Ed Malinowski

https://lnkd.in/epcXuFNy The Centers for Medicare & Medicaid Services (CMS) approved an amendment to Vermont’s section 1115 demonstration, “Global Commitment to Health.” Approval gives the state authority to provide health-related social needs (HRSN) services and infrastructure support, close the Substance Used Disorder (SUD) Community Intervention and Treatment (CIT) coverage gap by expanding eligibility for the CIT expansion group for eligible beneficiaries up to and including 225 percent of the federal poverty level (FPL), expand Developmental Disabilities Services benefits, and support transition of most Community Rehabilitation and Treatment (CRT) and Mental Health Under 22 services currently covered under the demonstration to the Medicaid state plan.

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Providers and health plans have been working on their Fee for Service payment processes for decades (still work to be done there), but the data flows needed to support Value Based Care arrangements are in their infancy. Organizations involved in Value Based Care (VBC) should consider using modern processes (like APIs) and standards (like HL7 FHIR) to exchange: · Rosters of members attributed to VBC populations · Financial performance on VBC contracts · VBC contract details · Patient care gaps for VBC contracts · Clinical quality performance · And the list goes on In his interview with Rick Daly from HMFA, Deepak Sadagopan talks about why his team is building the data infrastructure to support VBC and why it should matter to you. https://lnkd.in/ggKeA985

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⛑️ Transforming Disaster Preparedness: Tech Responses When Natural Disaster HIt 🥽 As an IT leader and professional in the senior care industry, I've learned that disaster preparedness is far more than a technical checklist; it's a holistic approach to organizational resilience. Natural disasters are an ever present reality, are increasing in frequency and their impact on senior care communities can be profound. This insightful article from LeadingAge CAST VP Scott Code, MBA shares the experiences of two LPC's and their technology challenges during two extremely destructive natural disasters.    Myself with Givens Communities and Joe Velderman with Cypress Cove share our experiences with Hurricane Helene and Hurricane Ian through this article as a catalyst to start the conversation of transforming disaster response strategies in our industry and ensuring the safety and well-being of residents and team members in times of crisis. At Givens Communities , we understand that preparedness is not just about having the right tools; it's about fostering a culture of collaboration and innovation across our industry. From real-time communication platforms to predictive analytics and resilient IT infrastructures, the potential of technology to safeguard our communities is immense. 𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 𝐟𝐫𝐨𝐦 𝐦𝐲𝐬𝐞𝐥𝐟 𝐚𝐧𝐝 Joe Velderman “In response to the increasing frequency of catastrophic events that were historically considered centennial or millennial in nature, we’ll continue to refine our disaster preparedness approach by listening to residents, team members, and collaborating with others in our industry to use innovation and flexible technologies to effectively mitigate and respond to emerging environmental challenges.” Richard Foor "A community's resilience is measured not by how it plans for the best days, but by how it prepares for the worst." Joe Velderman 𝐒𝐨𝐦𝐞 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐚𝐥 𝐓𝐞𝐜𝐡 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐚𝐭𝐢𝐨𝐧𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐜𝐥𝐞: ·        Develop communication "kits" with non-technical restoration instructions ·        Preposition failover connectivity tools: fiber, cellular, satellite options ·        Create flexible IT infrastructure that can operate with minimal technical intervention ·        Create split technical response teams ·        Develop robust social media communication strategies ·        Provide emergency charging stations for critical resident devices ·        Vendor Support Matters: Leverage partnerships with tech providers. #DisasterPreparedness #SeniorCareTechnology #ITResilience #LeadingAge #leadingAgeCast #CCRC #LPC 💥 How is your organization preparing its technological infrastructure for potential disruptions? ❓ https://lnkd.in/eeN3qWya

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Clinical data is flowing more freely to health plans, but vital financial data is not getting to providers. U.S. provider organizations need to understand how information asymmetry will impact them and what to do about it. Here is my latest. https://lnkd.in/gZ-jnTJB #informationasymmetry #interoperability #valuebasedcare #healthtechmagazine

