Hammad Haider-Shah’s Post

This article from Forbes discusses the importance of healthcare price transparency for consumers and the healthcare system. It highlights the historical lack of transparency in healthcare costs and the recent efforts to increase transparency through legislative actions. The article goes on to emphasize that despite improvements in price transparency, many consumers remain unaware of the costs associated with their healthcare services. Federal legislators have taken steps to require hospitals, health insurers, and employers to publicly disclose prices for various services. This relevant article underscores the need for increased awareness among consumers to enable them to make informed decisions about their healthcare. Overall, the focus is on enhancing price transparency to empower individuals and create a more efficient healthcare system. https://lnkd.in/eF9efGd7 #healthcare #healthcarecosts

A New Watch!—Unpacking Healthcare Challenges & Solutions 🎤 Steve Ambrose recently caught up with Steve Davis, AVP of Managed Care & Payer Strategy at Ardent Health Services, at Becker's in Chicago for a revealing conversation. Here are some highlights to pique your curiosity: • Medicaid Redetermination: A Massive Challenge How is Ardent Health Services innovating to assist patients through this complex process? Steve Davis reveals their proactive strategy, but what could it mean for millions of Americans? • Navigating Insurance Transitions Transitioning from Medicaid to exchange plans isn't straightforward. Davis discusses the hurdles and educational efforts involved. Wondering how this impacts patient care and experience? • Medicare Advantage Plans: Opportunities & Challenges With potential shifts in provider networks, what are the pressing issues that Medicare Advantage plans face today? Hear Davis's perspective on this critical topic. • And a Personal Touch Ever wondered what a healthcare executive might be doing if not in healthcare? Davis shares his unique passion, adding a personal dimension to this insightful interview. ————— 🎞 Click below and watch the 4-min video. ✅ Then click once more to follow Lyric - Clarity in motion. for more insights and forward-thinking perspectives from today's healthcare leaders and luminaries. ————— #HealthcareInnovation #LeadershipInsights Ardent Health Services

**Title: Understanding Healthcare: A Comprehensive Guide** **1. Defining Healthcare:** - Definition of healthcare and its broader implications beyond just medical treatment. - Explanation of healthcare as a system encompassing prevention, diagnosis, treatment, and management of illness or injury. **2. Components of Healthcare:** - Overview of the key components of the healthcare system, including healthcare providers, facilities, insurance, and government agencies. - Explanation of the roles of different healthcare professionals, such as physicians, nurses, pharmacists, and allied health professionals. **3. Goals of Healthcare:** - Discussion of the primary goals of healthcare, including promoting health and well-being, preventing illness and injury, diagnosing and treating medical conditions, and improving quality of life. - Explanation of the importance of patient-centered care and holistic approaches to healthcare. **4. Healthcare Services:** - Overview of the various types of healthcare services available, including primary care, specialty care, emergency care, preventive care, and rehabilitative care. - Explanation of the continuum of care and the importance of coordinated care across different healthcare settings. **5. Healthcare Delivery Systems:** - Introduction to different models of healthcare delivery, such as fee-for-service, managed care, and value-based care. - Explanation of healthcare delivery settings, including hospitals, clinics, community health centers, and telemedicine platforms. **6. Healthcare Financing:** - Overview of healthcare financing mechanisms, including health insurance, government programs (such as Medicare and Medicaid), and out-of-pocket payments. - Explanation of healthcare costs and factors influencing healthcare expenditures. **7. Challenges and Opportunities in Healthcare:** - Discussion of the various challenges facing the healthcare system, such as rising costs, disparities in access and quality, and workforce shortages. - Exploration of emerging trends and innovations in healthcare, such as digital health technologies, personalized medicine, and population health management. **Conclusion:** - Recap of key points covered in the article. - Emphasis on the importance of understanding healthcare as a complex and evolving system, and the role of individuals in advocating for their own health and well-being. #healthcare #healt #medical #doctor

Public policy strategies in healthcare in the Middle East can vary significantly from country to country due to differences in political systems, economic resources, and healthcare infrastructure. However, there are some common themes and strategies that many Middle Eastern countries have pursued to address healthcare challenges: 1.     Universal Health Coverage (UHC) to ensure that all citizens have access to essential healthcare services without facing financial hardship. These programs often involve a combination of public financing, social health insurance schemes, and private sector participation. 2.     Healthcare Infrastructure Investment including building new hospitals, clinics, and medical centers. This investment aims to improve access to healthcare services, especially in rural and underserved areas. 3.     Health Information Technology (HealthTech) to enhance the efficiency and effectiveness of healthcare delivery. 4.     Public-Private Partnerships (PPPs) involving the collaboration between the government and private companies in financing, building, and operating healthcare facilities, as well as providing specialized medical services. 5.     Health Research and Innovation promotion is crucial for addressing the region's unique health challenges and advancing medical knowledge. Overall, public policy strategies in healthcare in the Middle East aim to improve access, quality, and efficiency of healthcare services while addressing the specific health needs and challenges facing the region. Collaboration between governments, the private sector, civil society, and international organizations is essential for successful implementation and sustainability of these strategies.

