The cost of medication has long been a topic of debate. One key question is whether, high-priced medications truly provide value by reducing the disease burden and offering financial benefits in the long run. This ‘return on investment’ concept becomes especially critical in value-based payment contracts, where the focus often shifts towards controlling short-term spending rather than addressing… Read More »
Electronic Health Records (EHRs) were initially designed to replicate the paper chart and aid in coding accuracy for payment. Unfortunately, this initial design only added more workload for the clinicians. The true value of EHRs lies in their ability to present data in an easier-to-digest format and using the data to help make decisions that support and enhance… Read More »
The US Supreme Court’s decision on Chevron deference isn’t merely a legal technicality, it’s a potential game-changer for healthcare. The implications could be profound, potentially reshaping healthcare policy and regulation as we know it. This situation warrants our attention and understanding. Congress sets the law of the land and federal agencies were created to implement those laws to… Read More »
Recently, Medicare Advantage (MA) plans have surged in popularity, accounting for more than 50% of coverage for Medicare beneficiaries. Consequently, this rise has intensified competition among payors, leading to increasingly aggressive marketing strategies. To thrive in this competitive landscape, MA providers must differentiate their plans. Experience shows that targeting specific demographic segments is an effective strategy, and MA plans are… Read More »
The healthcare delivery ecosystem stands as a crucial pillar of society, dedicated to providing care when it’s needed. Yet, in our noble pursuit of meeting this demand and ensuring the common good through prevention initiatives, we’ve perhaps overlooked a vital aspect: the power of advocacy for social and behavioral change. Shouldn’t healthcare systems extend their reach beyond clinical… Read More »
Healthcare workers play a crucial role in serving others, especially when their patients are at their most vulnerable. They provide their services with utmost dedication and respect, going beyond their duties to show empathy and care. However, they are also at a higher risk of experiencing violence at work, accounting for 73% of all nonfatal workplace injuries. Moreover,… Read More »
In an era where healthcare expenditure looms large and continues to grow, discussions surrounding non-profit hospitals’ tax-exempt status have gained momentum, triggering conversations to the value communities are receiving in lieu of tax revenue generation. Hospitals were borne out of the social necessity of where to care for people who are sick when they could not be cared… Read More »
In our continual pursuit of delivering enhanced value to those we serve; we are embarking on a transformative journey. One that shifts our approach from a solely physiologic model to one more rooted in understanding human conditions and behavioral economics. Rather than solely educating individuals on their disease states, our focus now lies in activating and engaging them… Read More »
Currently, it seems Artificial Intelligence (AI) is at the forefront of everything, including influencing and transforming healthcare. At the same time, there continues to be a growing emphasis is on ensuring equitable access to healthcare services. Recognizing the potential biases within AI systems, the Department of Health and Human Services has taken a significant step by proposing rules… Read More »
In the dynamic realm of medicine, the pursuit of knowledge is a fundamental pillar for dedicated professionals. Particularly in a field where information continually advances and evidence-based practices shape patient care, the importance of maintaining board certification is a crucial consideration. However, as physicians navigate this landscape, a fundamental question surfaces: Does board certification genuinely reflect a physician’s… Read More »