🔹 Platform Economy in Healthcare: Path to Innovation or Regulatory Roadblock? Wellster’s Insights from the 2024 Autumn Symposium 🔹 At yesterday’s Autumn Symposium of the German Association of Statutory Health Insurance Physicians, our General Counsel, Anna Wierzchowski, shed light on how the platform economy in healthcare can transform patient care through telemedicine—if regulatory frameworks allow. In her talk, “Patient-Centered Telemedicine – Innovative Approaches and Necessary Standards,” Anna highlighted that while digital health platforms offer new efficiencies and better access to care, regulations like HWG §9 create challenges that threaten to slow this progress. Wellster advocates for a balanced approach where patient safety and data protection are paramount, but without stifling the innovation needed to meet healthcare demands. Thank you to the organizers and all participants for a productive discussion on how we can shape a digital-first, patient-centric future in healthcare. Together, let’s unlock the potential of telemedicine and platform-based care. #PlatformEconomy #Telemedicine #HWG9 #DigitalHealth #WellsterHealth GKV-Spitzenverband Kassenärztliche Bundesvereinigung (KBV) Jens Pruetting Schürmann Rosenthal Dreyer Rechtsanwälte
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E-Visits are remote medical consultations conducted via video calls, telephone calls, or secure messaging platforms. They allow patients to receive medical advice, diagnosis, treatment, and follow-up care without needing to visit a healthcare facility physically. Legislative and regulatory framework The German government has supported the integration of E-Visits through various legislative measures, such as the Digital Healthcare Act (Digitale-Versorgung-Gesetz, DVG), which facilitates the use of digital health services. The Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA) and the National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung, KBV) have established guidelines to ensure the quality and security of telemedicine services. #digitalhealth
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In light of the recent Pharmacy Practice News report, the spotlight is on a critical issue in our healthcare system: unjustified insurance denials. These denials are not just bureaucratic obstacles—they directly impact patient outcomes by delaying timely care. As we push for a more efficient and patient-centered healthcare system, addressing this problem is paramount. The report urges healthcare providers to adopt more proactive strategies to minimize these delays, which could include implementing advanced analytics to predict and preemptively address potential denial scenarios or lobbying for policy reforms. This issue dovetails with the larger industry trend towards value-based care and interoperability, aiming for seamless, efficient, and patient-focused service. Let's discuss: What strategies has your organization implemented to combat insurance denials? How can we collaborate to create a more supportive framework for patient care? #HealthcareReform #PatientCare #Insurance #ValueBasedCare #MedicalIndustry #HealthcareInnovation
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Personalized Insurance plans for Individuals, Families and Self Employed. Small Business plans to attract and retain talent. We provide Dental, Health, Intl.Health, Life, Long term Care and Medicare Insurance.
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Our documentary reveals the conflicting incentives among brokers, healthcare providers, insurance companies, employers, and patients. It explores the inverse relationship between cost and quality, showcasing how medical providers take advantage of the lack of transparency in the system. Additionally, it sheds light on Pharmacy Benefit Managers (PBMs) and the hidden terms in their contracts that prioritize their own interests over those of their clients. The film also investigates new transparent and cost-effective solutions that employers can adopt to improve their employees' healthcare quality while reducing overall costs for the company. There’s a treasure trove of information waiting to be discovered! Could this hint at a potential future documentary? You’ll have to stay tuned to find out! #healthcaredocumentary #costvsquality #healthcaretransparency #PBM #healthinsurance #employersolutions #patientadvocacy #documentaryfilm #brokersandproviders #futureofhealthcare
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Sharing - Strengthening The No Surprises Act's Independent Dispute Resolution Process: Stakeholder Perspectives Every year, millions of people receive balance bills—additional out-of-pocket charges after insurance has paid its share—from out-of-network health care providers, facilities, or air ambulance providers, many of which are unexpected, so-called “surprise” bills. In December 2020, Congress enacted the No Surprises Act (NSA), a provision of the Consolidated Appropriations Act, 2021, to protect patients from surprise medical bills in certain circumstances and establish a process for providers and insurers and health plans to determine out-of-network reimbursement. #healthcare #nosurprisesact Click the link below to read the complete article.
