More: Health Policy & Regulation

Healthcare Trends to Monitor in 2021

While 2020 has proved that, when it comes to healthcare, to expect the unexpected, we’ve pinpointed three key trends to pay careful attention to in 2021.

Examining Waste in Healthcare (and One Method to Reduce It)

Researchers estimate that waste accounts for nearly 25 percent of our ever-increasing national healthcare spending. What constitutes “waste” and how might bundled payments help to reduce it?

CMS Finalizes Policies to Expand Care Options and Settings

The Centers for Medicare and Medicaid Services (CMS) announced policy changes to expand at-home care, outpatient procedures, and telehealth. How might these new guidelines help hospitals facing a surge of patients due to the COVID-19 pandemic?

Final Rule Issued Regarding Price Transparency

The Trump administration has issued its final rule requiring that insurers and health plans disclose prices and cost-sharing information. What other mandates are included in the rule and why are critics pusing back?

What Do Coding Changes for 2021 Mean for Doctors (and Healthcare)?

The American Medical Association’s (AMA) revised E/M codes go into effect next year. Amy Waller, Vice President, HIM and Coding Integrity, Privia Health, examines how these changes can enhance the patient-provider relationship and what steps independent practices can take to prepare for 2021.

Report: Half of Employers Will Not Make Healthcare Cost-Shifting Changes, Shifting Focus to Behavioral Health Services

A new study from Mercer shows that 47 percent of employers will not engage in healthcare cost-shifting in 2021 despite increasing costs of employer-sponsored health plans. Employers will be shifting the focus of their plans to telehealth services, behavioral health resources, and voluntary benefits.

CMS Savings Reaffirms the Need for Primary Care Support

A new study reveals social disparities among patient utilization of direct scheduling, which has been proven to improve continuity of care. How can independent physicians encourage patient enrollment in their patient portal and other online capabilities?

Preparing for the New Models: How to Develop an Effective Beneficiary Engagement Strategy

Elderly patient using laptop

Medicare Advantage is, in many ways, an outstanding example for value-based care. To best empower beneficiaries, physician leaders should develop a strategy around access, engagement, and education.

Report: The Future of ACOs After COVID-19

The Novel Coronavirus 2019 (COVID-19) has had a significant impact on accountable care organizations (ACOs) and potentially their payment models. Read more about CMS’ plans for its future Direct Contracting Model and ACOs.



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