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.
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.
It’s important to realize that there isn't a single silver bullet that will solve all your patient experience problems.
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.
CMS announced that a new mandatory payment model will go into effect beginning TODAY. Comprehensive Care for Joint Replacement (CJR) will hold hospitals and their partners accountable for quality measurement for an episode of care associated with knee and hip replacements – from initial hospitalization through recovery. This is the latest example of CMS migrating toward a value-based reimbursement model.
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: