by Natoshia Erickson | Healthcare
The ultimate goal of any managed care model (e.g., HMO, PPO, POS, PCMH, ACO, etc.) is to improve the health of the population, enhance the experience and outcomes of the patient, and reduce per capita costs of care. All of these models have at least three things in...
by Natoshia Erickson | Healthcare
Despite efforts and trends to slow the growth of U.S. national health expenditures, we have just 7 years until we experience insolvency in the Medicare Part A trust fund, otherwise known as the Hospital Insurance (HI) Trust Fund. This is according to the 2019 Annual...
by Natoshia Erickson | Healthcare
The term “vulnerable” keeps popping up in the context of population health management. More and more, I am seeing marketing around solutions that identify vulnerable populations and how they are using these factors to manage patients more effectively Through some...
by Natoshia Erickson | Healthcare
A primary objective of value-based care is to increase provider accountability in delivering better health outcomes. This is driven out through Alternative Payment Models (APMs) such as capitation, gainsharing, and bundled payment arrangements. As a provider, one of...
by Natoshia Erickson | Healthcare
Are accountable care organizations failing to help the high-risk and vulnerable populations it was intended to serve? Are providers hesitating to shift their most vulnerable patients to payment models tied to quality and performance? Are we de incentivizing providers...