Population Health Management

Maryland’s all-inclusive population health payment model continues to show promise, but nonhospital spending poses a concern

An innovative payment model for Maryland healthcare providers has improved utilization, cost and quality thus far, but an increase in nonhospital spending requires further study. The Center for Medicare & Medicaid Innovation (CMMI) released an analysis of the first three years of Maryland’s Total Cost of Care Model, an effort to improve population health management.…

Nick Hut March 31, 2023

In federal ACO programs, advocates see signs of slow but steady progress

Growth in accountable care organization (ACO) programs has been inconsistent since the Affordable Care Act made accountable care part of the healthcare lexicon in 2010. Nonetheless, proponents are optimistic about the state of ACOs and their potential in upcoming years, even if there’s uncertainty about CMS’s ability to achieve its stated goal of ensuring every…

Nick Hut February 23, 2023

Healthcare News of Note: Most healthcare CEOs are optimistic about the future of their business despite a potential recession

Most of the CEOs in the Healthcare, Media & Entertainment, Telecom & Cable, and Aerospace & Defense sectors indicated being somewhat or extremely optimistic about the future of their business even in the face of a potential recession. While roughly one-third of 2021 hip and knee replacement episodes were performed by providers with 100 or…

Deborah Filipek February 13, 2023

Healthcare News of Note: How to prevent pediatric mental health revisits

A new study provides a better understanding of the trends and factors associated with an increase in pediatric mental health ED revisits. Black and brown skin tones are underrepresented in medical training and textbooks, which can lead to missed diagnoses and inequities in care. Dermatologists are doing what they can to address the issue. A…

Deborah Filipek January 13, 2023

Healthcare News of Note: More than 3,500 deaths in the US attributed to long COVID during a 30-month period

For a 30-month period beginning in January 2020, long COVID played a part in the deaths of 3,544 people, according to a report by the CDC’s National Center for Health Statistics. The Department of Justice has support from hospital advocates as it looks to appeal a court ruling that allowed UnitedHealth Group to acquire Change…

Deborah Filipek December 23, 2022

How health systems can support underserved patients through in-home care

Finding a way to deliver high-touch care to vulnerable and underserved patients using the patient’s home as the primary point of care has become a strategic priority for providers. The strategic shift to a focus on in-home care for these populations stems from increasing pressure on health systems to lower the cost of care for populations they serve while solving for the challenges presented by social determinants of health.

Eric Galvin, CPA October 21, 2022

Telehealth is primed for growth despite post-lockdown fade

If our nation is to achieve true cost effectiveness of health, virtual healthcare must play a pivotal role. Here, two health system leaders share lessons learned from their efforts to develop effective telehealth programs as a key component in their long-term value-focused care strategies, and two thought leaders weigh in on keys to telehealth success.

Eric C. Reese, PhD October 14, 2022

Healthcare News of Note: Even many people with ‘good’ health insurance incur medical debt

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: 20% of U.S. households have medical debt, regulatory issues are delaying completion of a proposed not-for-profit health system mega-merger, and racial and ethnic disparities are seen in drug overdose deaths.

Deborah Filipek October 7, 2022

Gail Wilensky: Achieving health equity in the U.S. requires a preventive approach

Social determinants of health (SDoH) present a severe challenge for our nation by perpetuating inequities both in access to care and in the quality-of-the outcomes of care. Although interventions that address the challenges posed by SDoH are helpful throughout a person’s life, they can be most helpful if they occur early on, with a focus on enhancing early childhood education and food security.

Gail R Wilensky, PhD August 31, 2022

Healthcare News of Note: Oracle-Cerner deal has the potential to transform healthcare

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Oracle’s purchase of Cerner has the potential to transform the healthcare industry, Medicare spending on physician services during 2020 never recovered to pre-pandemic levels, and patients would leave a provider after a data breach of personal information.

Deborah Filipek August 26, 2022
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