-based care and the need to be innovative in care delivery and business processes will continue.

U.S. health plans are pursuing ways to integrate behavioral health care and primary care with the goal of improving care for patients with mental health conditions.

Healthcare leaders should play a role in advocating for new payment policies that will promote the continued expansion of telehealth services throughout the healthcare marketplace.