Insights

One of the most important topics in healthcare today is the shift to value-based care. This shift in cost and quality considerations can leave providers wondering where they need to begin.

As payers look at designing value-based care payment models, it is important that they understand the current state of their market, their patient population, and how programs can fit with existing models.

StartUp Health continuously leads the industry by supporting great entrepreneurs to achieve their Health Moonshots. Through our partnership with StartUp Health and the global network of Health Transformers®, Enlace Health has made tremendous strides to deliver sustainable healthcare to all participants.

A recent study stated that 1 in 5 readmissions was potentially preventable. This leads to increased costs and poorer outcomes for the patients. When we look at some of the causes of readmission, the solution may be within value-based care models.

Healthcare is currently serving 5 generations who have different experiences, expectations, and needs. As the industry continues to shift to VBC models, they need to also take into account these differences.

Value-Based Care programs have already proven to decrease healthcare costs and improve quality. Yet, there is more that can be done through these programs to increase savings and improve quality of care.

When referring a patient to a specialist, a lot more needs to be considered than just if that specialist is in-network. The right technology and incorporating the right data can get patients to the right specialist.

Protected Health Information (PHI) has become more vulnerable to today’s aggressive hackers. The response must be proactive protection of patient data.

CMS will be launching a radiation oncology bundle in 2022. As we help our clients who have already taken the step to implement such bundles, we are seeing the clinical and financial benefits for both the payer and provider.

The shift in total joint replacement procedures from inpatient to Ambulatory Surgery Centers has the potential to reduce costs while maintaining at least the same level of quality outcomes. However, patients and doctors still need to look at the potential risks involved.