A South Carolina health-care analytics group has stepped forward into the cottage industry of providing hospital quality and patient care rankings, with several Triad hospitals listed among the best. Quantros, based in Greenville, S.C., released last week its 2019 CareChex rankings at www.carechex.com. The rankings “benchmark the clinical quality, patient safety and performance” for hospitals […]
If value in health care is defined as the outcomes achieved per dollar spent, then panel members said the health care system is stuck in neutral despite movement toward value-based care.
The need for quality measures presents an opportunity for trusted advisers to design benefits plans to optimize for value.
Advisers must guide employers to the right solutions partner who can help them evaluate the best care based on reliable population health data. 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 […]
As the health care paradigm shifts from quantity to quality, brokers who speak the language of value-based care are poised to thrive. The article was published in BenefitsPRO
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.
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 […]