Evolution Of An Episode Of Care

Evolution of an Episode of Care

  • June 12, 2017

What does it take to bridge the gap between precision medicine, population health, and episodes of care? That's a question that can only be asked in a world moving to value. The answer was shared with attendees at AHIP Institute last week by Lili Brillstein, MPH, Director, Episodes of Care, Market Innovations, Horizon Blue Cross Blue Shield of New Jersey; and Andrew L. Pecora, MD, FACP, CPE, President, Physician Enterprise and Chief Innovations Officer, Hackensack Meridian Health; Professor of Medicine and Oncology, Georgetown University. Change Healthcare's Amy Valli asked Ms. Brillstein and Dr. Pecora for a preview of their session before…

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AHIP Social Media Ambassador Mandi Bishop Shares Her Views At This Year’s Expo

AHIP Social Media Ambassador Mandi Bishop Shares Her Views at This Year’s Expo

  • June 12, 2017

As we all know, our industry is abuzz with change. And AHIP social media ambassador Mandi Bishop has her finger on the pulse of change. Bishop is CEO and founder of Lifely Insights, bringing life context to healthcare decision-making with her active Twitter (@MandiBPro) and other social media channels. At the recent AHIP Institute & Expo 2017, she took a few minutes out of her packed schedule to speak with John Hallock, Change Healthcare VP of External Communications and Media Relations. The duo discussed value-based reimbursement, alternative payment methodologies, and how she views market consolidation. Mandi and John appeared live on…

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Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 6, 2017

Payers need to choose between automated payment and accurate automated payment By Amy Larsson RN, BSN, MBA The U.S. healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes precious resources, worsens miscommunication and mistrust among all stakeholders, and inhibits the ability to transition to value-based approaches that achieve better outcomes. We need to rethink our industry’s disjointed and siloed approach in order to solve a very integrated problem. Despite billions invested in achieving efficient claims payment, more than 7% of claims are not paid correctly the first time, the…

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In The End, It Will Be Episode Payment

In the End, It Will be Episode Payment

  • May 10, 2017

Horizon Blue Cross Blue Shield of New Jersey is leading the way in transforming cancer treatment reimbursement models to value-based care. Managed Care magazine reports that in 2014, the insurer piloted an episode-of-care program for breast cancer, and it has been successful enough that Horizon will be expanding to treat other cancer types the same way in the near future. Read the article

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McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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Report: Insurers Remain Ahead Of Providers In Value-Based Payment

Report: Insurers Remain Ahead of Providers in Value-Based Payment

  • May 2, 2017

Why are payers ahead of providers in the use of value-based reimbursement? One reason is that they're better positioned to offer incentives to implement value-based payment structures, according to a survey of providers and payers. The report also found that bundled payment is the fastest growing value-based model. Read the article

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From Silos To Services For Value-Based Care

From Silos to Services for Value-Based Care

  • March 31, 2017

Morning Consult covered the evolution of HIT interoperability and how, despite industry advances, most systems aren't working together. The article reports on how interoperability facilitates value-based care and reimbursement, and why that's crucial to the future of HIT. Read the Article

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