What can providers and payers do, beyond tech upgrades, to more closely align their services with millennial expectations?
Category: Independent Medical Reviews
Millennials came of age during the 2000s and 2010s alongside applications for smartphones, tablets and cloud platforms, all of which have shaped their expectations for the way services are delivered.
Air ambulances have rapidly become vital and unique fixtures of the U.S. healthcare system. As specialized aircrafts – i.e., medically equipped helicopters and fixed-wing airplanes – they provide emergency transportation over distances and/or terrains that would be impractical for ground ambulances. Their use has surged since 1980, when medical helicopters began to be manufactured […]
“Patient-centered” is a widely used term in health care discussions, but what does it really mean? The patient-centered medical home (PCMH) provides an instructive example. A PCMH embodies an approach to the primary care practice (PCP), one in which care is coordinated, accountable and comprehensive, as well as inclusive of wellness, preventive, acute and chronic […]
Making an effective transition to value-based care, and to a corresponding reimbursement model that works for medical providers, insurers and patients alike, is a longstanding goal for much of the U.S. healthcare system. There are many compelling reasons for adopting value-based reimbursement (VBR) as a replacement for traditional fee-for-service (FFS), with two of the most notable […]
As the scope of behavioral health has expanded to include chronic conditions and substance abuse, so has its approach to payment models. Since the ACA, in particular, America has witnessed its health care system shift from a predominately pay-for-service model to one with various reimbursement models that focus on long-term improvements, promoting efficiency and reducing […]
Behavioral health is a flexible term that can refer to a potentially broad set of medical issues. It is most often used when discussing mental health conditions like major depressive disorder, but, with growing frequency, it also applies to the diagnosis and treatment of virtually any behavior-influenced condition. These include chronic diseases such as diabetes, […]
For centuries, healthcare providers have offered behavioral health treatments for a variety of mental and physical conditions. Today, we often equate behavioral health only with mental health, but the term is broader than that, both historically and at the moment. It may also encompass any treatment for behavior-affected conditions such as hypertension, prediabetes and substance […]
Wondering where an IRO fits into the external review process? How about whether an RN versus an MD can approve or deny a case? Check out our infographic on The Life of a Group Health Case to learn about physician-level reviews and the role of an IRO in Group Health plans!
There is no way around it: Risk management is necessary for healthcare facilities. In an industry with high stakes, small errors in healthcare can lead to significant injuries, fatalities and increased costs for providers. Risk management works to improve patient safety and care, cut costs and ultimately benefit providers’ bottom lines. What is Risk […]