BHM Healthcare Solutions’ Post

At Professional Healthcare Resources we are not only healthcare providers, we are patient advocates who empower patients with the knowledge they need to make the best healthcare decisions for themselves. The IMPACT Act (Improving Medicare Post-Acute Care Transformation Act) emphasizes patient choice in the context of post-acute care, promoting the idea that patients should have a voice in selecting their care providers. Specifically, the Act includes provisions related to patient assessments and data collection that support informed decision-making. For the official text, you can check the following sections that pertain to patient choice: Section 3: Focuses on quality measures and how they relate to patient preferences. Section 4: Discusses the importance of patient engagement and choice in care planning. For the complete text, visit the U.S. Congress website or the CMS website. If you need more specific information or a summary, feel free to ask! #ProfessionalHealthcareResources #HomeCare #wellness #HealthCare

What impact will policy changes in the next Trump administration have on healthcare costs, patient outcomes, and Medicare sustainability? As we help our provider partners, physician groups, and health systems through scenario planning for future investments in value-based care, we must acknowledge the possibility that the policies of the incoming Trump administration may differ sharply from those of the Biden administration. Read this blog to learn more about the value-based care models introduced during the first Trump administration and how they differed from those implemented by CMS during the Biden administration. As more details are released on the next administration’s healthcare policy agenda and plans, we will continue to update our thinking on the future of value-based care and explore new potential topics and models worth thoughtful consideration. #medicare #acoreach #valuebasedcare #healthcarepolicy https://lnkd.in/g-s-9HvH

At Professional Healthcare Resources we are not only healthcare providers, we are patient advocates who empower patients with the knowledge they need to make the best healthcare decisions for themselves. The IMPACT Act (Improving Medicare Post-Acute Care Transformation Act) emphasizes patient choice in the context of post-acute care, promoting the idea that patients should have a voice in selecting their care providers. Specifically, the Act includes provisions related to patient assessments and data collection that support informed decision-making. For the official text, you can check the following sections that pertain to patient choice: Section 3: Focuses on quality measures and how they relate to patient preferences. Section 4: Discusses the importance of patient engagement and choice in care planning. For the complete text, visit the U.S. Congress website or the CMS website. If you need more specific information or a summary, feel free to ask! #ProfessionalHealthcareResources #HomeCare #wellness #HealthCare

At Professional Healthcare Resources we are not only healthcare providers, we are patient advocates who empower patients with the knowledge they need to make the best healthcare decisions for themselves. The IMPACT Act (Improving Medicare Post-Acute Care Transformation Act) emphasizes patient choice in the context of post-acute care, promoting the idea that patients should have a voice in selecting their care providers. Specifically, the Act includes provisions related to patient assessments and data collection that support informed decision-making. For the official text, you can check the following sections that pertain to patient choice: Section 3: Focuses on quality measures and how they relate to patient preferences. Section 4: Discusses the importance of patient engagement and choice in care planning. For the complete text, visit the U.S. Congress website or the CMS website. If you need more specific information or a summary, feel free to ask! #ProfessionalHealthcareResources #HomeCare #wellness #HealthCare

Closing care gaps in healthcare is essential! Missed follow-up appointments can disrupt patient care and negatively impact healthcare providers financially. Let's address the challenges and ensure better health outcomes! Here's how: ✔ Educate Patients: Help them understand the importance of follow-ups. ✔Increase Accessibility: Use technology to make healthcare more accessible. ✔Enhance Communication: Ensure clear communication between patients and providers. Read more about the impact and strategies for improvement in our latest blog post! https://lnkd.in/g3rmhsnR #Healthcare #PatientCare #CareGaps #Reimbursement #FollowUpCare #Starboosthealth

🚨 TODAY AT 2 PM ET 🚨 Join us as we discuss "The State of Healthcare" alongside Catalyst for Payment Reform, Florida Alliance for Healthcare Value, Economic Alliance for Michigan and Nevada Business Group on Health. As healthcare spending continues to rise at unsustainable rates, purchasers are urgently seeking policy solutions to contain their costs without compromising care. Join us for a webinar that explores policy recommendations and reactions from three different states -Michigan, Nevada, and Florida- to constrain commercial healthcare prices. Drawing on interviews conducted by Catalyst for Payment Reform (CPR) with stakeholders across the healthcare spectrum—including healthcare providers, purchasers, health plans, and industry experts—this webinar will provide insights into the local dynamics and regulatory frameworks shaping efforts to address high and rising healthcare prices. Each state’s healthcare market is unique, and tailored policy solutions are essential. Our esteemed panel of business coalition leaders from the states studied will share their reactions to the findings, the analysis of participants’ attitudes and CPR’s policy recommendations in each state: https://lnkd.in/ebvZ-zd6

