This report outlines the top challenges providers are facing in the transition to value-based care. The results this year reinforce both the magnitude of the task and leaders’ reluctance to make a full commitment while details of emerging but still largely unknown payment models are unresolved.
Creating a state-of-the-art clinical documentation improvement (CDI) program isn’t just about boosting coding accuracy. It’s a key strategy in managing the transition from volume-based to value-based care, say healthcare leaders. That transition is a risky endeavor that is putting hospital and physician financial performance to the test. As hospitals participate in new care and business models aimed at improving value, leaders must ensure that their organizations are able to maintain reimbursement levels, effectively treat the chronically ill—especially in outpatient settings—and gather accurate data that will allow them to assess performance and segment their varying populations. While some organizations often believe they are leaving revenue on the table because of documentation and coding issues, CDI offers numerous opportunities for improving financial performance, finds a recent HealthLeaders Media survey of 149 healthcare executives at provider organizations.
Published By: Evariant
Published Date: Nov 14, 2016
Changing healthcare market forces, such as value-based care models, consolidation, and payer mix erosion, have propagated declining margins and fueled hyper-competition among healthcare organizations vying for market share. In this new world, determining effective patient engagement strategies has become paramount for hospitals and health systems as they strive to acquire, retain, and re-activate patients, and, ultimately, drive revenue. Now, more than ever, it is critical that healthcare organizations create and maintain positive, lasting relationships with their patients, both current and prospective, working to attract them into their network and keep them there.
Published By: Allscripts
Published Date: Oct 14, 2015
Independent physician practices are weighing their options as fee-for-service reimbursement models shift to value-based-care models, such as Accountable Care Organizations (ACOs). Download this white paper to learn more about forming ACOs.
Published By: Allscripts
Published Date: Jun 17, 2014
To prepare for value-based care models, Mercy Health System uses interoperable solutions to attest for Meaningful Use, implement 24 ACO clinical quality measures in three months, and achieve PCMH Level 2 Certification in eight sites. With a healthy EHR core, Mercy is prepared for future growth.
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