📚 Excited to share insights from "Redefining Health Care: Creating Value-based Competition on Results" by Michael E. Porter and Elizabeth Olmsted Teisberg. In today's rapidly evolving healthcare landscape, the focus on delivering value is more critical than ever. 🔍 Key takeaway: Value in healthcare means achieving the best outcomes for patients at the lowest cost. It's about shifting from a volume-based model to one centered around results. 💡 This book highlights the importance of provider accountability, measurement, and transparency in driving value-based competition. By focusing on outcomes and engaging in continuous improvement, healthcare organizations can deliver better care while controlling costs. According to "Author: Creating Value-based Competition on Results," competition in healthcare is different due to several key factors: 1.  Complexity of Health Conditions: Healthcare involves addressing complex and diverse health conditions, which can vary greatly among patients. This complexity makes it challenging to standardize care and measure outcomes accurately. 2.  Information Asymmetry: Patients often lack the information and expertise needed to make informed decisions about their healthcare. This information asymmetry can lead to challenges in achieving true competition based on value. 3. Third-Party Payers: In many healthcare systems, third-party payers (such as insurance companies or government programs) cover the majority of healthcare costs. This can create a disconnect between the consumer (patient) and the payer, reducing the traditional market forces of supply and demand. 4. Regulatory Environment: Healthcare is heavily regulated, which can limit competition and innovation. Regulatory requirements, such as licensing and quality standards, can create barriers to entry for new providers and disrupt market dynamics. 5.  Risk and Uncertainty: Healthcare involves inherent risks and uncertainties, both for patients and providers. The unpredictable nature of health outcomes makes it difficult to accurately assess and compare the value of different healthcare services.   Overall, these factors contribute to the unique challenges and complexities of competition in healthcare, requiring a specialized approach to drive value-based competition and improve outcomes for patients. 🚀 Are you ready to embrace value-based competition in healthcare? Let's discuss how we can redefine healthcare delivery for the better! #Healthcare #ValueBasedCare #QualityImprovement

I want to talk about something that's crucial in all of our lives: Making informed decisions when it comes to healthcare referrals. Let's face it: we all want the best care possible. But that doesn't mean we should blindly follow the traditional referral patterns within healthcare. It's about understanding the broader picture and saving both our health and our wallets in the process. Here's an example: You choose a primary care physician within a specific healthcare system, and they recommend an orthopedic specialist within the same system. Seems convenient, right? Well, it might be, but it can also be costly. Studies, like the one conducted by Harvard, have found that services provided within health systems can cost significantly more—up to 26% for physician services and a whopping 31% for hospital-based services. So, what's the alternative? It's simple, really. Take control of your healthcare journey by researching and identifying a shortlist of providers yourself. Use your health insurer's website, Google, or any available resources to find options that suit your needs.

Can we really expect harmony, equity, or value when we’ve pitted payers and providers—the two groups with the highest leverage in healthcare—in win-lose relationships? We all know (and have seen and felt) the answer. The key takeaway from this article: When health system earnings go up, payer stocks go down. This is why we must build toward value-based care. Creating an ecosystem where everyone’s success is measured by the quality of their service to patients means we unify behind what matters most. The leverage applied to undercutting competitors can be applied to lifting each other up. Seamlessness, cohesiveness, collaboration, and a laser-like focus on outcomes—they’re all possible in healthcare. They start with value-based care. https://lnkd.in/gGWHHaPj #valuebasedcare #alignment #healthcare

Johns Hopkins Health Plans recently revealed a new multi-payer portal designed to simplify healthcare administration for providers within their network. Powered by Availity Essentials, this secure platform offers real-time features to streamline communication and transactions between providers and payers. Benefits for Providers: - Providers can electronically submit and track claims, check claim status, and access remittance and payment information. - AI-powered features provide valuable insights into financial and administrative data, allowing for faster access to accurate information. - Future enhancements promise more timely access to member information through improved reports. - The portal aims to alleviate administrative burdens for providers, allowing them to focus on delivering quality care. Learn more: https://hubs.ly/Q02zQC900

The Big Question: Who Will Fix Healthcare? It’s no secret that something needs to change in our western healthcare system. Rising costs, decreased accessed, increasing clinician burnout, and financial challenges all plague healthcare systems across the world. Depending on who you speak to (policy-makers, providers, payers, or patients), the cause of these problems varies. Some stakeholders, like providers, blame payers and insurance companies. Some stakeholders, like patients, blame corporate greed and profit incentives for healthcare’s woes. Regardless of who you speak with, they all seem to have the same question: Who Will Fix Healthcare? I actually had an interesting conversation with a founder in the healthcare space about this topic and he said something that I thought was worth doing a whole episode on. He said, essentially, that the solution to healthcare’s challenges will likely come from outside the industry. So, this week, I sit down with Mohamed Elwazer from linedanceAI to discuss the question “Who will fix healthcare?”. We dive into topics around innovation, common challenges faced by healthcare providers, and the importance on focusing on the key element of healthcare exchanges: the relationship between providers and patients.   What we cover in this Episode: ✔ Understanding the challenge of clinician burnout in healthcare ✔ The cost of hiring & recruiting clinicians ✔ Problems caused by fee for service reimbursement schemes ✔ The importance of crafting a positioning strategy when employing an innovative healthcare solution ✔ Common challenges with innovating within the healthcare space ✔ Why the people closest to the problem often have difficulty taking a step back to view it objectively ✔ Achieving Better Outcomes by leveraging technology to streamline processes, reduce costs, and increase human connection in healthcare Check out the full episode in the comments below! #healthcare #healthcareinnovation #healthcaretechnology #fixinghealthcare #savinghealthcare #humanizinghealthcare #healthcaretech #thebetteroutcomesshow

Experts forecast about a 7% increase in healthcare costs for 2024, but with the right clinical strategies and a Total Cost of Care approach, you can help lower your organization’s healthcare costs — and improve the health of your workforce. #healthinsurance #employeebenefits #totalcostofcare https://ow.ly/QIOU30sAP24