💠 How to Succeed with Value-Based Care The main priority of Value-Based Care is to prioritize quality over quantity to reduce healthcare costs and improve clinical outcomes. While the adoption of value-based care is important for the future of healthcare, progress is slow. Assuming downside risk is an essential part of VBC, and a recent survey highlights reluctance to do so among providers and payers. Key Obstacles of Value-Based Care include: 🔹 Proving near-term Return on Investment (ROI) 🔹 Narrow ROI definitions 🔹 Short-term focus of administrative and financial leadership 🔹 High upfront and ongoing costs While VBC's current impact is limited, the potential for change exists if downside risk becomes standardized. If ROI were measured more appropriately in the context of VBC, investments could have more potential to help providers and lower the threat of financial risk. 👩⚕️ Tired of the administrative burden shifting your focus away from patients? Priority Practice Management is here to help. Learn more on our website ➡ https://lnkd.in/gpYmTyzz 📔 Article Link: https://lnkd.in/dCtjS2-A #ValueBasedCare #PrivateHealthcare #PrivatePractice #HealthcareProvider

Join us next Monday, Dec. 2 as we discuss "The State of Healthcare" alongside Catalyst for Payment Reform, Florida Alliance for Healthcare Value, Economic Alliance for Michigan and Nevada Business Group on Health. As healthcare spending continues to rise at unsustainable rates, purchasers are urgently seeking policy solutions to contain their costs without compromising care. Join us for a webinar that explores policy recommendations and reactions from three different states -Michigan, Nevada, and Florida- to constrain commercial healthcare prices. Drawing on interviews conducted by Catalyst for Payment Reform (CPR) with stakeholders across the healthcare spectrum—including healthcare providers, purchasers, health plans, and industry experts—this webinar will provide insights into the local dynamics and regulatory frameworks shaping efforts to address high and rising healthcare prices. Each state’s healthcare market is unique, and tailored policy solutions are essential. Our esteemed panel of business coalition leaders from the states studied will share their reactions to the findings, the analysis of participants’ attitudes and CPR’s policy recommendations in each state. https://lnkd.in/ebvZ-zd6 Andrea Caballero Karen van Caulil, Ph.D. Shawn Gremminger Bret Jackson Chris Syverson

With healthcare in the news, I thought it would be worthwhile to bump this piece in the New York Times from several months ago, talking about the dangers of our current system and the negative impact it has on patients and the overall system. ——- In the complex landscape of healthcare, the intersection between patient care and administrative processes often presents significant challenges. My recent discussion with The New York Times shed light on a critical aspect of this intersection: the prior authorization process. This mechanism, intended to regulate healthcare costs and ensure appropriate treatment, frequently acts as a bottleneck, delaying necessary medical interventions and placing additional stress on patients and healthcare providers alike. The reality is that while prior authorization aims to serve as a checkpoint for cost control and care appropriateness, it can inadvertently prioritize paperwork over patient well-being. These delays can lead to exacerbated health conditions, increased hospitalization rates, and a higher overall cost to the healthcare system—outcomes that are the antithesis of the process’s original goals. As a physician, I witness the direct impact of these delays on my patients. The time spent navigating these administrative hurdles is time taken away from patient care. It’s imperative that we advocate for a reevaluation of the prior authorization process, focusing on strategies that streamline administrative procedures without compromising the quality of care. We must champion reforms that prioritize the health and well-being of patients. This includes advocating for transparency in the criteria used for authorizations, expediting approvals for routine and non-controversial treatments, and ensuring that healthcare professionals are at the forefront of decision-making processes regarding patient care. The path forward should be a collaborative effort among healthcare providers, insurers, and policymakers to devise a system that upholds the principles of timely, effective, and patient-centered care. Let’s come together to advocate for a healthcare system that values patients over paperwork, ensuring that every individual has access to the care they need when they need it. #HealthcareReform #PatientCare #PriorAuthorization #MedicalEthics #HealthPolicy #FixTheSystem #FixThePriorAuth The New York Times https://lnkd.in/gFSTV7-c —

With healthcare costs on the rise, it is vital that health plans and providers embrace values-based contracts. Last week's Beckers article revealed a playbook for the top seven domains to consider when implementing value-based contracts.