The ilumed Blog
Let’s talk healthcare.
Helpful articles and interesting perspectives from our diverse team of healthcare nerds—we mean, professionals.
By: Bill Lane, Executive Vice President of Network Development and Global Risk Contracting For more than a decade, the Centers for Medicare & Medicaid Services (CMS) has tested and refined alternative-payment models in Medicare. CMS continually strives to improve these models to achieve better health outcomes for Medicare beneficiaries and reduce healthcare cost expenditures while… Continue reading Why ACO REACH is the best alternative-payment model in Medicare
By: Philip Middleton, Vice President of Social Determinants of Health It’s no secret that inflation has been rough for all of us, but it’s hit those on low and fixed incomes the hardest. As prices rise for food, housing, energy and more, the most vulnerable are forced to make dangerous tradeoffs that negatively impact their… Continue reading Inflation Takes a Toll on Social Determinants of Health.
By Jorge Rodriguez, Chief Information Officer As healthcare continues to evolve, so does the role technology plays in helping providers make the best decisions for their patients. A big part of healthcare technology is delivering as much patient data to a provider as possible. BrainStream is the next step in the evolution of electronic medical… Continue reading The Next Step in the Evolution of Health Technology
What inspired you to pursue a career in healthcare in the first place? For many providers, helping people be healthier is what ignited their passion and drives them to this day. If you feel this way, congratulations—you already have what it takes to succeed as a provider in the DCE model. However, that doesn’t mean… Continue reading What Does it Take for a Provider to Succeed in the Direct-Contracting-Entity Model?
About: An industry Veteran of over 40 years. Specialization, and heart, lies in improving population health. Served decades as COO, EVP and President of numerous health groups before following a passion for senior care and single-handedly founding The Pearl Mae Foundation. Her latest dedicated endeavor is ilumed, LLC, established to consult on end-to-end strategies that… Continue reading Debra A. Finnel
By Frank Richter, Chief Financial Officer The future of healthcare is all about data. Insights from patient data analytics used in Direct Contracting Entity (DCE) , soon to be ACO REACH, care models can not only be used to pinpoint issues that may currently be causing a patient to experience hardships but also help providers… Continue reading The Nitty Gritty on Patient Data Analytics
How can providers support patients between appointments? We’re not telling you anything you don’t already know, but what happens to your patients outside the exam room is just as important as what happens inside it. Each day, you see firsthand how loneliness and isolation can negatively impact your patients’ physical and mental health. You encounter… Continue reading Is Healing Medicare the Key to Health Equity?
By Brent Hood, Chief Operating Officer A changing healthcare landscape demands a new operational model. Ilumed can help your practice prep for the future. Healthcare delivery for Medicare beneficiaries is at a crossroads. The traditional fee-for-service model burdens beneficiaries with navigating a complex system and increasingly complex health needs. The Medicare Advantage model puts process… Continue reading How ilumed Helps Transform Provider Practices for the Better
Healing the Whole Person: How Direct Contracting Entities Can Boost Your Practice You know your patients. You strive to give them the best care possible. However, the current fragmented nature of the healthcare system often works against you rather than for you. It needs innovation. Enter ilumed. We create simple solutions for a complex industry… Continue reading Healing the Whole Person: How Direct Contracting Entities Can Boost Your Practice
By Debbie Finnel, Chief Executive Officer The current Medicare healthcare system is broken. It incentivizes the wrong actions. It benefits those looking to make a profit while it bulldozes over the people it purports to care for. The current system does not benefit taxpayers, beneficiaries, or healthcare providers. Some say fee-for-service (FFS) care is the… Continue reading What People Get Wrong About Healing Medicare
By Dr. David Priscal, Chief Medical Officer We’re at a crossroads in Medicare. Physicians and nurses are burnt out. Patients are sicker. Costs have skyrocketed. But there’s hope. We can heal Medicare with innovation. Let me explain how. Strategy #1: Re-establish the primacy of primary care The U.S. has one of the finest emergency systems… Continue reading Six Strategies for Healing Medicare from a Doctor Who Knows the System Inside and Out
On our weekly Monday morning team call someone mentioned going on vacation when someone else jokingly said “it must be nice to have time to get away”. As a new DCE it feels like we are creating everything from scratch, so time is indeed precious, yet we all need to get away to recharge so… Continue reading 5 time-management tactics to help you enjoy more of your summer
When contracting with a healthcare provider, one of the keys to success is building a credible relationship with the provider and their team. Many organizations will have a provider support representative, or a Provider Rep, assigned to manage the participating provider’s account. This individual will build and nourish the relationship with the provider over time. … Continue reading Participating Providers and the Direct Contracting Entity: Building and Nourishing Relationships
By: Debbie Finnel, Chief Executive Officer Why is knowing your patient’s learning style so important? Think about your own learning victories and learning struggles. Are you a visual learner or maybe your someone who can translate verbal instructions into understanding? For me I’ve always learned quicker when I had visual aids. I was recently at… Continue reading Knowing Your Patient’s Learning Style