While the definition continues to evolve, accountable care organizations (ACOs) are essentially groups of healthcare providers—sometimes even hospitals—that come together to provide coordinated care a...
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Managed care often feels like a taboo subject within the healthcare industry. Why? Because traditional managed care failed. Through HMOs and PPOs, it promised to improve outcomes and decrease costs. It failed to do either.
Healthcare is changing. An increasing number of employers are bucking the trends of rising costs by positioning an on- or near-site clinic at the center of their benefits strategy. This post from last year tells the story of how The City of Kirkland took control to reduce their healthcare costs and improve employee health. Here's a snippet: In 2015, the City of Kirkland had reached a breaking point. Healthcare costs were skyrocketing. Every year it was getting harder and harder to provide their employees with the care they deserved at a cost they could afford. They had to flatten their cost trend, but they were unwilling to compromise on benefits for their employees. Working with Keith Robertson of Alliant Insurance, they began looking for an innovative benefits plan that would meet those two requirements.
In 2015, the City of Kirkland had reached a breaking point. Healthcare costs were skyrocketing. Every year it was getting harder and harder to provide their employees with the care they deserved at a cost they could afford. They had to flatten their cost trend, but they were unwilling to compromise on benefits for their employees. Working with Keith Robertson of Alliant Insurance, they began looking for an innovative benefits plan that would meet those two requirements.
“Finally, health care, which has been largely immune to the forces of disruptive innovation, is beginning to change. Seeing the potential to improve health with simple primary-care strategies, some of the biggest incumbent players are inviting new entrants focused on empowering consumers into their highly regulated ecosystems, bringing down costs.”
Managed care is a decades-old healthcare model. Vera's unique and innovative services are rescuing managed care from it's outdated reputation. Dr. Sarat Raman has worked with Vera as an on-site clinic provider and now serves as Medical Director. We sat down with him to chat about managed care and how Vera’s approach is offering creative managed care for organizations like Seattle Children’s Hospital.
“By spending time with patients, primary care physicians have the opportunity to get a full picture of the patient’s health, including outside factors that influence it. In particular, providers in value-based care models, who are responsible for the total cost of care for their patients, have every incentive and more flexibility than most insurers to offer services and programs that lead to better care and lower costs.”
Most healthcare plans offer the same benefits to every organization they serve. It’s a one-size-fits-all approach that only ends up working out perfectly for one party: the healthcare provider. For HR leaders looking to provide the best benefits for their employees, it means being forced to choose a plan that’s at best a good fit, never a perfect one.
“By 2025, one-quarter of the workforce will be older than 55. That share will have doubled in just 30 years. The graying of the nation will have widespread economic and political implications … But the most obvious effect of an aging country is that it needs more care … ”
Launching a new benefits plan can create confusion and concerns for many employees. When that new benefit is an on-site clinic, some employees may assume that it’s owned and run by the organization it’s housed within. That relationship is scary for some employees who worry that their patient information will impact their employment.
Within a week after CVS Health confirmed it would buy health insurer Aetna, a flurry of Catholic-owned and other faith-based nonprofit hospital operators are looking to create national and regional health system giants. It’s the kind of consolidation of hospital systems that will only accelerate as they protect their turf from the coming invasion of CVS Health and Optum, the medical care provider unit of UnitedHealth Group. Both CVS and Optum plan to expand outpatient services by acquiring and developing doctor clinics, health centers and other low-cost providers.
In December, Mercer, one of the top human resources consulting firms, shared their top six recommended action items for employers in 2018. With tax reform recently completed by Congress, and health reform forever looming on the horizon, businesses should examine their benefits strategy for the coming year as they seek to manage costs.
Are you looking for an on-site clinic solution? There are 3 reasons why clinical experience should matter to you:
Managed care aims to reduce healthcare costs while improving patient health. Managed care organizations achieve these outcomes by following two principles: Reducing costs to employers by contracting with specific care providers Increasing the quality of care to patients and, as a result, improving their health Vera's no different. Our managed care approach drives results for employers. Here's how.