PARKERSBURG –WVU Medicine Camden Clark Medical Center was named among the 100 best hospitals for stroke care and rated in the top 100 in the nation for patient safety in the categories of cardiac and orthopedic care, according to two national studies Camden Clark was rated in reports released by Healthgrades, an online resource for […]
How hospitals can use CDI to navigate the value-based care transition: 5 insights
A successful clinical documentation program can help healthcare organizations achieve better financial performance and patient outcomes, which are both crucial improvements for hospitals navigating the shift to value-based care. “What we document drives what we receive financially. What we drive on the revenue side is directly related to how we show performance on the outcomes […]
What’s getting in the way of employers’ getting handle on health care costs, quality
Variations on health care costs and quality and the markets themselves are hampering employers’ abilities to get a handle on rising costs and the best value. That’s a takeaway from a panel Thursday afternoon on provider quality data and the use of it by the private companies who pay for the bulk of their employees’ […]
How to Optimize Healthcare Benefits
Based on the trend toward value-based health insurance and reimbursement, health benefit plans are being designed to reduce barriers to maintaining and improving health and to promote higher-value healthcare services. Value-based reimbursement requires providers to track and report a host of adverse events and population health measures, including biometrics, patient engagement and other measures required to […]
The value-based care challenge: Helping employers tap into quality care
The rise of value-based care models, including value-based insurance and value- based reimbursement, has been inevitable as employers strive to find innovative strategies that enable them to offer quality, cost-effective healthcare benefits. Value-based insurance relies upon financial incentives to promote cost efficient healthcare services, enabling health benefit plans to reduce barriers to maintaining and improving […]
3 aspects of value-based care every broker should know
Health Insurance brokers connect employers and other plan sponsors with health care benefits solutions, adding value by matching plan sponsor needs with a range of benefits within budget requirements. Whether seeking fully insured or self-insured solutions, brokers are the primary liaison for plan sponsors with millions of lives nationally — navigating benefits solutions, dealing with […]
Commercial Payers Embrace Bundled Pricing for Cost Containment, Better Outcomes
As commercial payers seek strategies to lower costs and improve care quality, they are paying closer attention to bundled payments. While many payers express concerns about the impact of recent regulatory reversals that removed mandatory requirements for bundled payments, the benefits of bundled pricing still resonate strongly throughout the commercial marketplace. This is evidenced by a […]
Providers partner with payers for bundled payments
Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences. Bundled payment models shift financial and clinical accountability to a single provider-led organization that takes responsibility […]
Commercial payers benefit from bundled pricing
As commercial payers seek strategies to lower costs and improve care quality, they are increasingly paying closer attention to bundled payments. While many payers express concerns about the impact of recent regulatory reversals that removed mandatory requirements for bundled payments, the benefits of bundled pricing still resonate strongly throughout the commercial marketplace. In late 2017, […]
Bundled Pricing: Cost Containment, Better Outcomes Attract Commercial Payers
While mandatory bundled payments have been scaled back by the Centers for Medicare and Medicaid (CMS), commercial insurers are starting to offer bundled reimbursement programs to their customers. Market analysts see government support of voluntary bundles for payment initiatives as a signal that this innovative strategy is here for the long-term. A number of health […]
