Lori Palmer

Do you know or are you one of the Healthcare Financial Management Association (HFMA) members who earned a certification in Q2 to validate expertise and demonstrate commitment to the profession? Some 2,115 individuals were honored in Q2 with HFMA certifications, with 101 people earning multiple certifications. Check out the story to see a list of all honorees.

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What’s so important about the #NCPDP standards that are expected to be finalized by the Centers for Medicare and Medicaid Services (CMS)? They could enhance the ways that patient clinical and benefit information is shared. https://ow.ly/xKqC30sCErJ

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Interested in the CMS Medicare Shared Savings Program (MSSP), but not sure where to start? Check out this Sg2 expert blog post on how MSSP provides a structure for intentional strategic exploration and learnings, even for systems not fully committed to value-based care.

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In this report in The National Law Review, Edward K. White and Mike Segal of Nelson Mullins healthcare group, explain that while value-based care has shown success in primary care by reducing costs and improving patient outcomes, it hasn't made as much progress in specialty care. Primary care providers (PCPs) play a crucial role in coordinating patient care, but they represent only a small portion of total healthcare costs. Specialty care, which accounts for over 60% of medical expenses, still operates mainly under fee-for-service models, rewarding volume over quality. For value-based care to be sustainable, PCPs and specialists must work together, which can improve patient outcomes and reduce costs. White and Segal propose the use of a value-based enterprise (VBE) to integrate PCPs and specialists. A VBE creates a regulatory environment that encourages contractual relationships focused on care coordination, quality improvement, and cost reduction. By utilizing new Stark Law exceptions and Anti-Kickback Statute safe harbors, VBEs can develop innovative care processes and payment models. This integration allows for better patient care, earlier diagnosis, and financial incentives aligned with value-based care. Ultimately, VBEs can help PCPs and specialists collaborate effectively, leading to improved healthcare outcomes and cost savings. #ValueBasedCare #PrimaryCare #SpecialtyCare #HealthcareIntegration #VBEs #HealthcareCostReduction #PatientOutcomes

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For nursing homes with large #Medicaid populations, a CMS proposal could mean an explosion of data collection and submission responsibilities — and require careful strategizing to avoid payment deductions. Currently, MDS data is submitted only for patients whose stays are covered by fee-for-service #Medicare. #skillednursing #MDS #nursing #data #nursinghomes AAPACN

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🚨👇 𝐍𝐄𝐖 𝐁𝐋𝐎𝐆 𝐏𝐎𝐒𝐓: Insights and inspirations from #HMPS24 It was great to see so many friends and colleagues last week. And all of the sessions I attended offered strong takeaways and inspirations to help drive action. My blog post highlights the top 5 inspirations (for me, at least) and provides the full recap of each conference day I attended. I'm already looking forward to HMPS25 in Orlando next year! #hcmktg #healthcaremarketing #healthcarecommunictions

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As the demand for emergency care and hospital beds increase, ensuring health systems have enough space to support care will require a multipronged approach. Here are potential capacity solutions from all angles.

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Natera's 2023 Environmental, Social, and Governance & Social Responsibility highlights the ways Natera has furthered its commitment to sustainability, ethical practices and positive social impact in the past year. 🌍 Environmental Stewardship: We’ve reduced our Scope 1 & 2 emissions by 11% since 2021 by implementing energy efficiency initiatives in our labs, as well as rolling out electric vehicles in our fleet. We have also achieved our 2025 supplier engagement goal, and have eliminated more than 250K pounds of material from our test kits. 💙 Empowering our people, patients and communities: In 2023, we served 1.7M patients, contributed more than 6200 volunteer hours to our local communities and 84% of employees indicated that they are proud to work for Natera. 📊 Governance Excellence: Enhanced corporate governance practices, including stronger board oversight, improved stakeholder engagement and robust ethical guidelines. View the full report: https://ow.ly/8GrC50SOyP8 #Natera #ESG #CorporateResponsibility #EnvironmentalImpact #TeamNatera

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