Legislation & Health Policy Bundled Payment Models With a bundled payment model the payer reimburses the provider or health system for all services, procedures, tests, medications, etc. within a set of defined parameters for each individual patient.
Legislation & Health Policy What is Capitation? Capitation-based reimbursement is a population-based model that involves paying a predetermined per-patient amount to cover all services over a period of time. The patients/persons that are covered under a capitated model are sometimes referred to as 'covered lives'.
Legislation & Health Policy What's Wrong with Fee-for-Service? Do you think that a restaurant would survive if there was a 'market price' label beside the entree and your final bill was broken down into dozens of items? Why is that ok in healthcare?
Legislation & Health Policy The 5 Core SDOH Domains With an increased focus on social determinants of health (SDOH) around the world, it should come as no surprise that the topic is making its way into U.S. government-led initiatives. The Healthy People 2030 initiative outlines 5 core areas as areas of focus that should be considered for SDOH work.
Legislation & Health Policy 21st Century Cures - Information Blocking Exceptions A high-level overview video to review the 8 exceptions providers, health IT developers of certified IT, HINs, and HIEs have available with the new Information Blocking rule. (Transcript included.)
Legislation & Health Policy 21st Century Cures - Information Blocking Overview In the 21st Century Cures Act, section 4004 indicates that an entity cannot information block. The rule applies to health care providers, health IT developers of Certified Health IT (so system developers), as well as health information networks (HINs) and health information exchanges (HIEs).
