Physicians Pushing Back Against Private Equity Firm Buyouts
Private equity firms are increasingly taking over small medical groups and nabbing hospital contracts in the process. To fight back against this growing trend, a group of providers formed the Association for Independent Medicine (AIM). AIM argues that practices like rolling smaller groups into larger companies or the sale-leaseback model are hurting providers and patients.
ED Coding Leaves Payers and Providers at Odds
Recent increases in high-intensity emergency department (ED) billing in the US have put payers and providers at odds. A recently published study in Health Affairs investigates the underlying causes of this growth, looking at data from the Nationwide Emergency Department Sample. Almost half the increases come down to administrative changes and higher utilization by older adults. Another reason for the recent increase in high-intensity billing, the authors argue, comes down to coding changes.
Payer Groups Team up with Cedar to Improve Patient Financial Experience
The Allegheny Health Network and Highmark Health have announced a new partnership with Ceder to help revamp and consolidate their patient payment information, combining payer and provider prices together. The teamup between the payer and provider is intended to improve the patient financial experience and reduce medical bill-related confusion.
Meeting Patients’ Needs – the Role of the Provider
Taking on a more holistic approach to care requires consideration of a patient’s social determinants of health (SDoH). Amongst these factors is whether the patient’s basic needs are being met. A recent survey of 75 provider systems found that most providers are considering SDoH, but these efforts tend to be directed at specific patient groups rather than the whole.
Course Available: Introduction to Health Economics and Outcomes Research
A new course is being offered by ISPOR to teach clinicians the basics of health economics and outcomes research. Participants [...]
Medisafe Case Study: Human + Digital to Improve Medicare Adherence
A manufacturer collaborated with Lash Group and Medisafe to implement a digital support solution that helped improve patient medication compliance. [...]
Electronic Prior Authorizations are Gaining Steam
Prior authorizations are not very popular among providers due to their heavy administrative burden and the barriers they seem to [...]
Towards a Better Understanding of Outcome-Based Contracts
Outcome-based contracting is an operational model that requires an ironclad relationship between customer and provider that provides the trust necessary [...]
Health Economics & Outcomes Research (HEOR) Services Market Research Report 2020 Just Released
Intellectual Research Partners has released the Health Economics & Outcomes Research (HEOR) Services Market Research Report 2020.The report details the [...]
