Bronwyn Spira’s Post

In case you missed this... MANDATORY CMS bundles for several high volume surgical services to begin in 2026. Program is called TEAM. Health systems will be at risk for all services, including post acute for 30 days, beginning at the time of the procedure. This is a big lift. The data, approach to care and relationships necessary to be successful will require significant transformation. Most organizations will need a partner to support this work if they don't have significant value based care experience. MA plans should take note. Might make sense to mirror the CMS program.

Cost of service and quality of care are key to adhering to #CMS #TEAM. Find out how hospitals leveraging a #digitalcare solution saw an overall 26% reduction in 90-day #readmissions, helping meet requirements: https://lnkd.in/evuJH_si

HSBlox, Inc CEO (Rahul Sharma) and COO (Lynn Carroll) talk about the importance of patient engagement for a successful #VBC implementation. For VBC to succeed, it is imperative that providers and payers share with patients their personal medical histories as well as educational materials that help individuals take a more proactive and effective role in their care management. An engaged patient is an empowered patient. #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/gGMMyYXi

Really interesting answers from other healthcare leaders on the future of ASCs in one word. Personally, my word would have to be "Patient-centered" (that counts as one word, right?). ASCs have always been built on a dedication to patient-centricity, but throughout the years, I've seen that commitment grow more and more, and I predict it will continue to do so. #ASCs #Healthcare #PatientCare

What we find particularly noteworthy about this story is that ambulatory care is driving Tenet's growth, despite the ambulatory care segment accounting for 19% of revenues in 2023 compared to 81% from the company's hospital segment. The report notes that Tenet is focused on allocating capital to higher return-generating investments, and analysts are anticipating more upside for the company. #tenet #ambulatorycare #ambulatorysurgery #outpatientsurgery

HSBlox, Inc CEO (Rahul Sharma) and COO (Lynn Carroll) talk about the importance of patient engagement for a successful #VBC implementation. For VBC to succeed, it is imperative that providers and payers share with patients their personal medical histories as well as educational materials that help individuals take a more proactive and effective role in their care management. An engaged patient is an empowered patient. #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Rahul Sharma, Lynn Carroll, Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/gGMMyYXi

HSBlox, Inc's CEO (Rahul Sharma) and COO (Lynn Carroll) discuss why Patient Engagement is the Key to Success of Value-Based Care Programs. While greater operational efficiency and cost control are essential to the success of #VBC initiatives, so too is patient engagement. Care coordination and care management are far more difficult – and far less likely to achieve optimal outcomes – without patients who are fully engaged with their providers. #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/guxUhWfX

The benefits of #CDI programs are well known across the industry. So, why are healthcare organizations still hesitant to adopt them? Challenges such as staffing shortages are an obvious reason, but the easiest obstacles to address today are less tangible: CDI misconceptions. In our latest article, Dave Friedenson, MD, FACEP tackles some of the most common myths associated with CDI and explores how these programs help to improve both patient outcomes and the financial integrity of healthcare organizations: https://buff.ly/4eC3tz3. If you're at AHIMA24 next week, swing by Booth #1126 to learn about CDI strategies and best practices. #clinicaldocumentation #CDI #healthcare #RCM #AHIMA

On March 9, 2024, President Biden signed the Consolidated Appropriations Act, 2024, which included a 2.93 percent update to the CY 2024 Physician Fee Schedule (PFS) Conversion Factor (CF) for dates of service March 9 through December 31, 2024. This replaces the 1.25 percent update provided by the Consolidated Appropriations Act, 2023, therefore the CY 2024 CF for dates of service January 1 through March 8, 2024 is $32.74. CMS has implemented the new legislation by adjusting the CY 2023 CF of $33.07 by 2.93 percent and the budget neutrality adjustment for a CY 2024 CF of $33.29 for dates of service March 9 through December 31. CMS is also releasing updated payment files, including the MPFS and associated abstract files, the Ambulatory Surgical Center (ASC) FS, and Anesthesia file.https://https://lnkd.in/gjDrfRKA

CMS's upcoming Transforming Episode Accountability Model (TEAM), launching on January 1, 2026, marks a significant advancement in episode-based alternative payment models. TEAM builds on the successes and lessons learned from previous models, with a strong focus on improving patient outcomes through coordinated care. This mandatory model will require hospitals in selected geographic regions to be accountable for the cost and quality of care from surgery through 30 days post-discharge, incentivizing more coordinated care transitions and reducing avoidable readmissions. TEAM also incorporates measures to prioritize health equity and address climate change impact on healthcare.  The launch of this model represents a significant step forward in transforming the healthcare landscape and enhancing value-based care for Medicare beneficiaries. https://lnkd.in/eKy9eKGT