value based care

Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.

This white paper presents IDC’s analysis of the business value organizations are achieving by using Cisco UCS as a platform for SAP HANA and other SAP Business Suite applications. This analysis is based on IDC’s interviews with 12 Cisco UCS customers. These organizations are all relatively large organizations (1,500–85,000 employees), with an average of 25,383 employees. Interviewees represent a variety of industries: natural resources, agriculture, energy, government, automotive, retail, food and beverage, distribution, technology, healthcare, and IT. These organizations are based in the United States, EMEA, Mexico, and Brazil.

Chilmark Research, a global research and advisory firm, recently released a report rating vendors and solutions in the healthcare analytics industry. IBM Watson Health, a leader in healthcare analytics, has put together this infographic comparing how its solutions stack up against some of the closest competitors in the industry in areas such as population discovery and definition, predictive analytics, cost and utilization, and claims data contribution.

The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement

Providers need new engagement strategies and workflows, such as those offered by Lumeris, which empower consumers to make educated health choices and become partners in their own wellness. In turn, patients need the right support from their providers, in innovative, high-touch forms, so they can make the right health care and financial choices for themselves and their families. Lumeris offers five strategies for effective consumer engagement, as well as the high-touch, technological know-how to activate patients.

For health plans, health systems and delegated payer operations, or health systems wanting to become their own payer, Lumeris’ turnkey outsourcing offers expert support to design, build, operate, measure, and optimize value-based health plan operations that can drive clinical and financial excellence. This can be evidenced by our ability to help clients achieve higher revenue, lower costs, higher market share, and meeting mandates for medical cost ratio contained in the Patient Protection and Affordable Care Act.

Download this case study to learn how Allscripts Professional solutions have enabled Pulmonary Associates of Richmond to meet Meaningful Use, earning incentives of $714,000.

Download this case study to learn how Allscripts Professional solutions have helped Cornerstone Medical Care in Brandon, Florida negotiate value-based contracts, accounting for a seven-figure increase in revenue.

Cornerstone Medical Care, a 10-provider practice in Brandon, Florida is currently using Allscripts EHR solutions to shift from fee for service to value based care. Today, their risk-based contracts have accounted for a seven-figure increase in revenue. Download the webinar now to learn how!

Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.

Changing healthcare market forces, such as value-based care models, consolidation, and payer mix erosion, have propagated declining margins and fueled hyper-competition among healthcare organizations vying for market share. In this new world, determining effective patient engagement strategies has become paramount for hospitals and health systems as they strive to acquire, retain, and re-activate patients, and, ultimately, drive revenue. Now, more than ever, it is critical that healthcare organizations create and maintain positive, lasting relationships with their patients, both current and prospective, working to attract them into their network and keep them there.

Independent physician practices are weighing their options as fee-for-service reimbursement models shift to value-based-care models, such as Accountable Care Organizations (ACOs). Download this white paper to learn more about forming ACOs.

Download our ebook today to discover how Allscripts Value-based Care Services can help your practice adjust to changing reimbursement trends.

It’s clear: the healthcare industry is in need of change. And today, the system is undergoing a critical transformation as it shifts from a volume-based to a value-based delivery model. Gone are the days of simply treating illness. Now, the focus is on managing the episode of care, containing the costs of delivery, optimizing services and improving patient outcomes.

It’s no secret—healthcare is transforming. The transition to value-based care is well underway; healthcare players are feeling the impact and each has a role to play, including you! Moving to a value-driven model demands agility from every person, process and technology. These changes are generating more data than ever, there is a lot of data, in fact IDC Global Health Insights predicted that over the next 10 years, the amount of digital healthcare data created annually will grow 44 fold. Organizations that lead the pack and succeed will be those where clinicians, business leaders and patients are empowered with access to clean, safe and connected data. Learn more about your role in putting information to work…

This case study examines in more detail BSVMG’s approach to transitioning to value-based care—and outlines Phytel’s recommended roadmap to successful population health management.

The transition from fee-for-service to value-based reimbursement has been a challenge for many providers. Financial incentives that favored high service volumes must now be re-focused to accommodate alternative models such as bundled payments and accountable care organizations (ACOs).

Gaps in care in health systems cause higher mortality rates and inflate costs. Download this case study for a closer look at how one health system used IBM CareDiscovery data to prove to their board that an outpatient palliative care service line was viable in both cost savings and quality of care improvement.

Download this whitepaper to learn more about these five capabilities to keep your practice independent: -Strong Financial Performance -Connectivity and Clinical Integration -Ability to Win at Risk -Competitive Edge -Adaptability to Change

From the rise of data analytics to new needs in budgeting, the shift to value-based medicine is bringing a fresh set of challenges to healthcare CFOs. How can you best meet these new demands and turn change into opportunity? This Becker’s Hospital Review eBook compiles 10 must-read articles that offer executive tips, actionable insights, and noteworthy trends for healthcare finance technology.

As the healthcare industry shifts toward value-based care, organizations stand to benefit from providing an exceptional experience not only for their patients, but also for their care providers. Read the Becker’s Hospital Review ebook, sponsored by Workday, to learn how your healthcare organization can: Boost care provider retention Avoid common pitfalls of succession planning Handle staffing shortages

To reduce risk and cost, as well as better serve individuals and populations, visibility across the entire episode of care is essential. Oracle’s Cost Effective Healthcare solution combines cost, quality and clinical data to analyze root causes and variations. Our customers are transforming to more competitive, financially viable healthcare organizations using Oracle’s secure, modern Cloud solution. During this webinar, you’ll learn: Reduce cost by analyzing episode of care outliers Alleviate risk due to clinical variations and value-based contracts Lessen IT cost with a consolidated, secure Cloud Platform Understand the tangible business value our healthcare customers are realizing

The transition to value-based outcomes, an aging population, and new mobile and wearable and chat bot technologies are driving changes across every aspect of the healthcare industry. Advances in digital health technologies hold great promise that healthcare can be delivered in smarter, simpler, and more cost effective ways. Mobile technologies can foster patient engagement, enhance care team communication, reduce cost of delivery, and improve the healthcare experience for both patients and their providers. The key is figuring out which apps to tackle first. This document outlines a few of the key use cases that are showing positive impact. While this isn’t an exhaustive list, it provides several great places to start on the digital health innovation journey.

In the world of value-based healthcare, your data is the key to extracting the most actionable insights that provide real value to your organization. But getting to those insights can prove difficult, especially if you have to connect disparate data sources. You need transparency into key insights that can help your team make more informed decisions for the success of your organization. In this listicle, we explore five ways an analytics solution can help you transform your organization through the power of insight. From risk modeling to predictive analytics, utilizing the right mix of analytics can improve patient outcomes and ultimately move your organization closer to your ideal value-based care model

The shift to value-based care means that healthcare organizations should expand their concept of return on investment (ROI) to include the ability of solutions to increase efficiency and contain healthcare costs. Data analytics and automation capabilities have become important tools for providers aiming to maximize value-based payments. Learn from this whitepaper about the best ways for healthcare organizations to measure health IT ROI in the value-based environment, including specific examples of how certain providers are approaching this challenge.