Articles by Theresa
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3 Ways Your ACO Can Convert APP Reporting Data into Higher Savings
3 Ways Your ACO Can Convert APP Reporting Data into Higher Savings
By Theresa Hush
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These Five Trends Are Steering Your Future Path to Value-Based Care
These Five Trends Are Steering Your Future Path to Value-Based Care
By Theresa Hush
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Customized Roji APP Reporting Plan Cuts ACO Costs and Burden, Boosts ACO Capabilities
Customized Roji APP Reporting Plan Cuts ACO Costs and Burden, Boosts ACO Capabilities
By Theresa Hush
Activity
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#ACOs must deliver on the affordability of the promise, or as the shift to risk payment models continues, there will be financial consequences for…
#ACOs must deliver on the affordability of the promise, or as the shift to risk payment models continues, there will be financial consequences for…
Shared by Theresa Hush
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How CMS's new Proposed Rule furthers their goal that all Traditional Medicare beneficiaries will be in an accountable care relationship by 2030—and…
How CMS's new Proposed Rule furthers their goal that all Traditional Medicare beneficiaries will be in an accountable care relationship by 2030—and…
Shared by Theresa Hush
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Empower your #ACO to start an iterative and engaging process for connecting clinical data with cost initiatives. You already have the data you need…
Empower your #ACO to start an iterative and engaging process for connecting clinical data with cost initiatives. You already have the data you need…
Shared by Theresa Hush
Publications
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Are Value-Based Models Helping or Hindering Care Delivery for Primary Care Providers
AJMC Managed Markets Network
This article by Jaime Rosenberg summarizes Terry's presentation at the National Association of Managed Care Physicians 2019 Fall Managed Care Forum in Las Vegas. Value-based models continue to enter the healthcare system, affecting a variety of fields, including primary care. And while success stories have been shared by payers and CMS touts these models as a way to “save” primary care, that's not the current reality, Terry explains.
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As MIPS, practice hassles get harder, pay-for-performance gets more attractive
Decision Health/Part B News
Terry is among the experts quoted in this article by Roy Edroso that examines how MIPS requirements and fee-for-service may be driving some providers out of business or into new payments systems preferred by CMS.
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How primary care physicians can navigate business intelligence challenges under risk models
HFM
Terry explains how primary care physicians have been enlisted in the value-based healthcare effort, with revenues linked to meeting targeted cost measures to entice practice participation, but many of these physicians lack the business intelligence capabilities needed to be successful under these models.
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Nine Reasons Health Execs Are Excited for the Future
Managed Healthcare Executive
One of nine healthcare execs quoted in this roundup by Tracey Walker, Terry highlights the trend toward consumer empowerment in managing their medical decisions and costs as a game changer in healthcare cost control.
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5 Actions ACOs Should Take Now: Takeaways from Proposed CMS
ACO Newstand Weekly
Terry explains why ACOs should take a holistic approach to reading CMS's proposed revisions to the PFS and QPP, as well as the proposed Outpatient Prospective Payment System (OPPS) rule.
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Three key quotes on bundled payments in ASCs
Becker's ASC Review
Terry is one of three experts quoted on this top-of-mind issue for many ASC leaders.
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High-deductible patients, outpatient bundles + more ⎯ 3 Qs with CEO Theresa Hush
Becker's ASC Review
Terry discusses the implications of why outpatient surgery providers have been slow to adopt bundled payments, which offer an opportunity for ASCs to prove themselves as a viable care option.
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Shared Savings now heavier lift for provers; prep more or go with easier new models
DecisionHealth Part B News
Terry comments on readiness of ACOs that are applying for Shared Savings to take on risk. Article by Roy Edroso.
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Value-based arrangements in ASCs ⎯ 3 quotes from an industry CEO
Becker's ASC Review
Drawing from her 25-plus years of industry experience, Terry told Becker's ASC Review reporter Angie Stewart what to expect for the future of risk-based agreements.
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The Future of Healthcare: “Make tools available for women so that they can have a real voice in their health” with Terry Hush, CEO of Roji Health Intelligence
Thrive Global
An interview with Terry by Christina D. Warner for her forthcoming book, "The Art of Healthcare Innovation."
