We sit down with HCI3’s Francois de Brantes, one of the keynotes for June’s Lean Healthcare Transformation Summit, to talk about his take on Medicare payment reform. His answers below are adapted from thoughts he shared in his organization’s newsletter at the start of the New Year. What grade would you give CMMI‘s payment reform […]
The California Physicians Group shares insights on how they improved existing payment methodologies in a primary care environment. Organization Overview: The California Association of Physician Groups (CAPG) is the nation’s largest trade association representing physician organizations practicing in the delivery of accountable, clinically integrated health services. CAPG’s member groups employ and/or contract with physicians who […]
In our final installment with Bob Wells, he discusses the questions healthcare leaders should ask when considering payment reform, shares some of his tips and resources, and gives examples of who is doing it right. What questions should healthcare leaders ask (of themselves or others) when considering Payment reform? How well does our organization understand […]
We are back with Bob Wells to discuss the challenges that still remain with payment reform and his advice for leaders who want to address it. What challenges remain? There are three key challenges that remain: 1. Approaches and financial models around payment reform Various models are being tested and the results evaluated. This information […]
We sit down with HealthFlock contributor Bob Wells to discuss the need for payment reform and the progress made so far. Bob Wells is an executive with more than 25 years of experience in delivering technology and service solutions to healthcare provider organizations either in the acute or ambulatory medical settings nationally and internationally. He […]
Jay Fulkerson, president and CEO of HPS, talks about a streamlined payment method that helps providers and consumers, and shares his thoughts on the importance of payment reform in the healthcare industry. Organization Overview: Health Payment Systems (HPS) is a healthcare technology company aimed at taking waste out of the claims administration process, while making the […]
Kim Johnson and Todd Molefenter, deputy directors at NIATx, explain how creating provider-payer partnerships can improve addiction treatment. Organization Overview Founded in 2003, NIATx works with behavioral health and human services organizations across the country to improve the quality of services delivered by implementing a simple process improvement method. NIATx is part of the University […]
We highlighted the New York City Health and Hospitals Corporation in our recent Mayo Proceedings article about “The Promise of Lean in Healthcare.” Now, HCC is taking steps toward greater payment reform as well. New York City Health and Hospitals Corporation is continuing the type of improvement work we discussed in “The Promise of Lean […]
Karen Timberlake, director of the Partnership for Healthcare Payment Reform (PHPR) in Wisconsin, describes lessons learned during bundled payment experiments in 2012. Bundled payment for total knee replacement in the commercially insured population is up and running in three locations in Wisconsin. These organizations, along with three payer partners, are participating through the Wisconsin Partnership […]
Dr. Ralph F. Kalies, founder of BidRx, explains how changing the traditional business model in the pharmacy industry can help lower costs. Organization Overview: BidRx® creates a competitive electronic marketplace (CEMTM) for medications that allows patients and providers to engage in active, transparent commerce on-line and in real time. The model fosters head-to-head, value-driven competition among […]
