Paul A. Bell

Strong payer collaboration is essential for the success of value-based care, especially in specialty areas like #GI. At SonarMD, we've seen firsthand how effective partnerships can lead to better outcomes and reduced costs for chronic conditions like #IBD. For more insights and evidence on how we're making a difference, check out our Evidence Page for our clinically validated outcomes: https://lnkd.in/gSspnWqb

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The Association of Healthcare Value Analysis Professionals (AHVAP) is excited to invite dynamic and insightful speakers to share their expertise at the 2025 AHVAP Annual Conference and Industry Partner Expo, which will be hosted next October in beautiful Grapevine, Texas at the Gaylord Texan Resort. This premier event, dedicated to advancing the field of healthcare value analysis, will bring together professionals, thought leaders, and industry innovators to explore the latest trends, challenges, and best practices in value analysis. With an expected attendance of 500+ professionals from across North America, this is the industry's premier professional gathering for the healthcare value analysis specialty. We are excited to officially open our call for speakers, which will close at midnight ET on December 31, 2024.    We are seeking speakers who are passionate about transforming healthcare through value-driven strategies, improving patient outcomes, and fostering cross-functional collaboration. Whether you are a seasoned value analysis professional, clinician, supply chain expert, or industry partner, this is your opportunity to contribute to the conversation and inspire a community of like-minded professionals.   The 2025 conference theme, focuses on Catalysts for a Resilient Future: Driving Healthcare Value Through Strategic Innovation, and we welcome proposals that align with this vision. This theme focuses on the pivotal role of value analysis professionals, healthcare professionals, and industry partners in shaping the strategic and resilient future of healthcare through leading practices and enterprise initiatives. It showcases how proactive decision-making, industry partnerships, and innovative solutions contribute to optimized patient outcomes, continuous quality improvement, and effective fiscal responsibility in a dynamic healthcare environment. Join us in shaping the future of healthcare value analysis by sharing your unique insights, case studies, and innovative solutions with an engaged audience of professionals dedicated to creating impactful change.   Please note that all submissions are limited to two (2) speakers. Selected speakers will receive complimentary full conference registration, but are responsible for other costs for conference attendance. Sessions may be selected for thirty (30) or sixty (60) minute blocks based on scheduling needs for the event.    To submit your presentation for consideration: https://lnkd.in/e7tTjzed. #AHVAP2025 #AHVAP #valuebasedcare #valueanalysis #professionaldevelopment #valueanalysis

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Our legislative panel at #TAHP2024 brought together key Texas lawmakers for candid conversations about health care policy: Crucial insights from our legislative leaders: ➞ Private equity's impact on health care costs needs attention ➞ Provider shortages threaten access, especially in rural areas ➞ Price transparency is essential for a functioning market ➞ Health coverage mandates need careful consideration The discussion highlighted bipartisan interest in practical solutions to: ➞ Lower costs for Texas families ➞ Improve access to care ➞ Increase transparency ➞ Create sustainable policy solutions Most importantly: Our legislators are focused on making health care work better for all Texans.

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Value-based care often focuses on primary care rather than specialties. But can and should that change? Especially when it comes to cardiology. In this HealthBiz Brief, George M. Aloth, CEO of Chamber, explains how they are enabling cardiology teams to excel in a value-based system by ensuring providers are rewarded for delivering the right care at the right time. 📲 Listen to the full episode 🎧👇 https://lnkd.in/gpb2-HWe #healthcarepodcast #healthcare #valuebasedcare #cardiology #hearthealth #providers #accesstocare

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🎯 👩‍⚕️ Are Health professionals truly focused on patients? 👨‍⚕️ 🎯 This was a key question last monday at the fireside chat hosted by Ariadna Masó, CEO at SANNO, and Mark Duman, Chief Patient Officer at MD Healthcare Consultants, and held at the Barcelona Health Hub. They pointed out that while most professionals would answer "yes" to that question, many patients would disagree; and invited the attendants to discuss further about this huge gap. Our CEO, Daniel Esteban-Ferrer, PhD, participated as an expert in #SpatialComputing emphasising the following three crucial aspects regarding to patient-centered strategies: 1. Spatial Computing is a great tool to adhere patients to their treatments (i.e. Trauma, Strokes, Parkinson, etc.) 2. It will save time and stress to medical doctors which can be dedicated to personalised patient attention 3. It will empower patients through education and personalised information to better face their diseases As a #DigitalHealth company, at VRAIn we are committed to the best practices in order to ensure patients´engagement so we thank Ariadna her personal invitation to join this enlightening event.