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What's driving healthcare prices? Not doctors
Medical Economics
In this article by Keith Loria, Terry reflects on health care pricing increases: “Increased hospital pricing reflects the greater negotiating power that consolidated hospital systems now have with insurance companies. Several studies of healthcare consolidation show that larger systems, rather than creating economies of scale, have driven costs up. Consolidation has increased investments in electronic records and medical technology, the acquisition of physician practices, and higher…
In this article by Keith Loria, Terry reflects on health care pricing increases: “Increased hospital pricing reflects the greater negotiating power that consolidated hospital systems now have with insurance companies. Several studies of healthcare consolidation show that larger systems, rather than creating economies of scale, have driven costs up. Consolidation has increased investments in electronic records and medical technology, the acquisition of physician practices, and higher administrative costs.”
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The Future of Healthcare: "Make tools available for women so that they can have a real voice in their health" with Terry Hush, CEO of Roji Health Intelligence
Authority Magazine
Interviewed by Christina D. Warner, Terry reflects on her career and why she is now focused on improving health care for women.
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The Future of the ACA
Managed Healthcare Executive
Terry is among the industry experts cited in this assessment of what will happen to the Affordable Care Act under the Trump Administration, written by Keith Loria.
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Provider Nimbleness Required for Diverse Value-Based Healthcare Models
HFM Magazine
Terry explains how Value-Based Health Care is changing and three essential steps providers should take to respond effectively.
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11 Books You Can't Miss in 2019
Managed Healthcare Executive
Terry joins other health care executives to recommend a favorite novel with a message relevant to health care.
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Aetna, Apple Team Up on Health-Tracking App: Experts React
Managed Healthcare Executive
Terry shares her insights on the risks of shared data via the Attain app for Apple Watch.
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Exceptional performance MIPS bonus may not be worth chasing, but high scores are
Decision Health/Part B News
Reporter Roy Edroso draws on Terry's expertise for insights on MIPS.
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Value-Focused Healthcare Strategy Must Be Multifaceted
HFM Magazine
How does Value-Based Health Care fit into the planning and budgeting cycles for health systems, hospitals and physician groups? Industry experts agree that risk-based payment will dominate the future market, and most health care organizations now acknowledge its importance. Nonetheless, providers are cautious in moving toward value-based payment.
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Out of options? Providers will face risk under ACOs or medicare advantage
Becker's Hospital Review
CMS's new Proposed Rule requires that ACOs move to financial risk faster, and a longer contract term ensures they are serious about making it work.
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5 Tough New Ethical Dilemmas for Doctors, and How to Deal With Them
Medscape
Terry shares insights about in-house referrals with writer Leigh Page in this comprehensive article about physicians' ethical dilemmas.
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New Approaches for Improving the Cost of Care
HFM Magazine
The requirements of a Value-Based Health Care system are making many providers look at their data in new ways with an eye toward cost improvement.
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Pivoting Revenue Cycle Efforts to Resolve New Financial Realities
HFM Magazine
The latest revenue cycle management trends cover the life cycle of patient interactions, starting with scheduling and coverage verification, authorization for services, coding and claims submission, and final payment processing.
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How ACOs Can Leverage Price Transparency to Create Value for Consumers
ACOExhibitHall.com
Health care consumers are being forced to assume a greater share of costs for treatment. But how can patients determine the value of health care services if they can’t compare costs?
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Thirteen Questions Health Execs Should Ask Before Spending Tech Dollars
Managed Healthcare Executive
Terry shares her insights on how healthcare organizations should better respond to consumers and patients with MHE editor Tracey Walker.
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Quality out, cost in: MIPS expert says pay attention to spend per beneficiary
DecisionHealth Part B News
Roy Edroso focuses on Terry's insights about direction of MIPS and implications for providers
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Four Ways Providers Can Help Patients Gain Value in Healthcare
Managed Health Executive
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Big Business to Health Care Industry: Shake it Up and Cut Costs
Healthcare Business Today
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Defining the "cost" of healthcare matters, if we want results
Becker's Hospital CFO Report
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Value-Based healthcare: Can it help consumers choose doctors?
