BHM Services
Risk Management 101 | Types of Risk
Before we can even begin to talk about mitigating risk, we have to know the types of risk out there. Risk Management is an integral part of any healthcare system.
Shifting Risk: A Pharmacy Perspective on Value-Based Purchasing
Summary: In this article we will discuss Value-Based Purchasing and how it impacts the Pharma industry in particular. According to an issue brief by Deloitte Center for Health Solutions, Value-based pricing for pharmaceuticals: Implications of the shift from volume to value, a shift in risk is occurring in the pharma industry as a result of healthcare legislation, culminating with the Affordable Care Act (ACA).
5 Aspects of CMS’ 2015 Proposed IPPS Regulations
On April 30, 2014, CMS announced proposed IPPS regulations to become effective January 1, 2015. The ruling covers: Hospital Value-Based Purchasing Program, Hospital Readmissions Reduction Program, Hospital-Acquired Condition Reduction Program, Quality Reporting Programs, and Wage Index – Updated Labor Market Areas. CMS just announced proposed regulations to become effective January 1, 2015. These regulations further the goals of the Affordable Care Act: increasing patient outcomes and reducing healthcare spending. These proposed regulations are Medicare specific and, if approved, will be applicable to general acute care and long-term care hospitals.
5 Healthcare IT Risks in 2014
In the last few decades, increasing availability of technology in healthcare has lead to some amazing advances, both for physicians and patients. Documentation for physicians is well on its way to becoming more streamlined, thanks to the interconnectivity of electronic health records, and the potential for "One patient, one record" only becomes more of a reality with each new innovation.
ACOs Rapidly Expanding Across States
Accountable Care Organizations (ACOs) are gaining in popularity as a result of the ACA. BHM Healthcare Solutions, a healthcare management consulting firm, has a team of experts dedicated to providing assistance to organizations as they transition from a traditional fee-for-service model to an ACOs assisting in the critical transition to provide quality of care..
RAC Audits Still Haunting Medicare Patients, Hospitals.
Since last fall, the Recovery Audit Contractors have greatly slowed their requests for charts from hospitals nationwide. The program, which has been under fire from the American Hospital Association virtually since it’s inception in 2006, is currently undergoing reform. That being said, for many involved in the previous audits the damage has already been done.
Telemedicine is Expanding but Faces Obstacles
Summary: As a result of the ACA and the increase in patients while the physician shortage is magnified, efforts are under way to address the lopsidedness of supply and demand. One of those efforts is telemedicine. The influx in individuals who are recently eligible for insurance coverage has added fuel to the fire in terms of the number of physicians who can provide care. Telemedicine is expanding in popularity and use as a means to address this issue, while also reducing healthcare costs and increasing both accessibility and affordability.
Factors Influencing ACO Expansion
Summary: What is contributing to the rapid expansion of ACOs? What programs are currently being piloted? What are the initial results of current ACOs? What is an ACO? An ACO is a group of healthcare providers who work together and accept accountability for reducing costs and increasing quality of care.
Strategic Planning | Find Your Core Values
Strategic planning for a healthcare organization needs to incorporate several focuses, but a great place to start is by defining your core values. An organization's core values guide all members of the healthcare system as they work to bring the best care possible to their communities. By defining core values, they can share these with patients and the mission becomes clear to all.
Benefits of ACOs to Both Patients and Providers
Summary: Accountable Care Organizations (ACOs) are gaining in popularity as a result of the Affordable Care Act. Have you considered the benefits of ACOs from both the patient and provider perspectives? One of the goals of the Affordable Care Act (ACA) is to provide coordinated care which, in turn, increases quality and efficiency within the healthcare field, and reduces costs. ACOs – What is an ACO? ACOs are groups of providers which form an organization based upon the Medical Home (or PCMH) concept. The Medical Home places responsibility for the coordination of care with the primary physician. The primary care physician coordinates with other physicians and providers such as specialty physicians, laboratories and diagnostic imaging, providing a central point for the patient’s medical information.