When we’re sick, many of us see a mix of primary care physicians and specialists – and sometimes just specialists alone. But this practice isn’t always the best use of resources. The Primary Care First Act, explored in IMO’s new insight brief, aims to help change this dynamic by increasing the responsibilities of, and reimbursement rates for, providers in the primary care realm.
When the new coronavirus hit US hospitals at the beginning of the year, many institutions halted elective surgical procedures and diverted resources to care for pandemic patients. Now, most operating rooms have reopened their doors, but patient anxiety about coming into contact with COVID-19 is still keeping many away.
Hierarchical Condition Categories (HCCs) aren’t a new concept, but as more and more organizations shift to value-based care, there has been renewed issue in the subject. And it makes sense – without solid foundational knowledge of HCCs, health systems risk lower rates of reimbursement, or sometimes not getting paid at all.
David Alvin, VP of Product Strategy at IMO, and June Bronnert, MHI, RHIA, CCS, CCS-P, IMO’s Senior Director of Global Clinical Services, discuss the value-based care model and how population health initiatives impact reimbursement.
Reimbursements, population health, long-term outcomes – the value-based care model is changing how many health systems around the country think about these concepts. It’s a lot to manage, and it takes thoughtful planning to do it right. Get a jump start on designing your strategies with our latest eBook, Managing the financials of population health: Challenges and solutions.
How much does specificity matter? When it comes to Medicare Advantage reimbursement, it matters. A lot.
Listen to IMO nurse informaticist, David Bocanegra and product manager Alex Dawson as they explore the obstacles to effective surgical scheduling and how organizations can optimize their processes for greater success.
Clinicians often encounter technological hurdles when working to deliver better patient care. As users strive to manage and synthesize patient and population data, EHRs offer obvious advantages as a powerful technology when optimized to meet doctors’ needs for their patients.