Inbound Health’s Post

"In today's world, there's a power and financing differential between payers, providers, and patients. Health systems need to find a way to renegotiate and get appropriately reimbursed for providing the kind of care that will naturally result in more appropriate utilization." Great points here. Healthcare needs to find a way to balance the dynamic between payers, providers, and patients to effectively support everyone—the system works best when everyone benefits. #Healthcare #ValueBasedCare #PatientExperience

#ICYMI Researchers at the Elevance Health Public Policy Institute studied Medicare data to understand how beneficiaries’ use of #MedicareAdvantage supplemental benefits impacts healthcare utilization. The results found that the use of supplemental benefits is associated with an increased likelihood of receiving certain preventative healthcare screenings, and a decreased likelihood of having an inpatient admission, among other findings. Check out the full report to learn more! https://ow.ly/mooC30sCsXY

I sat down this week with Alan Weil for this Health Affairs conversation and we had a wide-ranging discussion about the #Medicare Value-Based Care strategy. We dive into alignment across payers, driving #accountablecare, promoting #healthequity, primary care, quality, and so much more. Check it out: https://lnkd.in/e_anEqHK

#ICYMI Researchers at the Elevance Health Public Policy Institute studied Medicare data to understand how beneficiaries’ use of #MedicareAdvantage supplemental benefits impacts healthcare utilization. The results found that the use of supplemental benefits is associated with an increased likelihood of receiving certain preventative healthcare screenings, and a decreased likelihood of having an inpatient admission, among other findings. Check out the full report to learn more! https://ow.ly/8ALu30sCyq4

Advancing value-based care is a shared responsibility. This article from AJMC - The American Journal of Managed Care highlights a dynamic discussion on patient-focused strategies to improve care delivery and health outcomes. A special thank you to Todd Couts (Centers for Medicare & Medicaid Services), Michael Westover (Providence Saint Joseph Medical Center ), and Amal Agarwal, DO MBA (Monogram Health) for their insightful contributions. And a big thank you to our own Kristine Burnaska, PhD Burnaska (CAQH) for moderating this important conversation. At CAQH, we are proud to collaborate with leaders across the healthcare ecosystem to tackle systemic challenges and drive the transition to value-based care. Read more about how collaboration is shaping the future of healthcare: https://lnkd.in/eufjQB_R #ValueBasedCare #PatientCare #HealthcareCollaboration

Fee-for-service models create a major dilemma in healthcare. As Mohamed Diab explains, "...patients want more access to coordinated, convenient, personalized, and affordable care, but physicians have limited time and resources," and "For physicians, the promise of value-based care is the ability to spend more time focusing on the whole patient." VBC benefits all parties. Identifying pain points has been the main block to implementation, but the benefits have been undeniable. #ValueBasedCare #VBC #FFS #Healthcare

#ICYMI Researchers at the Elevance Health Public Policy Institute studied Medicare data to understand how beneficiaries’ use of #MedicareAdvantage supplemental benefits impacts healthcare utilization. The results found that the use of supplemental benefits is associated with an increased likelihood of receiving certain preventative healthcare screenings, and a decreased likelihood of having an inpatient admission, among other findings. Check out the full report to learn more! https://ow.ly/fmaJ30sCsKo

⚠ WARNING TO HEALTHCARE PROVIDERS ⚠ Imagine your once-thriving clinic, now silent and abandoned. Cracked walls, dusty chairs, and the stench of decay replace the life and vitality it once held. What was once a beacon of hope for your community now stands as a haunting reminder of what happens when engagement and care are neglected. When you look at your Star Ratings—they’re already dropping. Each star slipping away represents missed screenings, unmanaged conditions, and preventative care that didn’t happen. You’re feeling the impact: rising costs, declining HEDIS scores, and the looming risk of losing Medicare standing. It’s not just numbers—it’s trust eroding and lives at stake. The vision that brought you into healthcare—to heal and make a difference—feels further out of reach as the weight of unmet expectations grows heavier. But it doesn’t have to end this way. Your healthcare organization can become a beacon of excellence, known for reversing diseases, catching them early, and stopping them in their tracks. If you know you've been putting off increasing your patient engagement metrics but are too busy to really buckle down and take care of it, now is the time to take action. We are here for you and to build a plan tailored to YOUR practice. We want to help you re-engage with your patients, meet HEDIS benchmarks, and protect the Medicare standing that keeps your mission alive. Comment "ENGAGE" below, and let’s start working together to make a difference—for your patients and for your practice.

#ICYMI Researchers at the Elevance Health Public Policy Institute studied Medicare data to understand how beneficiaries’ use of #MedicareAdvantage supplemental benefits impacts healthcare utilization. The results found that the use of supplemental benefits is associated with an increased likelihood of receiving certain preventative healthcare screenings, and a decreased likelihood of having an inpatient admission, among other findings. Check out the full report to learn more! https://ow.ly/gkJ230sCEYN