Valir Health’s Post

Interested in how to deal with #cellandgenetherapies? Check out the latest issue of the Journal of Clinical Pathways! https://lnkd.in/egTcUy4H and see my featured story column this month on the topic in Journal of Clinical Pathways.  #employers #commercialinsurance

Here’s what you need as a doctor to start your own medical practice: A license. And, some innovative spirit. I’d argue that most (all) of you are doing this already, with friends and family and colleagues 😉. Here’s what you don’t ‘need’: * A formal EMR. You can use paper. Or Google. * Malpractice insurance. Not saying it’s not a good idea. But risk-benefit a fair consideration if price is prohibitive. I know docs who go without. * Board certification. Also, not saying unimportant. May need it for hospital privileges (their choice). But a radiologist can give advice about a runny nose, know what I mean? * An office. You can, if you want, use your phone - for texting and talking and video. You could do house calls, meet people at public places, go to workplaces. * To be on insurance networks (private or public). As a professional, you can simply set a price and ask someone(s) to pay you for your services. Really. * HIPAA subspecialty training. Bottom line: Patients can consent to engage with healthcare anyway they want. You could start a practice that relies on skywriting, for example. Expensive, sure. Perhaps unwieldy. But if that’s how Frank wants his colonoscopy report delivered… * A formal LLC. Again - probably a good idea. But can be done after you get your feet wet a little. Start today. When a friend texts you for advice, tell em you’re starting a practice and ask ‘em for $5. Once you do this? Reach out to Mario Amaro, MD , or Brittany Busse, MD , or right here with me, and discuss next steps, how to do the above. To be clear: I’m not saying you should operate at a Denny’s with a butter knife without malpractice. (You can discuss a headache there though, over the French Dip.) I am saying that all of the perceived ‘needs’ above are often misunderstood and create barriers to provide-basic-healthcare entry of well-intended, smart, creative doctors. So first? Start today. The world needs doctors helping out at the top AND ‘bottom’ of their licenses. That…is a real solution. #doctorlife #doctors #doctorjobs #healthcare #healthaccess

A repost of the WorkCompWire article by Genex's Tammy Bradly, Senior Director of Clinical Product Marketing. She highlights the importance of care coordination when transitioning catastrophically injured workers between healthcare settings or providers. Bradly states that communication and preparation between all parties is paramount; reducing medical errors, preventing unnecessary re-hospitalizations, honoring the injured employee’s preferences and decisions, and avoiding duplication of processes and services. Focusing on five key areas: 1. Goals- Short and long-term medical needs of the injured employee need to be detailed and reviewed by both parties for a seamless transition. 2. Level of care- Is the receiving provider/family prepared and properly equipped to handle all the complex needs of the injured worker? Durable Medical Equipment and possible home modifications might be needed for safe patient transfers. 3. Continuity of Care- Coordination of pharmaceuticals, therapy, and other treatments for an optimal transition during patient transfer. 4. Scheduling follow up care with specialists, and other healthcare providers. 5. Social Determinants of Health (SDoH)- Addressing social, emotional and financial needs prior to discharge can reduce stress and anxiety. A link to the article is provided below. https://lnkd.in/encnJMFR #catastrophicinjury #workerscomp #continuityofcare #socialdeterminantsofhealth

Generating new and predictable revenue, without a significant time investment, is often top of mind for the hospital and health system leaders in my network. Great read below from ChartSpan Medical Technologies!

In “Fulfilling the Growing Need for Primary Care,” published by Physicians Practice, Laura Kline, MBA, CPCU, Senior Vice President, Business Development, The Doctors Company and TDC Group, discusses how advanced practice clinicians are part of the solution to addressing the physician shortage. To access this article and more recent news from our team of healthcare experts, visit: https://lnkd.in/ghPub3ad #primarycare #healthcare #advancedpracticeprovider #APC #APP #physicianshortage #advancedpractice #nursepractitioner #physicianassistant #physicianassociate

Deja Vu... Almost every health system that has merged with others to form dominant market shares claims that they "can offer higher quality at lower total cost." In general, this has been a deliberate misrepresentation, as most research has shown that quality does not improve and in some cases worsens, while costs, on average, have gone up significantly (6%-18%) "According to KFF, hospital mergers and acquisitions can lead to higher prices, but the evidence on quality is unclear. Some studies indicate that cross-market mergers can increase healthcare prices, and research from Elevance Health found that independent hospitals that are acquired by health systems have higher prices and lower quality of care. However, other research shows that hospital mergers can reduce operating costs by 15–30%, but these cost reductions don't translate into lower prices. Instead, research shows that hospital mergers increase the average price of hospital services by 6–18%". Ann KempskiJeffrey HoganAl Lewis 🇺🇦Ge BaiLarry BeckerStacey RichterChris DeaconShawn GremmingerScott Conard, MDLee LewisDavid ContornoMichael Thomson https://lnkd.in/erySMk4K