By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the […]
Resources
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management […]
40% & Counting
By Monica E Oss, Chief Executive Officer The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial […]
VBR Marches On – A Trend Driving 2022 Strategy
By Monica E. Oss, Chief Executive Officer We started the year with the release of new reports on the continued movement away from fee-for-service reimbursement to alternate, value-based reimbursement (VBR) models. Over half of health systems are planning to move […]
Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
By Monica E. Oss, Chief Executive Officer There has been a long debate about the scope of health care practices. What type of licensed clinical professionals can perform particular functions? Should psychologists and/or pharmacists prescribe psychotropic medications? What supervision do […]
The Opportunities & Challenges Of VBR – Making It Work On The Ground
By Monica E. Oss, Chief Executive Officer Despite significant movement, behavioral health is trailing the rest of health care domains in value-based reimbursement contracting. Forty-five percent of specialty provider organizations have some value-based reimbursement (VBR)—compared to 72% of primary care […]
Making Tech Work
By Monica E. Oss, Chief Executive Officer Tech investment in health care is big. Eighty percent of health care provider organization executive teams are looking to make additional investments in technology in the next five years (see Future Of Healthcare Report: […]
How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs
By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment […]
Addressing Social Determinants As A Path To Revenue Growth
By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several […]
WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members
On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are […]