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The Telehealth Trend

Patients, insurers (including government), and providers are all looking toward telehealth as a means of enhancing access to care and improving the health of people. In recognition of this trend, the web site Healthcare Finance News has published a series of articles looking at telehealth: Growing demand for telemedicine fueling multibillion dollar market growth Telemedicine can lower costs for health systems by $24 a patient, study finds CMS to waive restrictions to reimburse for telemedicine in the joint replacement payment model Almost all large employers plan to offer telehealth in 2018, but will employees use it? Why telehealth is fueling [...]

iqtsupport2018-01-08T06:00:05-05:00January 8, 2018|Uncategorized|

Fitch: Stable Outlook for Health Care in 2018

Despite a number of potential threats, Fitch Ratings predicts a stable financial environment for the health care industry in 2018. Fitch’s warns, though, of “outside disruptions” that could threaten that stability. Among those potential disruptions are tax reform legislation, government regulations, Amazon’s rumored entry into the industry, and advances in technology. The company predicts that ratings downgrades will exceed upgrades in the coming year. Learn more about Fitch’s predictions in this Healthcare Dive article.

iqtsupport2017-12-07T06:00:07-05:00December 7, 2017|Uncategorized|

Alternative Payment Model Spending Grows

In 2016, 29 percent of all health care payments were made through alternative payment models, continuing the movement toward paying for value rather than for volume. That 29 percent in 2016 was up from 23 percent in 2015. APMs include shared savings and shared risk programs, bundled payments, and population-based payments. Fee-for-service and other “legacy” payments accounted for 43 percent of health care payments in 2016 and pay for performance or care coordination fees accounted for another 28 percent of payments. These numbers come from a report from the Health Care Payment Learning and Action Network. Learn more about the [...]

iqtsupport2017-11-03T06:00:35-04:00November 3, 2017|Uncategorized|

AMA: Health Insurance Concentration in Urban Areas Threatens Competition

Too much market share by insurers in urban areas can inhibit competition, and according to the American Medical Association, there is too little competition among insurers in too many urban markets today. According to a new AMA study, 69 percent of 389 metropolitan statistical area-level markets are “highly concentrated” in 89 percent of MSAs, at least one insurer issues at least 30 percent of commercial health insurance policies in 43 percent of urban MSAs, a single insurer owns at least 50 percent of the market In a statement accompanying release of the report, an AMA spokesperson explained that After years [...]

iqtsupport2017-10-30T06:00:28-04:00October 30, 2017|Uncategorized|

Survey Says: More Than One in Four Underinsured

28 percent of insured adults under the age of 64 were uninsured in 2016, according to a Commonwealth Fund survey. The survey also found that: More than half of the uninsured are insured through their employer. Nearly one in four insured through their employer are underinsured. More than one in four Medicaid recipients were underinsured. Half of the underinsured report problems paying their medical bills. Individuals with higher deductibles are more likely to report problems paying their medical bills. More than 45 percent of the underinsured report skipping care they need because of cost. Low-income people and those with chronic [...]

iqtsupport2017-10-27T10:56:29-04:00October 27, 2017|Uncategorized|

Helping With Homelessness Reduces ER Costs

Hospitals are finding that helping homeless, frequent emergency room visitors find housing can reduce their unreimbursed ER costs. Throughout the country, hospitals are investing money – in some cases, millions of dollars – in housing programs for the homeless. What they are finding when they do so is that the stability of reliable housing – coupled with supportive social services – appears to be reducing the frequency with which such individuals appear in their ERs. Examples of such programs can be found in Sacramento, Orlando, Portland, New York City, Los Angeles, and elsewhere. Learn more about what hospitals are doing, [...]

iqtsupport2017-10-20T06:00:26-04:00October 20, 2017|Uncategorized|

A New Twist on Telehealth

Residents of urban areas often have the same access-to-care problems as rural residents, although the latter receive far more attention. So concludes a new report published on the Health Affairs Blog. According to the analysis, urban and rural residents have similar access problems – and among urban residents, the problems in some instances are even greater. One distinction: …while rural America has access problems because there are not enough doctors, urban America has access problems because there are not enough appointments. One potential solution to this problem, the report suggests, is focusing on access instead of geography and making telehealth [...]

iqtsupport2017-10-17T06:00:14-04:00October 17, 2017|Uncategorized|

Non-Profit Hospitals Tout Community Benefit

Non-profit hospitals invest $11 for every one dollar they do not pay in taxes because of their tax-exempt status. Or so says a study prepared for the American Hospital Association. According to the study, in 2013 non-profit hospitals provided $67.4 billion worth of benefits to their communities compared to the $6 billion they would have paid in taxes had they been for-profit hospitals. Those community benefits came in four forms: financial assistance and means-tested government programs (such as unreimbursed Medicaid costs) community-building activities Medicare shortfalls bad debt attributable to charity care Learn more about what the study found and how [...]

iqtsupport2017-10-13T06:00:32-04:00October 13, 2017|Uncategorized|

Pay Issues Slow Telehealth Spread

While most health care organizations and providers intend to make greater use of telehealth in the coming years, the manner and speed with which that use grows is being limited in part by reimbursement issues. A survey conducted for the College of Healthcare Information Management Executives found that About half of the study respondents listed reimbursement as a limitation, noting that some payers have been slow to reimburse telehealth visits and or reimburse at rates that are lower than face-to-face care. Survey participants reported using telehealth in three primary ways: scheduled patient “visit,” on-demand urgent needs, and specialist consultations. Learn [...]

iqtsupport2017-10-12T06:00:27-04:00October 12, 2017|Uncategorized|

Tiered Networks = Lower Costs

Health plans that employ tiered provider networks reduce health care spending, a study has found. The report, published in the journal Health Affairs, found that tiered provider networks reduced spending on inpatient, outpatient, and outpatient radiology among non-elderly members of commercial health plans by five percent. Learn more about this conclusion and how researchers reached it in the Health Affairs article “Enrollment In A Health Plan With A Tiered Provider Network Decreased Medical Spending By 5 Percent,” which can be found here.

iqtsupport2017-05-11T06:00:24-04:00May 11, 2017|Uncategorized|