By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    learn to recognize and treat yeast infections
    Most Commonly Asked Questions About Yeast Infections
    November 17, 2021
    Advanced lung cancer diagnosis systems used by doctors
    Advanced Lung Cancer Diagnosis Systems Used by Doctors
    March 6, 2022
    The Top Benefits of a Wearable Blood Pressure Monitor Watch
    The Top Benefits of a Wearable Blood Pressure Monitor Watch
    June 13, 2022
    Latest News
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
    The Wide-Ranging Benefits of Magnesium Supplements
    June 11, 2025
    The Best Home Remedies for Migraines
    June 5, 2025
    The Hidden Impact Of Stress On Your Body’s Alignment And Balance
    May 22, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Chronic Disease Prevention Remains Top Priority
    September 9, 2017
    Worst Editorial of the Week Award
    September 13, 2017
    Are the Uninsured Getting a Free Ride?
    May 16, 2011
    Latest News
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
    Top HIPAA-Compliant Messaging Apps for Healthcare Teams
    June 25, 2025
    When Healthcare Ends, the Legal Process Begins: What Families Should Know About Probate and Medical Estates
    June 20, 2025
    Preventing Contamination In Healthcare Facilities Starts With Hygiene
    June 15, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: The Tide of Change is Coming for Reimbursments
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > The Tide of Change is Coming for Reimbursments
Business

The Tide of Change is Coming for Reimbursments

mikevans
mikevans
Share
5 Min Read
SHARE

I have been in healthcare my entire career and have seen lots of change in some form or fashion for this industry. But, as many will attest to, BIG change is fast approaching when it comes to reimbursement. That was very evident at a recent conference I attended – The American Association of Hip and Knee Surgeons – AAHKS. Change in reimbursement was the common theme and the ones shouting it from the roof tops were the industry expects, the surgeons in the trenches, and us – the vendors.

I have been in healthcare my entire career and have seen lots of change in some form or fashion for this industry. But, as many will attest to, BIG change is fast approaching when it comes to reimbursement. That was very evident at a recent conference I attended – The American Association of Hip and Knee Surgeons – AAHKS. Change in reimbursement was the common theme and the ones shouting it from the roof tops were the industry expects, the surgeons in the trenches, and us – the vendors. Although many are getting ready for this tidal wave, there are still the ones, very few, that are digging their heels in hoping to ride out the wave. I think they’ll likely crash head first.

In January 2016, bundled payments will be here for total joints via the Comprehensive Care for Total Joints mandates from CMS.  The sessions I attended at AAHKS made it loud and clear: surgeons need to be prepared for this change. What they need to be prepared for could be anywhere from working collaboratively with their hospitals partners to really understanding the data for process improvement, results and patient engagement. All of these efforts are needed to drive value for their practices, partners and ultimately the patient. No longer are the days where practices, departments or hospitals can stand alone in this journey.

Dr. Thomas Vail from UCSF suggested in order to attract patients that still have a choice, physician practices and health systems must work together to drive value and make that the centerpiece to improve outcomes. Furthermore, instilling competition among the care teams will instinctively drive better behavior and thus, have shown to improve patient satisfaction stats in those departments.

More Read

Google’s 2014 Algorithm Updates: Implications for Your 2015 Medical Marketing Strategy
The Consumer Impact Of Health Care Mergers
Does Pinterest Make Sense for Medical Practices?
Guest Article: Safe Social Networking is Good for Patients
How to Convert More Customers Using Psychology

Every department at UCSF will be effected by change in reimbursement. They use the data to drive a strategy of quality, safety, efficiency and financial performance to help mitigate the risk fact that goes along with this change in reimbursement. The data will show trends to drive change verses just looking at individual metrics. Their focus is on the goals that focus on the measurements.

During a panel discussion on Patient Reported Outcomes – This is Your Reality, it was all about engaging the patient. Dr. Kevin J. Bozic from Dell Medical School at UT Austin, PROs are the “holy grail” for measuring quality. Physicians should understand patient outcomes are based on the patient’s expectations and the cost it takes to get to that outcome.

Orthopedic society groups such as AAHKS, AAOS and AJRR are taking it upon themselves to bring the PROs up to today’s reality by working together to modify the surveys to make them more patient friendly – thus getting the patient more engaged. (These recommendations are awaiting CMS approval.) Also, there is a big push to ensure there is a “risk adjustment” factor taken into consideration in order to make it a level playing field given the diversity of total joint surgery and the different levels of complexity. However, regardless of any update or approval by CMS, the panel agreed that obtaining RPOs will be the cost of doing business. Last, which I believe supports the need for patient engagement technologies, Dr. Bozic closed with……“It (PRO) will be a nice to have to a need to have”.

The Tide of Change provides a tremendous opportunity to all of us who look to make a difference in the way technology can improve the delivery of healthcare but most importantly, provide the patient with a better experience.

TAGGED:health insurancereimbursement
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

9 Lifestyle Tweaks That Can Add Years to Your Life
9 Healthcare Lifestyle Tweaks That can Add Years to Your Life
lifestyle
July 11, 2025
car accident lawsuit
Let Your Lawyer Handle the Work Before You Pay Medical Costs
Policy & Law
July 6, 2025
women dental care
What Is a Smile Makeover and How Much Does It Cost?
Dental health
June 30, 2025
HIPAA-Compliant Messaging Apps
Top HIPAA-Compliant Messaging Apps for Healthcare Teams
Global Healthcare Policy & Law Technology
June 25, 2025

You Might also Like

Image
Business

High Quality, Low Cost HealthCare Video Interview Series: Dr. Akash Rajpal and Ekohealth

January 15, 2013

Transforming Medicaid via the Medical Home Model

February 24, 2013
medical staff
BusinessGlobal HealthcareHospital AdministrationNewsNursing

The Simple Things Which Help Medical Staff

November 24, 2021
pricing transparency
BusinessFinanceHospital Administration

Why Pricing Transparency Won’t Affect Hospital Pricing

August 7, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?