Trend Watch: Physicians See Continued Transformation Toward Value-Based Healthcare in 2017

By URAC Staff on Feb 10, 2017 11:12:24 AM

While the new administration has brought uncertainty to what the Affordable Care Act will look like in the coming year, industry experts believe that the healthcare transformation will continue.

Four experts shared their insights into trends, opportunities and challenges for the coming year for physicians and provider networks. 

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The Ultimate Hope of the Future of Healthcare is Transformation

By James (Larry) Holly, M.D. on Dec 15, 2016 11:40:01 AM

By James (Larry) Holly, M.D., CEO, Southeast Texas Medical Associates

To be successful, the implementation of new policies and initiatives that will produce the future we imagine must be transformative – which comes from within. 

Transformation results in change that is not simply reflected in shape, structure, dimension or appearance, but is also part of the nature of the organization being transformed. The process itself creates a dynamic which is generative. It not only changes that which is being transformed but it also creates within the object of transformation the energy, the will and the necessity to sustain and expand that change and improvement. Transformation is not dependent upon external pressure (rules, regulations, requirements) but is sustained by an internal drive which is energized by the evolving nature of the organization.

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3 Ways Healthcare Providers Can Protect Themselves from Cyber Attacks

By URAC Staff on Nov 23, 2016 3:08:20 PM

Hardly a month goes by that we don’t hear about a cyber or ransomware attack on a healthcare provider, manufacturer or health plan. Though major attacks are the ones that make the news, healthcare providers across the country face the risk of an attack of any size.

The Privacy Rights Clearinghouse estimates that more than 900 million records have been breached in the United States since 2005 as a result of nearly 5,200 reported incidents. Of those, about 30 percent—more than 1,500 data breaches—occurred in the healthcare industry.

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What Will Prevent ACOs from Failing?

By URAC Staff on Nov 8, 2016 11:55:34 AM

If physicians don’t understand MACRA – or think they don’t need to understand MACRA – how will ACOs get physician practices to align with the requirements of the Patient-Centered Medical Home (PCMH) model?

The transition from traditional fee-for-service to value-based payment models, and the focus on patient-centered medical care and population health, has driven the proliferation of Accountable Care Organizations (ACOs).
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Video: Are You Ready for MACRA?  Discover How to Achieve Sustainable Transformation

By URAC Staff on Oct 27, 2016 3:53:05 PM

Watch this video for quick overview about MACRA (Medicare Access and CHIP Reauthorization Act of 2015), and what you need to do to succeed in the new healthcare economy.

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The Four Pillars of Clinical Integration

By URAC Staff on Oct 19, 2016 11:42:46 AM

The road to accountable care and value-based payment is a long one, chock full of obstacles along the way. But there are key checkpoints on the journey.

URAC’s Clinical Integration Accreditation standards address how to best position your organization to achieve success in a value-based economy, including governance, alignment, care coordination, and integrated infrastructure. Here are the top four things you need to know for clinical integration success:

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MACRA Impact on Medicare Patients and Clinical Professionals: What You Really Need to Know

By Bonnie Zickgraf and Aaron Turner-Phifer on Oct 12, 2016 1:38:48 PM

There is sweeping new federal regulation that will impact the future role of managed care nurses and physicians in the most challenging of ways. This new law is referred to as “MACRA.”

MACRA will overwhelmingly affect pre-authorizations, clinical coding review, claim reimbursements, policy development, performance measures and coordination of care, defining new roles for Medicare providers and managed care professionals in the United States.

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