Accountable Care

While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.

The goal of the new nationwide ecosystem is to simplify patient access through virtual care pathways that work in tandem with local delivery, enabling higher quality and cost efficiencies for providers, says Transcarent CEO Glen Tullman.

 More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.

Health systems should get organized on alignment, transparency and reciprocity to further their VBC efforts, and providers need support to better understand and interpret population health data, says John Fryer, president of Tribus and CRO at Lumeris.

Also: eClinicalWorks now offers a suite of patient engagement capabilities through a collaboration between Ero Health and HealthTalk A.I.

The LLMs, trained on healthcare and reimbursement concepts and terminologies, could improve population health management, care management and coordination, CRM, VBC, and self-serve analytics, the company said.

Episode-based payment incentives must be aligned across other value-based models, CMS says.

As they grapple with rising costs, three in four C-suite leaders say recent artificial intelligence advancements will "reshape the industry," according to a new Bain & Company report. But just 6% have an organizational plan to harness it.

Health systems able to offer this will not only be better positioned to survive external pressures, says one artificial intelligence expert, but will also help set the bar for critical best practices for future patient-provider relationships.

University of Texas researchers found that symptoms of certain diseases are more difficult for patients to communicate and doctors to observe over video. Other limitations mean little cost-reduction benefit from telehealth when compared to in-person care.