2 min read
Examining one year of transitional care management
When it comes to hospital discharges, going home ought to mean staying home. As a geriatrician, I’ve learned that the largest gaps in care often occur in those first few days and weeks after being discharged from a hospital or rehabilitation facility. Too often, providers lose track of patients once they are discharged from a hospital, only to see them back there within a month or two.
Topics: SDOH Value-based care Return to Home
2 min read
Can primary care escape the tyranny of productivity?
It's no secret that primary care providers are stretched increasingly thin. They're being asked to do more - see more patients, manage more conditions, do more charting - all with limited resources and for less money. The constant pressures of reaching RVU goals by churning through more patients weighs continuously on both provider and patient satisfaction, and as a result, the norm is too often an abrupt ten-minute patient visit.
Topics: Value-based care Accountable care models
6 min read
To Whom Do The Rewards Of Advanced Alternative Payment Models Go? Those Who Deserve It Most
In its recent Strategy Refresh, the Center for Medicare and Medicaid Services’ Innovation Center performs a needed introspection of the work done to-date with the alternative payment models piloted and fully implemented, and lays out a clear agenda for continuing its work and meeting important objectives. This report, which is the focus of the virtual Value-Based Payment Summit, has elicited many reactions from health policy experts and, in some cases, raised questions about the potential negative impact of these models on Medicare beneficiaries and the enrichment of model participants at the expense of the Medicare Trust Fund.
Topics: Value-based care
7 min read
Time well spent: Up to one hour to better outcomes with an in-home health evaluation
Time has a special meaning in geriatrics, for both patients and the geriatricians like me that treat them. Older patients are focused on maintaining their function and independence so they can enjoy every day-week-month as happily and healthily as they can. Geriatricians know that to achieve those goals, we need time to connect with patients on both a personal and professional level. Doctors have traditionally been lucky to spend even 15 minutes with their patients — just enough time to cover the chief complaint and maybe some chronic disease basics.
Topics: Medicare Advantage SDOH Value-based care Healthy aging
2 min read
Blazing healthcare’s tech trail
As the healthcare industry continues its transformation from the costly pay-as-you-go, fee-for-service model to paying for those services that actually make you better, all eyes are on health technologists. The transformation to “value-based care” requires a seismic shift of all market forces happening simultaneously and requiring a new level of interoperability, connectivity, scalability and usability.