Hayes' Healthcare Blog

5 Benefits of Increased Patient Engagement You May Not Know

Posted by Susan Cruz on October 26, 2016 at 9:00 AM

In today’s disruptive healthcare environment, we’re hearing of all sorts of new initiatives that aim to provide the best and most
affordable healthcare to patients.  Everything from MACRA, to Meaningful Use, to interoperability.  A common theme among these is the active foundation of improving health and realizing increased patient engagement.  With the shift from fee-for-service to fee-for-value, patients and consumers are becoming less passive and more proactive and engaged.  With this idea on the tip of everyone’s tongue, one might ask questions like, how do I create the best environment for my providers and their patients? What is the best way to educate patients on what exactly is going into their healthcare? How do I increase my patient engagement?

Not unlike using the age-old sentiment that history repeats itself, you can begin to answer these questions by going back to examples of how people have been engaged in their education in the past.  When you talk about education, you intuitively think of school. Active learning is a methodology utilized in the classroom to move the students from the role of passive receivers of information to that of active participants responsible for their own learning.  Techniques used in active learning include discussion, self-assessment, projects, group learning, self-defined goals, and more.  These techniques have proven to be far more effective than the traditional learning environment in which students sit passively and listen to lectures from a seemingly autocratic authority.

Similarly, the provider-patient role in many healthcare institutions has evolved throughout history into an authority and passive recipient relationship.  But as we noted earlier, this is clearly starting to shift within the healthcare industry today.  With the implementations of value-based care, we are seeing the provider-patient relationship shifting to organically place more ownership of the patients’ own health onto their plates to become more like the traditional consumer of any good or service, and less like a passive student within a lecture-style environment. 

While the healthcare industry is abuzz with all sorts of opinions about these initiatives and the shift value-based care, one perspective you can take is to see the win-win benefits of such an evolution of healthcare, especially for providers.

Here are five benefits that you may not have realized since the industry has started to steer patients into becoming active learning healthcare consumers.

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Topics: Fee-for-service, value-based care, provider education, patient engagement

The Two Sides of MACRA: Examining the Pros and Cons

Posted by Don Michaels, Ph.D. on August 10, 2016 at 9:00 AM

The shock and awe of the April release of the 962-page Notice of Proposed Rulemaking (NPRM) for the Medicare Access and CHIP Reauthorization Act (MACRA) has started to wear off as the healthcare industry continues to dig into the details. Slogging through the NPRM is an intimidating but necessary chore as healthcare organizations try to determine how it affects them.

MACRA represents change – significant change – in the way Medicare providers conduct business so it’s not surprising that much of the feedback has been negative. People dislike and fear change regardless of the reasons for it or the potential positive outcomes. Adding to the resistance is the fact that in recent years, changes in the healthcare industry have been aimed at providers like water from a fire hose and “change fatigue” is starting to set in. Lastly, providers know that most governmental changes to reimbursement have meant fewer collections for their practice. At best, they have been trained to hope that these types of changes are revenue neutral.

Despite the negative reviews, MACRA and the NPRM that puts it into action is not all bad. In fact there are several positives to be taken from the new law. Here is a look at the major pros and cons of MACRA.

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Topics: cms, Fee-for-service, value-based care, MACRA

Why you need a Data Analytics Plan and How to Get Started

Posted by Sou Chon Young on May 11, 2016 at 9:00 AM

 

Rapidly changing payment methods. Shift from fee-for-service to value-based care. Declining insurance reimbursements. Increased government regulations.

Sound familiar? The litany of changes impacting the healthcare industry appears to grow longer every day. Taken together, they add up to one thing: more stress on your revenue cycle. Organizations need to adapt to this new reality to survive the upheaval.

There is a way for you to not only address these issues, but also to thrive in the turbulent times ahead. The key to solving the dilemma is close at hand: the data that resides in your EHR and other IT systems and applications. Harnessing this treasure trove of information and converting it into actionable data can help you meet the growing demands you face. But to access this big data, you need to develop a comprehensive data analytics program.

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Topics: Data analytics, Fee-for-service, value-based care, big data

Caring for the Clinician: The Key to Improving Patient Experience, Enhancing Health Outcomes, and Reducing Cost

Posted by Jerry Ford, CEO, Marathon Health on April 20, 2016 at 9:00 AM

According to the CMS National Healthcare Expenditure Projections report, the U. S. healthcare system is the most expensive in the world, making up 17% of the country’s gross domestic product. Projections have that number reaching to nearly 20% by 2020.[1] Aging populations combined with chronic health problems have put an enormous strain on medical and social services.

The reality is our healthcare system is broken. The way it’s constructed makes it difficult to navigate – for patients, providers, and employers. The good news is that visionary leaders and organizations are embracing change in an attempt to make a meaningful difference. That’s important because we should not be handing over the healthcare delivery system we’ve created to future generations. But instead of pointing fingers or assessing blame, we should be working together to make needed changes.

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Topics: patient satisfaction, Fee-for-service, value-based care, Hayes Thought Leadership Blog Series, healthcare improvement

Fee-For-Service to Value-Based Care: The Future is Now

Posted by Don Michaels, Ph.D. on March 9, 2016 at 9:00 AM

The U.S. Department of Health and Human Services (HHS) has a stated goal of shifting 85% of Medicare fee-for-service reimbursement into value-based models by 2016. Private payers will no doubt follow close behind. Meeting this aggressive goal is causing angst among healthcare providers with much conjecture about what it means for their organizations going forward.

The future, however, isn’t as bleak as it may seem. Several forward-looking organizations have leapt into the breach and embraced the change. Although there have been bumps along the way, a few have successfully made the transition and offer both a preview into life in the new reimbursement model world and examples of what you need to do as a provider organization to be successful.

Here are three examples.

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Topics: ACOs, Fee-for-service, value-based care

Healthcare Leaders Blog: 5 Steps to Prepare Your Organization for Value-Based Care, Don Michaels, Ph.D.

Posted by Don Michaels, Ph.D. on November 11, 2015 at 9:00 AM

The shift from fee-for-service to value-based care may be moving slowly, but there’s little doubt that the change is inevitable. According to a recent survey by PwC, alternative incentive based payment models like bundles and capitation currently make up a small percentage of payments. The report indicated that at the end of 2014, only 20% of Medicare payments to hospitals are tied to alternative payment methods. On the physician side, more than half of physician revenue is still based on a fee-for-service model.

Clearly change is on the way. How will you prepare your organization for value-based care?

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Topics: Change management, payment models, Fee-for-service, Hayes Thought Leadership Blog Series

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