Waiting For Payment Reform?

Waiting For Payment Reform?

  • September 10, 2014

On The Health Care Blog, Charles Kenney and Jack Cochran, MD, make the case that primary care physicians should not wait until payments change to start shifting their own practices towards value-based care. They should do it now, because reform is happening. The authors cite the findings from McKesson's 2014 State of Value-Based Reimbursement study, and quote the study: "To remain relevant and competitive, payers, hospitals, health systems, and clinicians must respond now to integrate value-based models into their existing systems." Read the full article here

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Can Utilization Management Work In A Value-Based World?

Can Utilization Management Work in a Value-Based World?

  • August 5, 2014

Beauty is in the eye of the beholder. And solutions to healthcare’s problems are in the eye of the stakeholder. Payers see the world one way, providers another, and patients still another. Finding solutions that balance stakeholders’ concerns isn’t easy. But it’s not impossible, if you bring the varying points of view together. I've been privileged to work with all stakeholders—payers, providers, and patients—and have heard (and hear) their problems, anxieties, and concerns. It’s from this vantage point that I've been wrestling with the problem of utilization management in a world that’s moving rapidly to value-based models. Today, prior authorization…

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The State Of Value-Based Reimbursement And The Transition From Volume To Value In 2014

The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014

  • June 11, 2014

How fast are payers and providers adopting new value-based payment models? According to the first industry study of its kind, more than two-thirds of payments are expected to be based on value measurements by 2020. Remarkably, 90% of payers and 81% of providers are already using some mix of value-based reimbursement and fee-for-service, according to the new report, The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014. Read now or download and read later  

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McKesson Research Reveals the State of Healthcare’s Transformation from Volume to Value

  • June 11, 2014

DOWNLOAD and share the white paper now Healthcare is moving rapidly to incorporate measures of value into payment models, with more than two-thirds of payments expected to be based on value measurement in five years, up from just one third today. That’s just one of the compelling findings from our new report, The 2014 State of Value-Based Reimbursement, an independent research study of 464 payers and providers conducted by ORC International and released this week at AHIP’s Institute 2014 conference in Seattle, Wash. In the study’s executive summary, McKesson’s Medical Director David Nace, M.D., says these results point to a sea change…

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McKesson Research Reveals The State Of Healthcare’s Transformation From Volume To Value

McKesson Research Reveals the State of Healthcare’s Transformation from Volume to Value

  • June 11, 2014

Healthcare is moving rapidly to incorporate measures of value into payment models, with more than two-thirds of payments expected to be based on value measurement in five years, up from just one third today. That’s just one of the compelling findings from our new report, The 2014 State of Value-Based Reimbursement, an independent research study of 464 payers and providers conducted by ORC International and released this week at AHIP’s Institute 2014 conference in Seattle, Wash. In the study’s executive summary, McKesson’s Medical Director David Nace, M.D., says these results point to a sea change in healthcare reimbursements, a change in…

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AHIP’s Institute 2014: The Connective Thread

AHIP’s Institute 2014: The Connective Thread

  • May 28, 2014

How can we juggle a multitude of siloed systems and IT processes? How can we effectively diversify in a rapidly changing market? How can we make a positive impact on care decisions before care is delivered?   At McKesson, we’ve begun a new conversation about today’s complex healthcare reimbursement landscape - that starts with the challenges our customers face as they lead their organizations and the entire industry towards a more collaborative and integrated future. Join us to discuss some of the big questions about changing consumers, shifting regulations, and new methodologies at AHIP’s Institute in Seattle on June 11-13.…

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How Health Plans Can Keep Their Approach To New Markets Nimble, Collaborative, And Effective

How Health Plans Can Keep Their Approach to New Markets Nimble, Collaborative, and Effective

  • May 9, 2014

In Managed Care, Michael Flanagan,  associate VP for product management at McKesson Health Solutions, describes what health plans need to do to succeed on the new healthcare exchanges. Plans need new capabilities, such as flexible network management and an unprecedented level of coordination between payers and providers. Payers need to be agile, adjusting to a newly enrolled population, and need the ability to administer more complex product designs, care delivery, and reimbursement initiatives quickly and efficiently. Flanagan lays out a template for health plans to drive their activity on the health insurance exchange. Read the full story here

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Transform Your VBR Initiatives By Fast-tracking Your Contracting

Transform your VBR initiatives by fast-tracking your contracting

  • April 9, 2014

In today’s world of new regulations and new payment models, existing contracting and payment processes require more modern solutions for navigating this complexity. Organizations increase their error rates when they become reliant on manual workarounds within their network design, contracting and payment processes. Successful contract management requires automation throughout the contracting cycle and an easy, transparent workflow between payers and providers. In an upcoming two-part webinar, “Put Your Contracting Initiatives on the Fast Track,” McKesson's Michael Flanagan will share industry best practices around contract management and how streamlining the process can support an organization’s larger value-based care and payment strategy. The…

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How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • February 27, 2014

DOWNLOAD and share the WHITE PAPER now The current array of healthcare reforms hasn't produced a single reimbursement model that can replace our reliance on a fee-for-service (FFS) foundation, nor has it accounted for the seismic shift in care delivery that providers must make. We need a definitive transition from the current FFS system to one that will drive value through mixed reimbursement schemes, which themselves support multiple forms of payment bundling in conjunction with limited FFS. In this new white paper, How We Can Make Payment and Delivery Reform Work, Dr. David Nace, VP and medical director at McKesson Health Solutions, defines the five critical elements of successful care delivery reform that payers and…

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Revitalizing Primary Care Said Key To Success Of Health Reform

Revitalizing Primary Care Said Key to Success of Health Reform

  • February 26, 2014

Psychiatric News featured comments from McKesson medical director David Nace, MD, in a recent article covering the Patient-Centered Primary Care Collaborative (PCPCC), a coalition of advocacy groups dedicated to advancing an effective health system built on a foundation of primary care and the patient-centered medical home (PCMH). Read the article

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