Mutually beneficial value-based care contracts support both payer and provider efforts. Discover the key components of a good contract.
Hospital readmission is costly and often leads to poor outcomes and even higher risk of mortality. Transitional care management aims to reduce readmission and improve patient outcomes.
CMS releases star ratings annually to help patients choose a Medicare Advantage plan that best meets their needs. Higher star ratings are important for providers and payers alike, but they’ve have been on the decline as of late. Is it possible to raise them?
CMS recently finalized policy updates for Medicare Advantage plans, which will significantly impact how practices manage risk and allocate resources. Here’s what to expect in 2024.
Many patients take multiple medicines to improve their health. Medication reconciliation helps providers track what patients use regularly.
Vaccines are critical to patients’ long-term health. Discover several ways providers can increase their immunization rates.
There’s a lot to consider before making the switch from fee-for-service to value-based care, but these 4 tips can help set a practice up for early success.
Medication nonadherence is a perpetual problem in healthcare. Learn how Innovista worked with a Houston area practice to improve their scores of this important triple-weighted measure.
Providers face some financial risk under value-based care. Risk adjustment coders safeguard payments by auditing files for accurate coding.
This case study illustrates the power of partnership between Innovista and a Chicago area practice in leveraging data to make better healthcare decisions.
Patients need the right care at the right cost. Utilization management nurses ensure members receive appropriate services based on evidence-based practices.
What do providers need to do to succeed in value-based care? There are several ways to foster financial success—but providers should prioritize four key plays to truly maximize incentives.
Pre-visit planning (or chart prep) helps create efficiencies within medical offices, ensuring smooth and seamless workflows. Learn how to put this useful technique into practice.
The healthcare system can be complex and confusing. Many patients need an advocate—a case manager—who can help them get the care they need.
In value-based care, teams of professionals work together to ensure patients are well cared for and practices meet benchmarks. Community health workers are key players in achieving these goals.
The emergency department is often a patient’s first choice for acute care, but it’s not always the best option. Providers can empower patients to choose alternative care settings using these tactics.
Seasonal scheduling is a way for physicians offices to adjust their schedules to make room for wellness exams during specific times of the year. Learn how to leverage this practice.
In value-based care, providers assume more financial risk than ever before using alternative payment models. What are the risks and rewards of these various payment models?
Emergency department visits are expensive and can be avoidable. At-home care organizations can reduce encounters, save money, and improve outcomes.
Social determinants of health (SDOH) impact healthcare for Medicaid patients. Community health worker/payer partnerships help mitigate SDOH and reduce unnecessary ED visits.
OAK BROOK, Ill., Aug. 30, 2022 /PRNewswire/ — Innovista Health (Innovista) today named Dr. Vikram Bakhru as its new chief executive officer. Bakhru is a practicing physician with more than 20 years of experience dedicated to the intersection of technology and the improvement of health outcomes for underserved populations. Dr. Bakhru most recently served as chief health officer for a managed Medicaid insurance company providing access to tech-enabled, quality care to the underserved. He also co-founded or served as a senior executive for several venture-backed health technology companies. “Stepping into this role, I am focused on having Innovista partner with care providers to leverage