Becker's Health IT & CIO Report
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Customer Service is Overlooked Path to ACO Patient Loyalty, Results
Accountable Care News
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Three ways payers can help consumers make wise healthcare decisions
Managed Healthcare Executive
Honors & Awards
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Phi Beta Kappa
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Public Affairs Fellow of US Department of Health, Education and Welfare
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More activity by Theresa
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CMS Proposed Rule incentives MIPS Value Pathways adoption—and more key takeaways. #MIPS #APPReporting #ACOs https://lnkd.in/eyMvp6_9
CMS Proposed Rule incentives MIPS Value Pathways adoption—and more key takeaways. #MIPS #APPReporting #ACOs https://lnkd.in/eyMvp6_9
Shared by Theresa Hush
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What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
Shared by Theresa Hush
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In 2025, CMS is only allowing two options for submitting APP Quality Measures: Medicare CQMs and eCQMs. More key takeaways from the new Proposed Rule…
In 2025, CMS is only allowing two options for submitting APP Quality Measures: Medicare CQMs and eCQMs. More key takeaways from the new Proposed Rule…
Shared by Theresa Hush
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How CMS's new Proposed Rule furthers their goal that all Traditional Medicare beneficiaries will be in an accountable care relationship by 2030—and…
How CMS's new Proposed Rule furthers their goal that all Traditional Medicare beneficiaries will be in an accountable care relationship by 2030—and…
Shared by Theresa Hush
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CMS Proposed Rule incentives MIPS Value Pathways adoption—and more key takeaways. #MIPS #APPReporting #ACOs https://lnkd.in/eyMvp6_9
CMS Proposed Rule incentives MIPS Value Pathways adoption—and more key takeaways. #MIPS #APPReporting #ACOs https://lnkd.in/eyMvp6_9
Shared by Theresa Hush
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What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
Shared by Theresa Hush
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What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
What you need to know about CMS's Proposed Rule. ROJI's Dave Halpert extracts the essentials on the continuing shift from Traditional #MIPS to MVPs…
Shared by Theresa Hush
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Join us for Part 3, July 16, of our free webinar series, How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey.Part 3:…
Join us for Part 3, July 16, of our free webinar series, How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey.Part 3:…
Shared by Theresa Hush
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Don't wait to embark on cost initiatives for fully aggregated data. Reducing costs involves both data aggregation and effective strategies for…
Don't wait to embark on cost initiatives for fully aggregated data. Reducing costs involves both data aggregation and effective strategies for…
Shared by Theresa Hush
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All #ACOs must start aggregating their participating providers' EHR clinical data into a patient-centric database for Value-Based Care efforts…
All #ACOs must start aggregating their participating providers' EHR clinical data into a patient-centric database for Value-Based Care efforts…
Shared by Theresa Hush
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Don't miss our free Tuesday, July 16th Webinar, third in our series, "How the CMS National Quality Strategy Can Guide You on Your Value-Based Care…
Don't miss our free Tuesday, July 16th Webinar, third in our series, "How the CMS National Quality Strategy Can Guide You on Your Value-Based Care…
Shared by Theresa Hush
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#ACOs must deliver on the affordability of the promise, or as the shift to risk payment models continues, there will be financial consequences for…
#ACOs must deliver on the affordability of the promise, or as the shift to risk payment models continues, there will be financial consequences for…
Shared by Theresa Hush
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#ACOs need clinical data from their participating physician groups' EHRs to adequately pursue cost control strategies and identify the drivers in…
#ACOs need clinical data from their participating physician groups' EHRs to adequately pursue cost control strategies and identify the drivers in…
Shared by Theresa Hush
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Empower your #ACO to start an iterative and engaging process for connecting clinical data with cost initiatives. You already have the data you need…
Empower your #ACO to start an iterative and engaging process for connecting clinical data with cost initiatives. You already have the data you need…
Shared by Theresa Hush
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Don't wait to embark on cost initiatives for fully aggregated data. Reducing costs involves both data aggregation and effective strategies for…
Don't wait to embark on cost initiatives for fully aggregated data. Reducing costs involves both data aggregation and effective strategies for…
Shared by Theresa Hush
-
All #ACOs must start aggregating their participating providers' EHR clinical data into a patient-centric database for Value-Based Care efforts…
All #ACOs must start aggregating their participating providers' EHR clinical data into a patient-centric database for Value-Based Care efforts…
Shared by Theresa Hush
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The way ACOs have tried to reduce costs is, in most cases, not sophisticated enough. And they have lacked the tools to save more. How to prepare for…
The way ACOs have tried to reduce costs is, in most cases, not sophisticated enough. And they have lacked the tools to save more. How to prepare for…
Shared by Theresa Hush
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