Strengthening The No Surprises Act's Independent Dispute Resolution Process: Stakeholder Perspectives - Healthcare - United States
mondaq.com
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Doctors Ditch Insurance for Subscription-Based Healthcare Model Doctors are ditching traditional insurance in favor of a subscription-based model that offers more affordable and predictable healthcare costs. This shift is a response to skyrocketing healthcare costs in the US. With this new model, patients pay a monthly fee for access to a range of medical services, including primary care, specialist visits, and even prescriptions. This approach aims to reduce administrative costs and provide more personalized care. Could a subscription-based model be the future of healthcare? Share your thoughts! #MUB #PCIS #PurpleCowServices #PurpleCow #eCommerce #Healthcare #SubscriptionBased #AffordableCare #PredictableCosts #FutureOfHealthcare #DigitalHealth #MedicalInnovation #HealthcareReform #PatientCenteredCare #MedicalSubscription #HealthcareCosts #USHealthcareSystem
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Doctors Ditch Insurance for Subscription-Based Healthcare Model Doctors are ditching traditional insurance in favor of a subscription-based model that offers more affordable and predictable healthcare costs. This shift is a response to skyrocketing healthcare costs in the US. With this new model, patients pay a monthly fee for access to a range of medical services, including primary care, specialist visits, and even prescriptions. This approach aims to reduce administrative costs and provide more personalized care. Could a subscription-based model be the future of healthcare? Share your thoughts! #MUB #PCIS #PurpleCowServices #PurpleCow #eCommerce #Healthcare #SubscriptionBased #AffordableCare #PredictableCosts #FutureOfHealthcare #DigitalHealth #MedicalInnovation #HealthcareReform #PatientCenteredCare #MedicalSubscription #HealthcareCosts #USHealthcareSystem
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#transcript Mark Galvin, Co-Founder, President & CEO of TALON, discusses the Transparency in Coverage rule in healthcare, which was added to the Affordable Care Act & requires commercial health plan sponsors to provide transparency in the costs of tests, procedures, & other medical services. The rule aims to provide patients with information on pricing & out-of-pocket costs before committing to services. The lack of awareness & understanding of the rule is in part due to the vested interests of certain stakeholders, such as insurance carriers, who are financially conflicted in driving down the cost of medical claims. #HealthcareCosts #Hospitals #ReduceHealthcareCosts talonhealthtech.com https://lnkd.in/gS4rKBQu
Transparency in Coverage Rule Provides Precision of Price and Negotiated Rates for Healthcare with Mark Galvin TALON TRANSCRIPT
empoweredpatientradio.com
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Insurance challenges are a daily reality for patients, providers, and innovators alike. While recent news has cast a spotlight on the leadership of some major insurance giants, the bigger question remains: how do we make healthcare truly accessible, transparent, and efficient? #SyauctusAI #Syauctus #Healthcare #HealthInsurance #InsuranceDenials #MedicalBilling #HealthcareReform #PatientAdvocacy #HealthTech #HealthcareInnovation #Medicare #Medicaid #AffordableCare #HealthPolicy #InsuranceClaims #PriorAuthorization #MedicalNecessity #HealthcareAccess #PatientCare #HealthEquity #HealthcareSystem #HealthCoverage #InsuranceIssues #HealthcareCosts #HealthServices #HealthcareProviders #HealthMatters
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📢 Attention Employers: Struggling with Rising Health Insurance Costs? Year after year, health insurance premiums go up, benefits shrink, and employees are left frustrated. As an employer, it’s challenging to provide quality healthcare options without breaking the budget. There’s a better solution: Direct Primary Care (DPC). At Free Range Direct Primary Care, we’re changing the game for employers and their teams: ✅ Affordable, predictable costs – No surprise premium hikes. ✅ Comprehensive care – Employees get longer visits, personalized care, and direct access to their doctor. ✅ Healthier employees – With proactive, relationship-based care, we help prevent problems before they escalate. By partnering with DPC, you can offer a healthcare solution that employees will love and your budget will appreciate. Let’s talk about how we can make healthcare simple, affordable, and effective for your team. 📞 Contact us today to learn more or visit our website: www.frdpc.com #DirectPrimaryCare #EmployerBenefits #HealthcareRevolution #EmployeeWellness
Free Range DPC | Primary Care in Charlottesville
frdpc.com
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