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Texas Children’s Health Plan Medicaid Contract Loss The loss of Texas Children’s Health Plan Medicaid contract could severely impact provider revenues and patient care. Learn how healthcare providers can navigate this challenge with proactive strategies. #MedicaidContractLoss #ProviderRevenue #HealthcareProviders #TexasMedicaid #TCHP #PatientCare #ClaimsMed #TexasChildren

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The Nursing Beat is coming to you LIVE from HLTH Inc. Team TNB is covering the Nurses @ HLTH track, which kicked off today with some incredible panels reflecting on the current state of healthcare & how systems are innovating from the ground up. 1️⃣ Stephen A. Ferrara, DNP, FAAN, American Association of Nurse Practitioners, moderated a panel on how nurse-led care models are transforming healthcare delivery. Featuring -   🩺 Sarah Price, National Association of Community Health Centers (NACHC) 🩺 Jing Wang, Florida State University - College of Nursing 🩺 Sherene Schlegel, Providence 💡 Key Takeaways 👉 Nursing schools should integrate public health & community health courses throughout their curricula, along with virtual care education & training, including technologies like wearables & ambient intelligence. Additionally, health systems & home-based care providers should explore developing innovative virtual care education & training programs. By leveraging nurse informaticists, we can improve data sharing & care coordination across community clinics. 2️⃣ Bre Loughlin, MS, RN, Nurse Disrupted, Inc., then moderated a panel on utilizing virtual nursing to aid the workforce staffing challenges featuring panelists - 🩺 Terri Couts, RN-BC MHA, The Guthrie Clinic 🩺 Brittany Cyriacks, MSN, RN, NI-BC, UCHealth 🩺 Tonychris Nnaka, PhD, MPH, RN, University of North Texas 💡 Key Takeaways 👉 Health systems should engage nurses in the design & implementation of virtual nursing solutions to ensure nurse-led & nurse-centered innovation. Nursing schools should expose nursing students to virtual nursing models to prepare them for the future of healthcare. Virtual nursing initiatives can be started by clearly defining the problem, building a business case, & measuring key metrics to demonstrate impact. 3️⃣ Margo B Minissian, PhD, RN, ACNP-BC, NEA-BC, FAHA, FAAN, Cedars-Sinai moderated a panel on implementing tools to reduce the documentation burden. Featuring - 🩺 Cheristi Cognetta Rieke, DNP, Mayo Clinic 🩺 Heather Hart, HCA Healthcare 🩺 Tracy Breece, MSN, NI-BC, CPHIMS, Mercy Health 💡 Key Takeaways 👉 Health systems must explore opportunities to automate patient information transfer between inpatient & ambulatory settings & leverage virtual nursing to support the discharge process. Engage nurses to identify technology gaps & collaborate with partners to pilot new solutions & gather valuable feedback. In reflecting on day one of HLTH, Tonychris Nnaka, PhD, MPH, RN, said it best - "What we do in nursing is all scientifically driven, but oftentimes we don't talk about it, & we let other people talk about our success…I've been in spaces where [nurses] did something effective...grounded in the scientific court of nursing, [but] we let other people tell the story." Team TNB is a team of nurses on a mission to share the stories & amplify the work of our nursing community. ⏰ Stay tuned tomorrow for more live updates from HLTH Inc.

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"Watershed’s SaaS platform gives providers real-time information, including health status, social determinants of health, location and involved care team members." #care #healthcare #healthtechnology #digitalhealth #saas #postacute

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Healthcare Access Across the U.S.: Texas Among the Worst as Disparities Widen Forbes Advisor’s recent analysis reveals stark disparities in healthcare access across the U.S., highlighting how factors like insurance coverage, availability of primary care providers, and hospital resources vary widely by state. States in the West, such as Utah, Nevada, and Arizona, scored among the worst, with limited numbers of hospital beds and physicians contributing to poor accessibility. In contrast, states like Massachusetts and Connecticut offer far better healthcare access, boasting low uninsured rates and high numbers of primary care providers. Texas ranks as the third-worst state, facing high uninsured rates and limited healthcare infrastructure in many areas. For Texans, healthcare access often depends on proximity to larger cities, as rural and suburban areas can lack sufficient medical resources, leaving many without timely or affordable care. Comments from our CEO James (Jim) Rodriguez, FACHE: “Here we go again! Texas is ranked the 3rd worst state for access to healthcare! Unbelievable! The survey was done using 14 metrics to compare all 50 states including things such as hospital beds per 1000, lack of health insurance (our worst metric) and others. I’m calling on the Texas Legislature to do something this coming session to reduce the number of uninsured in Texas. How can we hold our head high as Texans when we have this many uninsured? Its time to start using all those excess funds we hear about and yes, even the Rainy Day Funds if we have to because it rains on the uninsured every day!” To read the full article by Deanna Cuadra, visit the link below. https://lnkd.in/dQfMgG7q   #healthcare #health #healthcoverage #insurance #uninsured #premiumassistance #subsidy #texas

