Insights

To stay financially viable, healthcare providers need to think outside the box. That means taking a proactive approach by diversifying their care delivery options and transitioning away from a traditional hospital-only model.

As inflation continues to skyrocket, the healthcare sector is feeling the strain with an alarming uptick in the cost of operation. Currently, at 3.2%, healthcare costs are far lower than their 8.3% market counterparts; however, this won’t last long, and premiums for consumers may soon follow suit as a result of our fee-for-service system being unable to weather these economic storms.

Healthcare benefits are the 2nd largest expense employers incur—which is why they must be part of the value-based care (VBC) conversation, joining providers, patients & payers in finding solutions for rising costs and lack of transparency.

Healthcare can’t continue on its current path. It’s chaotic, inefficient, and unsustainable. To fix it takes restructuring from inside out. Value-based care strategies solve these problems and put patients first.

Chronic diseases are hurting America. Nearly half of Americans suffer from at least one chronic disease. A shift to value-based care will lead to better outcomes and better care management.

As the cost of healthcare continues to rise, industry leaders continue to advocate value-based care models that align payment with patient outcomes.

As healthcare is becoming increasingly personalized, data breaches seem to be multiplying. With the growing amount of sensitive data that is being collected, security must be a top priority for everyone involved.

In their 2021 Value-Based Care Report, Humana demonstrates that provider commitment to value-based contracting is imperative to improving health outcomes (especially amid a pandemic).

The No Surprises Act, which prohibits provider balance billing, presents new reimbursement challenges for out-of-network providers. Here are a few ways that providers can adjust to the new reality and protect their interests.

The No Surprises Act was signed into law to protect patients from surprise medical bills, but the challenges providers face may result in unintended consequences.