Three Ways to Grab Leading Roles on
Value-Based Care's Center Stage

Webinar Details

Healthcare’s shift away from fee-for-service reimbursement and towards value-based care (VBC) remains a priority for the entire industry. Hospitals, health systems, payers and providers have gradually increased their participation in VBC and risk-based models over the past decade. Nearly 40% of healthcare is now being reimbursed through alternative payment models (APMs), risk-sharing agreements, and other VBC initiatives. And even though the move VBC reimbursement looks more like a glacier than a flood, it remains the underlying driver for nearly every technology, people and process change occurring in healthcare today.

Regulatory mandates such as information blocking, TEFCA and others are the first step in improving health data interoperability. HIM’s role is needed now more than ever before to define electronic health information (EHI) within their organization’s designated record set (DRS), the receipt and processing of complaints related to information blocking, and participation in all organizational committees and groups focused on data sharing. These are core HIM functions that are now being intensified by regulatory requirements and play an integral role in the interoperability journey.

Advanced and smart technology to digitize provider-payer communications is a valuable step in reducing overall operational costs and keeping payers informed. Automation of payer-provider conversations will also relieve cost and staffing demands on both sides and across all departments involved in payer relations: managed care, risk management, business office, HIM, prior-authorization, denials management, appeals, internal audit teams, etc.

The shift to VBC requires a herculean effort by every stakeholder. Technology, people, and process change is an absolute essential, and HIM professionals have a critical role in making it happen. This session highlights three specific areas where HIM professionals must use their knowledge and expertise to advance and support VBC initiatives.

This webinar is in the process of being pre-approved by AHIMA for 1 (one) CEU under the Privacy domain. 

Presenters:

• Rita Bowen, MA, RHIA, CHPS, CHPC, SSGM, Vice President of Privacy, Compliance and HIM Policy at MRO 
• Angela Rose, MHA, RHIA, CHPS, FAHIMA, Vice President of Client Success at MRO