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In part two of this two-part Breaking Down Health Care conversation, John Hennessy, MBA, and Michael Kolodziej, MD, dig into the other main stakeholders in health care costs: pharmaceutical manufacturers and providers. They discuss how these entities contribute to the current high costs of care in the US and how they can help control those costs for patients. "Nobody's innocent. Everybody's playing a role in this. And if we want access, we need to approach cost... At the end of the day, we want patients to get good care. And we don't want people to go bankrupt getting good care. So, we need to think about change. And we need to be open to the idea that everybody needs to give a little to get to the end, which is, I won't call it nirvana, I'll just call it a better health care system," said Dr Kolodziej. Watch the full conversation here: https://lnkd.in/eDBgpsnP #JournalOfClinicalPathways #CancerCare #CostOfCare #ValueBasedCare #HealthCare #Insurance #CBex

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💡Flexible. 🚀 Forward-looking. 📉 Self-Funded Health Plans. Get the blueprint for transparent, flexible #healthplans on a turnkey integrated platform. ➡️ Download here: https://lnkd.in/enTH3Fyj? Inside: 🔸98% Member Satisfaction Survey Rating 🔸95% of Member Calls Answered in Less Than 30 Seconds 🔸4% Medical Trend - national trend is 8-10%. 🔸1.8% Pharmacy Trend - national trend is 8.4%. 🌠 With a high-touch service model, companies improve the employee experience, significantly lower #healthcare costs & regain control of their claims. Keith Lemer | Dave Earle | Megan Chiarello | Zach Messing | Heidi Hina, CSFS | Shelly Kelsey | Zachary Pitcher | #tpa #selffunding #employeebenefits

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In a recent MD Anderson Cancer Center study analyzing re-excision rates in breast-conserving surgery and associated healthcare costs, "Reoperations were associated with 24% higher costs in both the commercial and Medicare cohorts, which translated into $21,607 and $8559 incremental costs, respectively." Read the study and learn how reoperations in #breastcancer care contribute to increased financial burden on the healthcare system. https://lnkd.in/e4Cj88GT

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Check out the press release to learn more.

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📢 Reminder to Texas Providers: The Dec. 13th Deadline is Approaching! 📢 HHSC has released a notice regarding nursing facilities (NFs) that have not met the QIPP Year 7 (SFY 2024) Conditions of Participation. Facilities have until Friday, December 13, 2024, to submit the required documentation. ⚠️ Failure to comply will result in removal from the program for SFY2024 and recoupment of all funds previously paid this program year. ✅ Action Steps: 1️⃣ Check the LTSS Provider Finance QIPP webpage under “QIPP Year 7 (SFY2024)” to confirm your facility’s status. 2️⃣ Review and submit required Performance Improvement Project (PIP) templates if needed. 3️⃣ Respond to HHSC emails as soon as possible. 📧 Questions? Contact [email protected]. 🔗 We know how important every dollar is when it comes to Texas reimbursement rates. Stay compliant, meet the deadline, and protect your funding! We're here to help. #TXQIPP #CrestmarkCares https://lnkd.in/g3Xs8V9p

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In the latest issue of the Journal of Clinical Pathways, Andrew Pecora, MD, and colleagues, provide insights and perspective from each constituent involved in shaping health care payment and delivery throughout the US. "Self-imposed problems have tied the health care industry into knots with no clear path to untie them. We cannot change laws restricting innovation if we ask patients and physi­cians to reduce total cost of care without proper support and appropriate incentives for clinicians and other care providers to ensure achievement of the highest quality clinical outcomes," said the authors. Read the full report here: https://lnkd.in/eiWuKegG #JournalOfClinicalPathways #ValueBasedCare #HealthCareCosts #HealthCareIndustry #Payers #Providers

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“Ballad Health’s Center for Clinical Transformation & Outcomes Optimization exemplifies the organization’s commitment to creating a unified, high-reliability healthcare system that is grounded in best evidence-based practices, innovation and a relentless focus on improving patient outcomes,” Becker's Healthcare reports. Our Center for Clinical Transformation is driving improvements across all Ballad Health hospitals, fostering a culture of clinical excellence. Dr. Amit Vashist, MD, MBA, FACHE, chief clinical officer, and Dr. Preetham Talari, MD, MBA, FACHE, vice president of clinical transformation and outcomes optimization, spoke with Becker’s Clinical Leadership on how data, analytics and innovative technology drive clinical improvements. Whether standardizing diabetes care with an evidence-based system, reducing fall-related sentinel events by 35%, or launching a virtual sepsis monitoring unit that decreased mortality by 27%, these efforts highlight our team’s commitment to enhancing patient safety and clinical outcomes through systemwide innovation. Read the full article below! #balladhealth #clinicalleadership #patientsafety

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