By Pooja Babbrah, PBM Services Practice Lead, Point-of-Care Partners January 2021– In late October, CMS issued a final price transparency rule, closing out a momentous march toward price transparency unlike anything seen before. Over the past few years, CMS and this administration has released four price transparency rules and one Executive Order related to surprise… Read more »
By Jonathan Bradley, Principal, Ironwood Health December 2020- Many recent articles correctly point out that the widespread and full-throated adoption of the principles of value-based care are moving at a casual pace, at best. To be sure, there are pockets of rapid progress, but the overall adoption of advanced payment methodologies, and with it, the… Read more »
December 2020- In this inaugural edition of Gibson Talks, Executive Recruiter Trey Wheless consults with Fahad Ahmed on recommendations for the most current and pertinent issues in Risk Adjustment. 1. What are some of the benefits and hurdles to transitioning from RAPS to EDS? In 2012, CMS began collecting encounter data through the Encounter Data… Read more »
By Brian Dorsey, Chief Culture Officer and Mindy Braithwaite, Vice President of Administration, Sellers Dorsey November 2020- To compete for talent and win in the business of health care, be intentional about company culture. Every company has a workplace culture whether or not its management guides that culture with intention. Like the temperature in a… Read more »
By Kevin Hutchinson, CEO, Apervita October 2020 – Value-based care remains widely misunderstood by many across the healthcare industry. Much of this confusion stems from our collective inclination to misinterpret activity as progress, and that misinterpretation has created plenty of frustration among payers, providers and regulators. The truth is, we’re failing to see the bigger… Read more »
by Matthew LaGanke, Executive Recruiter: Healthcare Compliance and Regulatory Affairs This article was originally published in Healthcare Business Today- [View Original Post] Third-party vendors have proven to be an invaluable resource for many health plans looking to cut costs on services and bring value to their organization. While these services provide many benefits, they often bring just… Read more »
by Geoff Halstead, GoCircle, Inc. September 2020– The global impact of COVID-19 has dramatically accelerated existing trends by fundamentally requiring companies of all sizes to quickly adopt a remote engagement and distributed collaboration strategy for their customers, employees and business partners. The early indicators – and our collective lived experience – tells us that this… Read more »
by Trey Wheless, Executive Recruiter: Quality Reporting and Risk Adjustment for Health Plans This article was originally published on LinkedIn – [View Original Post] Only six months ago, the healthcare industry looked completely different. COVID-19 has impacted every area of healthcare, resulting in fewer doctor visits, fewer diagnoses, and, therefore, fewer claims. As a result,… Read more »
by Jim Gibson, President, Gibson Consultants I remember the first time I lost my job. It was terrifying. I was the sole breadwinner, with three small children and a mortgage. If you’ve recently lost your job, I know how you feel and I hope the tips below will help. In the days following my job… Read more »
by Doug Cusick, CEO, TransformativeMED August 2020- COVID-19 is challenging everything we thought about what can be accomplished at a distance Six months ago, few U.S. economic and business experts would have thought that companies could be productive with 66% of employees working from home. Certainly, many industries and the economy have suffered due to… Read more »