s healthcare leaders across the globe continue to grapple with the challenges and the
complexities of the COVID-19 outbreak, the pandemic has shed light on the ground realities and
the long-term impact that it could have on the healthcare policies, regulations and technologies.
This has led to a paradigm shift in patient engagement, care coordination, revenue cycle models
and various other components.
Value-based payment has been through tremendous changes and a virtual explosion is
expected post the COVID-19 scenario. Consider the fact that the transition from the Fee For
Service (FFS) to the Value-based Care Models have permanently altered the healthcare
landscape forever. Studies indicate that COVID-19 is shockingly the third deadly, highly
contagious, respiratory disease to explode in the past 18 years, while hospitals, practices and the
health systems are relentlessly fighting to combat the effects of the global pandemic. While it is
difficult to gauge the financial impact that it would have on healthcare organizations, it is most
likely that the capitated members will thrive in the post-covid 19 era.
Post COVID-19 Priorities to Address Revenue Loss
and Margin Impact
MAXIMIZE REVENUE REALIZATION
Finance and Revenue Cycle Management (RCM)
Accurately code COVID-19
procedures and services to
accelerate reimbursements
from the CARES ACT
|
Monitor, identify root causes
and minimize Denials
|
Proactively identify the most
valuable and profitable
elective procedures,
specialty care and diagnostic
services, which maximize
revenues and margins
|
INCREASE VALUE BASED CARE REIMBURSEMENTS
Value-based Care and Clinical Quality
Single version of the truth
on VBC, ACO, and PHM
costs, KPIs and metrics
|
Risk-based approach to ACO
and PHM to lower Length of
Stay and 30-day readmission
rates
|
Improve P4P metrics and
performance to improve VBC
reimbursements
|
IMPROVE OPERATIONAL EFFICIENCY
Operations and Supply Chain Management
Choose the most strategic
locations for your next
hospital, testing facility or
warehouse for rapid
responsiveness
|
Maximize ICU, ED, OR and
observation room utilization
and improve patient
throughput satisfaction
|
Monitor, measure, analyze
and control maverick (offcontract) buying
|
Telemedicine platforms and Remote Patient Monitoring solutions (RPM), embraced by the
Centers for Medicare & Medicaid Services (CMS) and private payers are quickly transitioning
from promising technologies to inevitable sources of care delivery. Telehealth solutions prior
to the COVID-19 scenario have been merely ambiguous technologies that were covered by only
a very few health plans and policies. However, Telemedicine Solutions and Remote Patient
Monitoring Platforms are at the forefront of patient engagement and care coordination
solutionsdelivered in a more secure way to patients across the globe. The rapid deployment
and adoption of telehealth platforms have compelled CMS to rollout new policies that support
the applicability of disruptive virtual healthcare solutions at scale.
CMS and all the key stakeholders involved in patient care now have a shared interest of
leveraging the capabilities of Telemedicine Solutions and other virtual healthcare platforms to
offer secure care and remote monitoring services to patients worldwide.
At SolvEdge, our patient engagement solutions are strategically designed to integrate
telemedicine software and remote patient monitoring tools to deliver holistic virtual care
solutions to our healthcare clients. Our comprehensive care coordination solutions are backed
by a strong team of technologists, SMEs, Doctors and PhDs who work together to deliver
seamless Customer Experiences (CX) and superior solutions.
How to Gain Physician Trust in Telemedicine Solutions and Digital Healthcare
6 Ways Telemedicine Services Improve Financial Results of your Practice
Adopting Value-based care in the Current Healthcare Landscape
How do Care coordination Solutions Impact your Financial Outcomes?
CMS Proposes to Permanently Expand Telehealth Service Benefits
To learn more about our value-based care solutions, talk to our team