As many of you are now aware, there’s somewhat of a legislative consensus emerging that now includes the House Freedom Caucus on a draft amendment that would resurrect the American Health Care Act (AHCA), which you’ll recall was pulled from the House floor at the last minute just as leaders came to realize they didn’t have the votes in order to successfully repeal Obamacare.
My optimistic view… As a provider of health care services, there is always concern with how and who will be paying for the services that are provided to patients in government programs. As a consumer, you are concerned with how you will be able to afford your premiums when they once again increase disproportionally with your income.
But the principles of quality, affordable care have remained consistent in the health care bubble that I have been involved in for over twenty years now -- Keep people well and out of the hospital and health care costs will remain low. From the early days of managed care, provider groups who were proactive in member wellness and management activities grew and flourished. Government agencies and health plans noticed these successes and began incorporating quality measures into incentive programs in a wide variety of forms. Unfortunately, these incentives led to mandates and extensive regulation and administration for everyone in the industry…driving up the administrative costs.
At the current growth rate, high deductible insurance plans offered through employers will predominate within four years. This has broad implications, which are only beginning to be felt.
Topics: Patient Engagement
It’s important to realize that there isn't a single silver bullet that will solve all your patient experience problems.
Topics: Patient Engagement
One of the biggest challenges healthcare organizations face today is patient engagement. At Citra, we define successful engagement as:
With HEDIS®, CAHPS®, STARS and HRSA Clinical Core measures tied directly to reimbursements, care gaps can have a serious negative impact on a health care organization’s bottom line. Every year billions of dollars in reimbursements and other payer incentives are tied to quality performance. Quality scores can also have a big impact on a plan’s Exchange rating. As a result, many organizations are implementing formal quality improvement programs.
This year's convention covered more square footage than 21 football fields and showcased over 1200 vendors, with almost 300 of them exhibiting at HIMSS for the first time. The booths were divided over several exhibition floors along with educational sessions and professional certification exams being conducted in separate meeting rooms for those interested in continuing education. All in all, more than 45,000 people attended. With all of these attendees and spectators, there were a number of recurring themes: