Data and technology, once simply functional assets to facilitate health care, are now a leading force for health care advancement, improvement of health care outcomes, and control of costs. Yet the panoply of technologies has not optimized information for one key actor: the patient. The Center for Medicare and Medicaid Services (CMS) is attempting […]
Let’s Put an End to What Blocks Providers and Patients from Controlling Health Care Costs
We often blame providers for not controlling health care costs. We also put the onus on patients who overuse care inappropriately and make bad choices. But the fact is that control of health care costs is extremely complicated, and we have effectively blocked both providers and patients from controlling health care costs. Since the […]
Roji Health Intelligence Achieves HITRUST e1 Certification Demonstrating Foundational Cybersecurity
Roji Health Intelligence LLC, a leading provider of Value-Based Care technology and services to health care providers, today announced that its Roji Clinical Data Registry, ”Roji Registry”, has earned certified status by HITRUST for foundational cybersecurity. Roji delivers services to reduce the cost of health care and improve patient health through its technology, based […]
Multi-Payer VBC Strategy Is Essential for Cost Control, but Providers Must Get a Fair Deal
To meet its goals of controlling costs and improving patient care, Value-Based Care requires a near-universal, multi-payer strategy.
5 Things I Learned from Speaking at the Spring Managed Care Forum
One of my favorite professional activities is to speak to a broad health care audience and get feedback on their response to reform initiatives. Last week I spoke at the Spring Managed Care Forum in Orlando, Florida. The Fall and Spring forums are a favorite venue for me, and I never fail to get […]
Why Hospital Giants Are the Next Battleground in the War on Costs
Hospitals are just emerging from several years of post-pandemic planning and correction, when sustainability was the overriding issue. Now consolidation has driven up costs—largely by improving health systems’ negotiating power. Indeed, most studies show that after mergers, whether vertical, horizontal, regional, or national, the costs are higher. New federal budget proposals on the table […]
3 Essentials to Cut Health Care Costs Without Cutting Patient Care
There is an understandable fear and a little outrage right now about health care budget cuts. Some proposed cuts will raise the amount of unfunded care for hospitals and physicians if Medicaid coverage is reduced, and impact patients in nursing homes. Other proposals will eliminate offsets for medical debt or physician education through residency […]
Curate Your Data to Tackle Cost of Care: Master These Basics
The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) […]
Value-Based Care 2025: Providers Must Win the War on Costs
Health systems and ACOs: Prepare yourself for the return to cost containment as the central objective of Value-Based Care in 2025. While cost measures have always been part of CMS Value-Based Care quality programs, their impact was small relative to the total MIPS score for physician groups. Likewise, ACO savings look big in dollars […]
The 2025 CMS PFS Final Rule: The Five-Pronged Strategy Towards Comprehensive Accountable Care
The 2025 CMS PFS Rule landed with a bang, and it’s not just the weight of the 3,088 pages. We’re one year closer to 2030, the year that CMS intends to have all Traditional Medicare patients in a relationship with a clinician who is accountable for total cost of care. The push to the […]