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GASTROENTEROLOGY QUARTERLY UPDATES - 3rd Quarter - Live Webinar - July 10, 2024 - 1 hr web - 10am PT - 1 ceu from AAPC. SPECIAL DISCOUNT ADDITIONAL ATTENDEES - sign up first person at regular price - each add'l attendee(s) goes for $99 a person (includes their own connection, materials & ceu's) - limited spaces available at this rate, so signed up soon! Here's link to download registration and fax to (415)892-1271 or register online at McVey Seminars website - https://lnkd.in/g4SAuyic WANT AN AMAZING DISCOUNT? (for a short time this below discount has an extra $50 off for this week only - so take advantage of double savings for a limited time) TO GET THE NEXT 4 GI QUARTERLIES AT THE LOW PRICE OF $735.00 (BRINGS THE COST FROM $230.00 EACH TO $183.75> here's link to do all 4 sessions for 2024/2025 - https://lnkd.in/gNXFUe8 / #gastroenterology #gastroenterologist #gastrointestinal #gastro #gidoc #healthcare #medicalbilling #medicalcoding #medicalbillingandcoding #coding #billing

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A service catalog is not just a list of IT offerings. It’s a strategic tool that drives alignment with corporate goals, especially in the healthcare sector. In an industry where every decision impacts patient care, clarity is crucial. A well-structured service catalog ensures that IT initiatives support organizational objectives, enhancing efficiency and accountability. Here’s how to create one that resonates: 𝟭. 𝗨𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱 𝗦𝘁𝗮𝗸𝗲𝗵𝗼𝗹𝗱𝗲𝗿 𝗡𝗲𝗲𝗱𝘀: Engage with clinical and administrative teams. Their insights will shape relevant IT services. 𝟮. 𝗠𝗮𝗽 𝗦𝗲𝗿𝘃𝗶𝗰𝗲𝘀 𝘁𝗼 𝗚𝗼𝗮𝗹𝘀: Clearly link each service to specific corporate objectives. This demonstrates IT’s direct impact on patient outcomes. 𝟯. 𝗣𝗿𝗶𝗼𝗿𝗶𝘁𝗶𝘇𝗲 𝗖𝗼𝗺𝗽𝗹𝗶𝗮𝗻𝗰𝗲 𝗮𝗻𝗱 𝗦𝗲𝗰𝘂𝗿𝗶𝘁𝘆: In healthcare, regulations are paramount. Ensure your catalog reflects compliance requirements and security protocols. 𝟰. 𝗣𝗿𝗼𝗺𝗼𝘁𝗲 𝗖𝗼𝗻𝘁𝗶𝗻𝘂𝗼𝘂𝘀 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁: Regularly review and update the catalog. This keeps it aligned with evolving healthcare demands and technological advancements. 𝟱. 𝗖𝗼𝗺𝗺𝘂𝗻𝗶𝗰𝗮𝘁𝗲 𝗘𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲𝗹𝘆: Use clear language and visuals. A well-communicated catalog increases utilization and fosters collaboration. Establishing a service catalog is an investment in operational excellence. It positions IT as a strategic partner in delivering superior healthcare. ---------------------------- #ServiceCatalog #ITStrategy #HealthcareIT #OperationalExcellence #StakeholderEngagement #Compliance #DataSecurity #ITAlignment #HealthcareInnovation #ITServices #DigitalTransformation #HealthcareLeadership #ITGovernance

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What real impacts are AI having in the world of healthcare? Our Senior Director of Continuous Improvement and Automation, John Hataway, recently weighed in for this piece in Healthcare IT Today. Read the whole article here: https://bit.ly/45R76gN #RevenueCycleManagement #Savista #HealthcareAI #HealthcareITToday

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Interesting insights on where cost containment focus currently sits in healthcare. Health systems are increasingly focused on cost management and operational issues, according to a survey conducted by the Healthcare Financial Management Association (HFMA). While that in and of itself is not surprising, the growing gaps in operational alignment are more telling. Nearly 60% of surveyed CFOs listed this as a top priority for 2024, compared to 32% three years ago. Revenue cycle management emerged as the most significant concern within the broader category of "cost management & operations," followed by operations expenses and cost management. Margin challenges for hospitals and vendor market opportunities were central themes in the 2024 survey, with labor costs identified as the primary cause of margin pressure. Pivot Point Consulting's Managed Service solutions are led by strategic partners who collaborate with health systems throughout our engagements on cost-effective solutions to dial-up or dial-down resources and refocus efforts based on business needs to help with: ·        Strategic and operational alignment ·        Drive for automation and self-service ·        Defined service level attainment ·        Demand forecasting ·        Governance and quality assurance https://lnkd.in/gr3vNTkp I #CostContainment #HospitalOperations #ClinicianBurnout HealthExecStore Pivot Point Consulting, a Vaco Company

