Health Care Reform Archives - Page 8 of 31 - BHM Healthcare Solutions

New Rules for ACOs

2024-06-27T12:12:06-04:00By BHM Marketing|Accountable Care Organizations, Compliance, Health Care Reform, Services|

Accountable Care Organizations (ACOs) may have an additional three years before penalties would be enforced for poor performance, according to a new proposal by the Federal government. These groups of doctors, hospitals, and providers that care for Medicare patients work jointly as ACOs toward the goal of retaining whatever additional financial resources are left over after completed care. Currently, there are about 330 ACOs in the United States, and together they have saved Medicare more than $700 million in healthcare spending.

Forming Alliances to Mitigate Risk – Payer Provider Perspective

2017-04-02T13:28:26-04:00By BHM Marketing|Clinical Analysis, Financial Analysis, Health Care Reform, Services|

We hear a lot about bi-partisanship in politics - but what about healthcare? Sometimes it seems like the payers and the providers, the administrative and the clinical, are across the aisle from one another in more ways than one, and it brings to mind the challenges faced by politicians who just can’t see from the other side’s perspective. While politics shoulders many competing agendas, when it comes to healthcare the bottom line is the same no matter where you are: good health for the best price. This is even true of the patient’s themselves, who are becoming more and more concerned with the cost of the services they receive - and using the internet to find out if there’s a better “bargain” on care somewhere else.

5 Challenges Hospitals Face in 2015

2017-04-02T13:28:27-04:00By BHM Marketing|Clinical Analysis, Financial Analysis, Health Care Reform, Services|

You might be thinking - “Just five challenges?!” and it’s true that the healthcare industry is facing many challenges at the moment. Five of them, however, are most specific to hospitals. We often think of hospitals as the “front lines” of healthcare, and while it may be true that the majority of practicing physicians, nurses and allied health professionals find employment there, new data shows that one vital piece of the hospital picture might be missing: patients.

5 Ways Healthcare Delivery Has Changed Forever | Doctor’s Channel

2017-04-02T13:28:27-04:00By BHM Marketing|Clinical Operations Improvement, Health Care Reform, Quality Improvement Programs, Services|

As part of BHM’s partnership with The Doctor’s Channel, Anthony Grimaldi, BHM’s Senior Vice President Provider/Hospital Division, explains the changes to the way that providers must deliver healthcare.

5 Things You Need to Know About ACA in 2015

2017-04-02T13:28:27-04:00By BHM Marketing|Health Care Reform, Health Insurance, Health Insurance Exchange, Healthcare Preventitive Care, Services|

Five years into the Affordable Care Act, the healthcare climate of the United States has continued to evolve and improve. While there are some long term changes required that have just begun to take shape, many changes brought about by the ACA are immediate gratification. Changes to Medicare and Medicaid have helped many Americans gain coverage that they previously wouldn’t have had access to. While the system is imperfect, there’s plenty of positivity to consider since it launched in 2010.

Revamping Your Revenue Cycle for 2015 |7 Things to Consider

2017-04-02T13:28:27-04:00By BHM Marketing|Accountable Care Organizations, Financial Analysis, Health Care Reform, Physician Compensation, Quality Improvement Programs, Revenue Cycle Improvement, Services|

There are few aspects of healthcare that are more controversial, confounding and frustrating than payment reform. It’s hard to imagine that there was ever a time when patients just paid the doctor for their services. Since that payment method created economic disparities in access among the rich and the poor, several reforms later we find ourselves somewhat on the opposite end of the spectrum: more patients than ever can have access to care, but the process for compensating physicians hasn’t been able to keep up. Doctors are rendering services without receiving payment - and their practices can’t sustain on that type of arrangement!

Open Enrollment 2015 | Enrolling in the Marketplace

2017-04-02T13:28:28-04:00By BHM Marketing|Health Care Reform, Health Insurance, Health Insurance Exchange|

Open enrollment doesn’t start for a couple more days, but if you’re shopping around the health insurance marketplace, you know that the “window shopping” phase of enrollment has already begun. If you remember the marketplace 1.0 fiasco from last year, and are hesitant to give the new and improved page a go, here’s a rundown of what you can expect when you head over to sign up.

Eeny Meeny Miney Money | Understanding Fee for Service Alternatives

2017-04-02T13:28:28-04:00By BHM Marketing|Accountable Care Organizations, Financial Analysis, Health Care Reform, Managed Care, Services|

When we look at the fee-for-service model from only one perspective, it’s easy to condemn it as “the reason” healthcare spending has spiraled out of control. When it comes to how providers bill for services, having the ability to bill for anything and everything could, and certainly did, encourage the ordering of too many tests and procedures, even unnecessary ones. The idea of value-based payment models not only encourages providers to make more mindful choices, but cost-effective ones too. It also challenges healthcare systems, pharmaceutical companies and patients to be even more vigilant about healthcare costs. Fees are relative to each party involved.

One Year Since CMS Cracked Down on Readmissions | Where Are We Now?

2017-04-02T13:28:31-04:00By BHM Marketing|Care Coordination, Clinical Analysis, Health Care Reform, Physician Compensation, Quality Improvement Programs, Readmissions, Services, Telehealth and Telemedicine|

October 1st of last year, CMS cracked down on readmission rates for hospitals nationwide, handing out millions of dollars in penalties. The Affordable Care Act put these measures into place in order to curb the problem of readmissions, which are not only costly, but reflect an overall poor population health in the U.S. - especially for those patients with chronic conditions. For FY ‘14, 2% was withheld from payments per the guidelines for penalties. By 2015, the rate of withholding for penalties is expected to top 3%. In addition to the higher payments, there will also be additional diagnoses included in the readmission criteria list - it began with heart attacks, pneumonia and heart failure and will now expand to include COPD and complications from chronic lung conditions.

3 Ways Providers Optimize the “Pay-for-Performance” Model of Care|Doctor’s Channel

2017-04-02T13:28:33-04:00By BHM Marketing|Financial Analysis, Health Care Reform, Physician Compensation, Services|

As part of BHM’s new partnership with The Doctor’s Channel, Anthony Grimaldi, BHM’s Senior Vice President Provider/Hospital Division, speaks about optimizing Pay-for-Performance models in healthcare. The Doctor’s Channel specializes in short, interesting video clips (generally 2 minutes or less) that educate doctors and other medical professionals on nearly any specialty imaginable. The vast video library also has many segments and series that are eligible for CME, making it an excellent resource for providers.

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