CORDATA BLOG

Care Coordination: 2017 in Review

Posted by Cordata Health

January 9, 2018 at 2:02 PM

A Year of Deeper Understanding on the Value of Care Coordination and Management

Saying that 2017 was a busy and consequential year in healthcare would be an understatement. Digital health technology proliferated at an incredible rate. Providers are still figuring out how to adjust to the new mandates for physician reimbursement in Medicare Access and CHIP Reauthorization Act’s (MACRA). The Affordable Care Act was under constant fire from the new administration, with the Republican tax plan effectively eliminating the individual mandate. And value-based care continued to dominate discussions about the future of treatment.

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Topics: Navigation & Care Coordination, Value-Based Care, MACRA

Five Trends Affecting Cancer Care

Posted by Cordata Health

August 22, 2017 at 11:35 AM

The oncology treatment landscape is continuously shifting. Along with new discoveries and innovations consistently popping up, overarching trends in the health care industry are bound to affect the way we address cancer treatment.

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Topics: reimbursement, Cancer Management, Navigation & Care Coordination, Patient Engagement, Value-Based Care

New CMS Initiative Aims to Boost Coordination

Posted by Cordata Health

July 19, 2017 at 3:21 PM

This past March, the Centers for Medicare & Medicaid Services (CMS) announced a new initiative to increase awareness of its program focused on care coordination. Called Connected Care, the program aims to increase the number of providers billing for coordinated care services. Coordination improves outcomes for those with chronic conditions. Naturally, incentives to provide these services should increase their adoption and lead to more effective coordination and, ultimately, better outcomes.

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Topics: Navigation & Care Coordination, Chronic Care, Value-Based Care, CMS, Patient Outcomes

A Quick Overview of Value-Based Care and Payment Models in Cancer Care

Posted by Cam McClellan Teems

May 9, 2017 at 3:24 PM

MACRA. MIPS. APMS. Value-based care. All of these topics can certainly be confusing. Still, CEOs and physicians face largely the same problem: balancing the requirements for so many different fee structures. Fee-for-service and alternative payment models (APMs) will exist simultaneously for quite some time under MACRA. And then there are the merit-based incentive payment systems (MIPS).

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Topics: Cancer Management, Navigation & Care Coordination, Payment Models, Value-Based Care, MACRA

What is Specialty Care Coordination? And Why Is It Important to the C-Suite?

Posted by Cam McClellan Teems

April 19, 2017 at 11:43 AM

Despite the ample evidence in favor of coordinated care’s impact on positive patient outcomes, many C-suite leaders see implementing care coordination services as a risky move. This often boils down to financial worries, as well as unclear understanding of the potential cost–benefit ratio. Yet as the industry moves further toward a value-based ecosystem, executives need to realize that care coordination is actually a driver of higher quality and lower cost care.

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Topics: ROI, Navigation & Care Coordination, Value-Based Care, Patient Outcomes

MIPS & APM: Common Concerns and Requirements

Posted by Cordata Health

March 13, 2017 at 1:53 PM

The Issue

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has introduced another step of the transition toward value-based reimbursements. When the final rule was released last October, many in the healthcare industry were unsure how to move forward in the new landscape.

This new care model includes two reimbursement paths for physicians: the Merit-based Incentive Payment System (MIPS), which consolidates three existing incentive programs rewarding performance and outcomes such as meaningful use, and Advanced Alternative Payment Models (APM) such as the Oncology Care Model (OCM). These new reimbursement measures are based on quality as opposed to the traditional fee-for-service model.

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Topics: Value-Based Care, MACRA

Care Coordination Value Proposition in Action: The Tale of One Provider

Posted by Cam McClellan Teems

January 25, 2017 at 9:57 AM

We are glad to hear that the healthcare community is defining the trifecta for value-based care as population health management, care coordination and medication adherence.  Here at Cordata, we focus on the key role of care coordination in helping our clients manage specialty care efficiently and effectively – and that certainly involves aspects of population health management and medication adherence. In other words, we see care coordination as being the heart of value-based care.

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Topics: Navigation & Care Coordination, Population Health, Value-Based Care

Care Coordination is On Many Providers' Christmas Wish Lists

Posted by Cam McClellan Teems

December 23, 2016 at 12:09 PM

Across the health care industry, many providers, policymakers and IT organizations primarily focus on the “Triple Aim” of improving patient care along with the overall health of populations while simultaneously reducing the per capita cost. Yet there has been little fanfare about the provider experience. A recent article from Healthcare IT News examines how many providers are turning to a “Quadruple Aim” that also incorporates provider considerations by implementing electronic consultation and referral (eCR) systems to improve care coordination and, in turn, provide a better experience for both patients and providers. 

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Topics: Navigation & Care Coordination, Barriers to Care, Value-Based Care, Healthcare Providers

Bundled Payment or Capitation? Care Coordination is Essential to Both

Posted by Gary Winzenread

August 8, 2016 at 11:33 AM

A recent set of articles in Harvard Business Review, How to Pay for Healthcare, has attracted a lot of attention in the industry lately. One of the articles, by Michael E. Porter and Robert S. Kaplan, makes a strong case that bundled payments are the answer for reducing costs and improving quality; the other piece, by Brent C. James, MD, and Gregory P. Poulsen, argues that capitated models are the better option.

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Topics: ROI, Navigation & Care Coordination, Value-Based Care

Advancing Beyond Patient Engagement to Behavior Change

Posted by Brent Walker

July 13, 2016 at 1:40 PM

It’s a Brave New World in medicine, evolving under the increasing influence of consumerism and the rise of value-based payment models. The Affordable Care Act (ACA) is further catalyzing this trend, basing reimbursement for care given to federally covered patients on medical outcomes, patient satisfaction and keeping patients from readmitting to the hospital.

While physician incentives are changing, success also depends largely on whether patients follow through on recommendations, prescriptions and lifestyle changes. The excellent care delivered within the walls of a practice or hospital may not follow patients once they are home and left to their own devices. It is critical that patients understand what they need to do to get and stay healthy, and to be motivated to take these steps. That’s why patient engagement is so important.

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Topics: outcomes data, Navigation & Care Coordination, Barriers to Care, Patient Engagement, Value-Based Care

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