Reimbursement
Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions remain as to whether wellness programs work.
With benefits costs expected to climb 5% in 2020, employers are engaging in efforts to stem the increases.
CMS is proposing that hospitals make public their payer-specific negotiated charges for a limited set of "shoppable" services or face civil monetary penalties, in a rule to go into effect on January 1, 2020.
Internal and external gaps in interoperability were the second most-cited barrier to VBC adoption, at 19.7%.
America's Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.
The savings for Medicare fee-for-service would vary by specialty, but would total more than $20 billion next year alone.
Family support services, good access and transportation are some of the most-needed social services to address SDOH.
By investing earlier in social determinants strategies, health systems stand to save money in the long term and improve outcomes.
Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.
It will add Simplee's financial engagement platform to its revenue cycle portfolio and incorporate its billing tools into its consumer-facing technology.