Sammy Wahab’s Post

There are just 10 days left for eligible general practices and Aboriginal Community Controlled Health Organisations (ACCHOs) to invest grants awarded in the Strengthening Medicare GP Grants Program before the deadline of 30 June 2024. 'Enhancing digital health capability' is one of the investment streams that the grant can be invested in. Find out how you can enhance digital health capability across your organisation at: https://ow.ly/Nbh650Sixyb #digitalhealth #healthcare

Prospective payments were an important theme of conversation at NAACOS’ spring conference. Generally, I believe this is a good policy as it gives ACOs resources to invest in the infrastructure, like data and analytics tooling, to succeed in value-based care. Advanced payment can also level the playing field and motivate more providers to make the shift from volume to value. At a time when budgets are stretched, these resources can help fuel the transformation we need for the sustainability of our healthcare system.

"Temporary Funding Assistance Program" Change Healthcare processes payments for many payers and those systems were impacted. We understand the urgency of resuming payment operations and continuing the flow of payments through the health care ecosystem. While we are working to resume standard payment operations, we recognize that some providers who receive payments from payers that were processed by Change Healthcare, may need more immediate access to funding.  We are mobilizing Optum Financial Services to help our Change Healthcare colleagues and customers support the most impacted providers.  For provider organizations impacted by that payer system outage, we’ve established a temporary funding assistance support program to help with short-term cash flow needs. You can now choose to receive short-term temporary funding assistance from us. Once standard payment operations resume, the funds will simply need to be repaid.  We have been able to estimate your average weekly payments, which will be the basis for the support. Our plan is to take this week by week with people re-upping for funding each week as needs persist.  For clarity, this is not a program for providers who have had claims submission disruptions but rather for those whose payment distribution has been impacted.  To determine eligibility and funding amount, you must register for the program. An Optum Pay account is required to complete registration and to receive funds and repay funds. Use your existing Optum Pay account or sign-up for Optum Pay to log-in.

🚨 Big News in Healthcare 🚨 Zing Health, a Chicago-based Medicare Advantage insurer, just raised $140M in new funding! 💰 Backed by Health2047 Capital Partners, CRG LP, First Trust Capital Partners, and existing investors Newlight Partners, Town Hall Ventures, Health2047, and Leavitt Equity Partners. This capital will help Zing Health expand its chronic special needs-focused plans to serve more beneficiaries. 👵🏻👴🏽 Why It Matters: • Zing Health is committed to providing personalized care tailored to members' specific health and social needs. 💡 • Led by CEO Andrew Clifton, they work with a broad network of high-quality providers to ensure better healthcare outcomes. 🏥 Co-founded in 2019 by Dr. Eric Whitaker and Garfield S Collins, Zing Health’s mission is to deliver value-based care and enhanced member experiences through technology and innovative product design. 📲 This funding will strengthen their platform, empowering them to make high-quality care more accessible to even more Medicare beneficiaries across the U.S. 🌍 Zing Health is transforming Medicare Advantage – are you keeping up? 🚀 📢 Stay tuned to Future Techly for the latest updates on this groundbreaking initiative and the latest in tech and business! 💥 Source: FinSMEs #HealthcareInnovation #MedicareAdvantage #ZingHealth #ChronicCare #PersonalizedCare #ValueBasedCare #HealthTech #FutureTechly

A nice read for those #healthequitywarriors still trying to catch up with the latest alternative payment models (APMs).....How many acronyms do we have in healthcare? Clearly not enough! 🤣 #ACOReach #APMs #VBC #healthequity RISE

True success in any population health strategy requires the system to address and curb healthcare cost growth; improve population health; and advance health equity by reducing disparities in health outcomes.  #Medicaid #Healthcaredisparties. #healthoutcomes #popualtionhealth

