The Care Summit’s Post

Deep insight into healthcare's "Best Kept Secret." InnovAge PACE President & CEO Patrick Blair talks openly about the growth of the Program of All-inclusive Care for the Elderly in a HHCN (Home Health Care News) interview, how the company has overcome regulatory setbacks, and what it takes to navigate a highly complex, resource-intensive operation. He shares more about the increasing momentum and support at state and federal levels - to make PACE easier to access for many more seniors across the country. Read full HCCN article here: https://birdeye.cx/8yjnhk ~ Here are excerpts: "We want to demonstrate and strengthen PACE’s value proposition relative to other types of value-based care models. We’ve created a platform that not only allows us to deliver high-quality care in all of our geographies, but we’ve also built capabilities to help us better manage capitated risk and improve economic performance." "Government programs are massive, and they’re growing, and the U.S. is spending more than a trillion dollars on Medicare and Medicaid," Blair continues." We know that the cost of care is unsustainable, and we know that patients are often dissatisfied with the care they receive, and we just believe there’s a tremendous market opportunity there for PACE, and other organizations, like ours, to deliver a comprehensive win-win value proposition. That’s a big goal of this next year, is to continue to position PACE as a solution." "I tell people, PACE is the best kept secret in health care, and we’ve got to do a much better job of creating awareness of the value that it delivers. We have to ensure the program flourishes, over the long term. That’s a hard business objective of the company."

You'd be SURPRISED to know this 👇 Around 78% would prefer a virtual second opinion (VSO) if offered as a health benefit. But why? Well, VSO can realign your treatment plans. Also, it might offer a whole new perspective. How does that help? Patients can have better-personalized care and convenient access to specialists. And healthcare costs can be reduced significantly. How? Well, virtual second opinions save an average of $8,705 per patient. Overall, it can really save a dime for payers. That, too, while boosting patient satisfaction. A win-win for patients and payers. Maybe it's time to rethink healthcare benefits. Do you agree? Jolean Sheffield Cristy Reiter Kathleen B. Kaluhiokalani Jen (Gentzlinger) Lentz Troy Churchill, LNHA, MHA #SecondOpinion #VirtualSecondOpinion #Payers #VirtualHealthcare #TelehealthServices #RemoteCare #DigitalHealthcare

The U.S. healthcare system ranks behind many other developed countries when it comes to care access and equity. TTCP portfolio company MedZed is working to improve that. MedZed identifies high-risk, hard-to-reach Medicaid and Medicare Advantage members, engages with them in person, and connects them to the resources they need, ultimately improving their health and reducing inappropriate utilization.   The company was featured in a recent Forbes article that highlights the need for #healthcare innovation and the ways MedZed is making a profound impact by providing personalized, high-touch healthcare solutions that improve lives and outcomes alike.   Read the article: https://lnkd.in/edW9T4xs #HighTouchCare #HealthcareInnovation #CommunityImpact

Living with a chronic condition can be challenging, but managing it doesn't have to be. Our Chronic Care Management program provides personalized support every step of the way. Improve care for patients with chronic conditions and increase value-based reimbursement with 360 HealthTek’s fully integrated chronic care management solution. #Healthcare #chroniccare #chroniccaremanagement #care #reimbursement #patientcare #360healthtek

AAPCHO’s Guiding Principles and Values (https://lnkd.in/gj4NACjp) recognizes that communities are the experts on their own health and essential participants in the health of their communities, families and selves. In value-based care, health care providers recognize that each person is unique and can experience improved health outcomes through person-centered, coordinated care. Let's work together to enhance understanding of #ValueBasedCare and its role in improving health care and the patient experience including people with Medicaid and Medicare. Centers for Medicare & Medicaid Services’ Value-Based Care Spotlight site can help:  go.cms.gov/VBC It features: - Patient and Provider Voices that highlight different aspects of value-based care told through personal stories: go.cms.gov/vbc-stories - Info for patients and the public, including what value-based care is, how it contributes to better care coordination and whole-person care, and how it addresses health equity: go.cms.gov/vbc-basics - Info for providers, explaining what they can expect by participating in value-based care and how the CMS Innovation Center will support their success:  go.cms.gov/providers - Links to other helpful resources: go.cms.gov/vbc-resources #WhatDoYouValue

CommonSpirit's financial struggles from claim denials and delayed payments highlight the growing burden on health systems, despite efforts to increase patient volumes and lower labor costs. Payers continue to shift costs onto providers, leading to operational losses. At PayerWatch, we recognize these challenges and work aggressively to help healthcare systems recoup rightful revenue. Our team is committed to addressing these payer obstacles with innovative solutions, ensuring that providers are compensated fairly for the critical care they deliver. Health systems deserve a partner who understands their pain and fights alongside them. https://lnkd.in/g3mYVurC

"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

Datapoint: Exchange Sign-Ups See 31% Annual Increase: More than 21 million people selected or were automatically reenrolled in health plans during the most recent Affordable Care Act open enrollment period (OEP). That’s according to one of four reports issued by HHS on March 22 marking the 10-ye... Read More #marketaccess #lifesciences #pbm

I believe whole-heartedly in the potential of value-based care to improve healthcare coordination and quality of care, and alleviate physician burnout and ultimately drive affordability in healthcare. Nevertheless, value-based care is challenging for health plans to administer. Here's some thoughts on why.