Healthcare workers on the front lines are overwhelmed, while all stakeholders are struggling to serve the massive patient influx. As the virus brutally tore through the population, the COVID-19 pandemic was declared a national emergency in the United States. With this, it became essential for large healthcare organizations to implement new protocols and operate within a critical time frame of information exchange. Virtual care emerged as a crucial IT solution to free providers from non-emergent care scenarios in the hospital and assist them in minimizing their exposure to the virus.

Healthcare workers on the front lines are overwhelmed, while all stakeholders are struggling to serve the massive patient influx. As the virus brutally tore through the population, the COVID-19 pandemic was declared a national emergency in the United States. With this, it became essential for large healthcare organizations to implement new protocols and operate within a critical time frame of information exchange. Virtual care emerged as a crucial IT solution to free providers from non-emergent care scenarios in the hospital and assist them in minimizing their exposure to the virus.

Optimizing pre-surgical care procedures to boost patient health outcomes and ROI for health systems

Healthcare consumerism is on the rise and health plan beneficiaries want to receive the highest quality of care at reduced costs. By extending the health data pool to patients, the Final Interoperability and Patient Access Rules issued under the 21st Century Cures Act is attempting to hand over the reins of the care journey to the patients. That way, quality and cost objectives will be fulfilled while accelerating the momentum of the value-based care movement.

Healthcare consumerism is on the rise, and so is the competition in the health plan market. With the increased number of health plans, consumers have more options to choose from, making them more price-sensitive and less inclined to stick to just one plan. In this competitive landscape, payers need to offer more value to patients. They need to reduce the time spent on disseminating claims and completing unnecessary paperwork and improve the overall member experience.

Medical coding may sound simple; however, there are quite a few things that can and do go wrong. The sheer volume of manual documentation and paperwork creates opportunities for error, thereby leading to improper payments.

Value-based contract has emerged as one of the best payment models, given its positive implications on care quality, health outcomes, and costs. Despite the evidence supporting the benefits of value-based care, payers are still resistant to adopting this model. The primary reason behind the apprehension is the data-sharing challenge.

Bundled payments are quickly gaining traction as one of the stepping stones for providers looking to enter Alternative Payment Models (APMs). Although the goal is to boost payer-provider collaboration and foster a better risk-sharing arrangement for achieving value-based care outcomes, providers face multiple challenges in getting accustomed to the new payment models.

Empowered primary care facilities have long been proposed as a solution to improving care quality and containing soaring costs. Many new cutting-edge approaches and solutions are been leveraged by healthcare executives across the nation.

Pediatric care has made many breakthroughs in the 21st century. We are witnessing a progression towards value-based care in pediatrics at a variable pace across the US, and there is a common set of drivers impacting it.