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The Maribel Health team is comprised of clinical, operational and technology leaders with a unique depth and breadth of Hospital-at-Home (HaH) program launch, transformation, optimization, and process automation experience. Whether your organization is starting a new HaH program or enhancing an existing offering, it is critical to remain laser-focused on Growth and Optimization. Common Growth and Optimization points of program failure include: 💠 An exclusive (or primary) focus on the most common medical diagnoses without expanding into higher levels of medical acuity and specialty areas (e.g., post-surgical care, oncology) 💠 A predominant focus on early discharge for length of stay reduction rather than ED diversion and hyper-early transfer which offer maximum capacity creation; once length of stay reduction becomes the default, it is much harder to move to ED diversion subsequently 💠 Getting comfortable with the status quo after reaching early census goals rather than staying relentlessly focused on achieving break-even and driving to target volumes 💠 Lack of robust and continuous engagement with hospital-based teams, including attending huddles and daily report-outs 💠 Failure to aggressively expand payers early in the program journey 💠 Failure to effectively deploy care orchestration software to enable safe and effective program scaling Maribel is pleased to share insights to help guide you through your HaH journey. Let’s shape the future of healthcare together! #HospitalatHome #HealthCareInnovation #CMS #MaribelHealth

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Interested in the companies bringing tech-driven solutions to healthcare? I explored the space and found some impressive leaders. These companies are moving the needle on care quality, patient access, and operational efficiency. Let's dive in: ❇️ Synergy Billing (M. Jayson Meyer): Helps Federally Qualified Health Centers maximize revenue and streamline operations with specialized billing expertise. ❇️ Transtreme (Stephanie Michel): Offers affordable imaging and health assessment solutions to improve patient care and cost efficiency. ❇️ United Imaging Healthcare (Liang Liu) - North America: Develops advanced medical imaging and IT solutions, aiming to expand healthcare access and drive industry innovation globally. ❇️ Vigilance Health (James Coburn): Improves patient outcomes and engagement through population health management and care coaching solutions. ❇️ Vital Interaction (Alan Stickler): Automates appointment reminders and workflows to improve efficiency, reduce no-shows, and enhance patient engagement for healthcare practices. ❇️ Vynca (Darren Schulte): Provides palliative care, offering clinical, social, mental, and spiritual support to enhance the quality of life for individuals with serious illnesses. ❇️ Watershed Health (Florin Micle): Enhances patient outcomes by centralizing data, enabling real-time sharing, and improving collaboration across healthcare providers. ❇️ Wellfit Technologies (John Chipps): Streamlines patient financing and payment processes, boosting treatment acceptance and reducing costs for providers. ❇️ Wheel (Michelle Davey ): Offers consumer-centric virtual care, enabling personalized healthcare services with high clinician satisfaction and 24/7 availability. ❇️ WoundCentrics (Stuart Oertli) Provides evidence-based wound care services, improving care quality, and managing costs through a system-based approach. I am keen to hear your thoughts on advanced digital health solution companies!  Which ones stand out to you? Let me know in the comments below. #HealthcareTech #DigitalHealth #HealthTech #Healthcare #HealthcareCompany 

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More interesting #news today on #carecoordination and transitions of care, this time specific to bundled payments for hospitals and the #TEAM model. #CMS #Healthcare #reimbursement

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Healthcare systems must recognize the importance of both HHS-HCC and CMS-HCC risk adjustment models. While the CMS-HCC model remains crucial for Medicare Advantage plans, the HHS-HCC model provides essential insights for managing risks in the broader ACA market. Understanding and integrating both models ensures that healthcare systems can deliver high-quality care, maintain financial stability, and comply with regulatory requirements across different patient populations. By doing so, they can better navigate the complexities of modern healthcare delivery and funding, directly impacting our quality of care. Healthcare systems benefit from integrating knowledge of both models to: 1. Enhance Comprehensive Care: By addressing the needs of diverse populations. 2. Improve Accuracy: In risk assessment and resource allocation. 3. Ensure Compliance: With federal regulations and market requirements. 4. Promote Equity: In healthcare access and funding.

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New Blog Alert! ASTP’s FHIR Action Plan is more than just a policy update—it's a critical guidepost for the health IT industry, helping us understand the direction federal agencies are taking to advance healthcare interoperability. In our latest blog, Kendra Obrist breaks down the key elements of this action plan and explains how FHIR will continue to shape the future of health data exchange. From standards development to innovation and nationwide adoption, this plan sets the course for FHIR’s role in transforming how healthcare data is shared. Stay informed on the latest policy developments and learn how POCP can help your organization navigate this evolving landscape. Read more here: https://hubs.li/Q02SZGHh0 #HealthIT #FHIR #Interoperability #HealthcareInnovation #POCP #PolicyUpdates

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