Healthcare beneficiaries suffering from behavioral health disorders have been falling through the cracks for decades, due to several issues such as a lack of education and attention to mental health issues, insufficient access to qualified providers, inadequate behavioral health insurance coverage and a fragmented healthcare system. Health plans and behavioral health providers are recognizing the need for new payment and care delivery models to enhance the overall well-being of their members.
Today, patient flow has become a major concern for most hospitals and health systems as both the human and financial aspects result in poor quality care, patient dissatisfaction, and lower reimbursement and profitability. Optimizing hospital wide patient flow is critical in delivering high quality patient centric healthcare. Hospitals are examining how to provide the right quality care, in the right place, and at the right time.
Employers today have compelling reasons to strive for higher performance in health plans they sponsor. Under pressure from rising healthcare costs, the coming federal excise tax on high-cost plans in 2018, and the demand for a healthy and productive workforce to boost the top and bottom line, they need efficient and affordable plans that are aligned with business needs and engage employees to be active decision makers in their own health. To reach such high performance, employers are exploring the many options for how care is delivered.
We are currently at a crucial point in time for corporate healthcare – employers are operating in a political and economic situation that has considerably evolved. Building and expanding on-site employee health clinics has become an imperative in enabling employers to offer competitive benefits, control costs, and provide quality healthcare to employees. Moreover, employers must redefine their corporate healthcare strategy, and innovation will be key to success!
Network contracting is currently facing unprecedented challenges, as well as opportunities. It has become an imperative for payers, as well as providers, to respond to these challenges by making drastic changes to their network contracting strategy, as well as taking advantage of the opportunities that currently arise within network management.
Faced with increasing patient volumes, declining reimbursements and overworked ED staffs, hospitals must be prepared to leverage Observation Patient Management. Well structured Observation Units have resulted in financial gains, improved clinical outcomes and superior patient satisfaction ratings. Global Media Dynamics’ 2018 Observation Patient Management Congress will highlight the pertinent challenges facing Observation Unit staffs – ED physicians, Hospitalists, Case Managers and Billing and Coding professionals. Additionally, the conference will highlight how and why hospitals that are not utilizing Observation Patient Management, are leaving money on the table.
Preventable hospital readmissions are costing the healthcare system approximately $25 billion on an annual basis, and it is estimated that one out of every five Medicare patients is readmitted to the hospital within 30 days of discharge. In an attempt to control excessive spending on avoidable healthcare costs as well to as improve quality care, performance and patient health, CMS has instituted new regulations and higher penalties. Hospitals and health systems are especially affected by the new mandates, and are exposed to increasing financial risk.
Urgent Care Centers are fast becoming key strategic business extensions for many major health players and are proving to be profitable ventures for others. Clinic care and business models continue to evolve as companies explore new opportunities for partnership and profitability within this emerging business. The industry is facing new challenges as well as opportunities – it is clearly time for change.
The healthcare industry is undergoing tremendous and rapid transformation in order to substantially reduce healthcare spending while simultaneously improving patient outcomes and population health. Payment reimbursement models are transitioning at a furious pace from traditional fee for service payment structures to value based models. Bundled Payments is at the forefront of payment reform and it is ushering in a new era of healthcare, further propelled by the new political landscape and recent CMS mandates. In addition to reducing healthcare spending costs, hospitals and health systems assume accountability for both financial and patient outcomes for the entire episode of care. Health plans are encountering challenges of how to process Bundled Payments claims and develop new infrastructures.
June 28 – 29, 2018 • Las Vegas, NV
Learn More» | Register»
Today, telemedicine is one of the fastest growing sectors in healthcare. It is reshaping the landscape of healthcare delivery in the United States, and is being recognized as the future of global healthcare. Telemedicine addresses and achieves the basic tenants of Healthcare Reform: providing the population with access to improved and convenient, high quality patient centric care, enhancing outcomes, while reducing per capita expenditures. Today, nearly 50 percent of hospitals throughout the United States are engaged in telemedicine programs. Studies have shown that the benefits of telemedicine include significantly improved outcomes, efficient care delivery as well as reduction in mortality rates, hospitalizations, length of stay, readmissions and healthcare costs. Telemedicine has greatly enhanced access to quality care in rural areas and patient satisfaction has increased due to its convenience and patient centric approach.
September 13 – 14, 2018 • Chicago, IL
Learn More» | Register»
Population Health Management is surging across the healthcare landscape in the effort to deliver the highest patient care, enhance quality, implement preventative measures and reduce healthcare spending by over a trillion dollars per annum. Innovative processes have been implemented and are continuing to evolve and expand, including collaborative efforts between Providers and Payers. The current political landscape and new healthcare policies are challenging both Providers and Payers to continue to transform the nation's healthcare and maintain a healthy population. The keys to success are being shaped by employment of technology and health information, innovative strategies in care coordination across the continuum of care, collaborative approaches, identifying high risk populations, and integrating preventative measures.
October 4 – 5, 2018 • Washington, DC
Learn More» | Register»
The state of U.S. healthcare has experienced significant changes during this past year, particularly regarding Medicaid legislation. Medicaid is on its way toward becoming the nation’s largest health insurer. More states are turning to Medicaid Managed Care to control costs and promote innovation in healthcare delivery. New policies and the expansion of coverage has led to extraordinary growth in Medicaid enrollments, and the number of Medicaid managed care enrollments is expected to exceed 61 million by 2021.