Steps for healthcare orgs to deal with the halted claims processing because of the Change Healthcare hack in March 2024: Short-term Solutions: - Apply for Temporary Funding Assistance from Optum - no fees, interest, cost - expected to start receiving funds within 3-5 days after applying - any provider who receives payments from payers processed by Change qualifies - payment based on average weekly disbursements prior to the hack https://lnkd.in/edX3e8wK - Use another claim clearinghouse. Some report being able to start processing claims through Optum's another clearinghouse, Intelligent EDI (iEDI), within 24 hours https://lnkd.in/e_DVN-Eb. - Contact your MAC to get up to 30 days of accelerated/advanced Medicare Part A/B payments https://lnkd.in/ecv5AaE8 Medium-term Actions: - Diversify your billing services to minimize reliance on a single provider. - Push your EHR/PMS vendor to connect to multiple clearing houses for enhanced resilience and efficiency. - Build a cash cushion or secure a line of credit that you can tap in case of disruptions - Negotiate with payers for better terms in light of current challenges. Long-term Strategy: Accelerate your transition to Value-Based Care (VBC) - VBC's monthly per patient payments offer more stability and less reliance on the volume of claim submissions. Stretch Goal: Lobby your politicians to create a federal healthcare payment clearinghouse similar to FedNow service implemented by the Federal Reserve Board. The challenges we face today, much like the ashes from which the Phoenix rises, lay the groundwork for a stronger, more adaptable future in healthcare. As we navigate these times, let's discuss and share our paths towards rebirth, resilience, and a sustainable healthcare ecosystem. If you know any organization struggling because of the halted claims processing, please share the post with them. If you your organization has deployed other steps to deal with the halted claims processing, please leave in comments. Together we can weather the storm.

Financial challenges will impact other health systems and hospitals across the US. Addressing healthcare cost and reimbursement issues, access to care, and improvement requires a nuanced legislative hand. That currently does not exist in the GOP-controlled House.

The Open Enrollment period for Obamacare is from November 1 to December 15. However, it's wise to start early to secure the best healthcare options! 🏥✨ Here's why it's important to begin preparations now. 🔍 Early Prep, Wise Choices: Use this time to evaluate your health needs, anticipate changes, and assess your current plan. Being proactive allows you to enter the enrollment period with a clear understanding of what you truly need. 🗓️ Mark Your Calendar: Don't let the enrollment period catch you off guard! Set a reminder for the start date and ensure you have ample time to explore, compare, and choose the perfect healthcare plan for you and your family. 👩💻 Stay Informed: Knowledge is power! Stay updated on any changes or new offerings in Obamacare plans. Being in the know ensures you make decisions based on the most current and relevant information. 📑 Gather Your Docs: Get a head start on paperwork! Collect essential documents like income details and healthcare expenses. Having everything in order streamlines the process and ensures a smoother enrollment experience. 💪 Empower Your Health: Early preparation isn't just about paperwork; it's about empowering yourself to make informed decisions. Take control of your healthcare journey and make choices that align with your well-being and financial goals. 🚀 Don't wait – start your countdown to a healthier, stress-free future now! 🌈💙  —---------------------- 𝐓𝐌𝐓 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 | 𝐇𝐨𝐮𝐬𝐭𝐨𝐧, 𝐓𝐗 🪷 𝘞𝑒 𝐶𝘰𝑣𝘦𝑟 𝑌𝘰𝑢 𝑊𝘪𝑡𝘩 𝘓𝑜𝘷𝑒 💙 ☎️ 832-415-9075 (Houston) 📢 12060 Bellaire Blvd suite g, Houston, TX 77072, United States 🌐 Visit us at www.tmtinsurance.com 📍 We are located at  https://lnkd.in/eCy-vuJR 𝐎𝐭𝐡𝐞𝐫 𝐀𝐫𝐞𝐚𝐬 𝐖𝐞 𝐒𝐞𝐫𝐯𝐞 𝐢𝐧 𝐓𝐞𝐱𝐚𝐬: Texas City, Dallas, San Antonio, Austin, Fort Worth, El Paso, Arlington, Corpus Christi, Plano, and Laredo. #WeCoverYouWithLove #Houston #LifeInsurance #LifeInsuranceHouston #InsuranceCompanyHouston #Texas #ObamacarePrep #HealthcareChoices #PlanAhead

What did 4 CFOs talk about Healthcare Financial Management Association (HFMA) conference in June? Improving operating margins. Pivot Point Consulting can help healthcare systems improve their bottom lines, from discontinuing unprofitable service lines and cutting costs to fighting for greater reimbursement from health plans. Read more of what the CFOs had to say: https://lnkd.in/gWxEhUbq I #RevenueCycleManagement #HealthcareFinances #HealthcareLeadership #HospitalCFO Healthcare Finance News