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Navigation ServicesLeading edge, embedded support at the point of care.
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Chronic Care ManagementIncrease enrollment and extend the ability to document for CCM.
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Population Health AssistantsSpecialized solutions to engage the unique populations you serve.
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Referral ManagementMaintain network integrity and improve follow-up appointment rates.
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LifeLink AI ChatbotsDeliver critical information with text enabled AI combined with skilled navigators.
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Nurse Care Team AssistantsOptimize nurse workflows to reduce overtime and improve care outcomes.
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Contact TracersA full turn-key program. A nationwide recruitment and training network, and a model built on effective engagement and extensive healthcare knowledge.
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Social Determinants of HealthSolve for the top social determinants of health with strategic initiatives.
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Patient EngagementDevelop strategies to increase engagement and improve access to care.
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Care Team OptimizationAlign resources with workflow to reduce cost and drive results.
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Chronic Care ManagementHighly-skilled, embedded support to identify, enroll, and document for CCM codes.
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BurnoutAddress the epidemic with talented navigators and expert staff to develop a specialized solution.
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Managing the health of populations is an entirely new way of thinking—one that requires a unique set of processes, platforms and people to be effective.So why CareThrough?
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HealthChannels FamilyStay connected to CareThrough and the HealthChannels Family, and learn about volunteer opportunities in your region. We have multiple channels to connect with fellow Scribes and Navigators across the nation who make the mission and vision of HealthChannels a reality.
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COVID-19 Update: Read our messages to employees and clients
COVID-19 UPDATE
Group purchasing organizations (GPOs) are like a healthcare marketplace exchange for healthcare organizations: by banding together and buying in mass quantities through a third-party intermediary, healthcare organizations can save money on medical supplies, equipment and drugs. GPOs can collect fees for operating revenue, so long as they meet the requirements of the Anti-Kickback statute of the Social Security Act. They’ve played a key part in the healthcare supply chain for decades, and there are now hundreds of GPOs, “affiliates” and co-operatives that operate on these principles.
However, as the Department of Health and Human Services increasingly looks to cut the fiscal fat from the healthcare system, GPOs are not immune to scrutiny.
GPOs say they remain vital, offering “a broad and more creative menu of products and services for their member clients to purchase, while deepening their efforts to evaluate and make available relevant new innovative technologies,” according to one report. The result is cost savings attainable through group purchasing through better leverage with manufacturers.
Another recent GPO industry report found that GPOs offer comprehensive integrated services to their customers, such as supply chain analysis and services, private-label programs (such as own-brand items in grocery stores) and benchmarking data that actually help save money for healthcare organizations. These efficiencies are passed on to the healthcare system at large, according to the report, resulting in lower costs that can be passed on to patients.
But they acknowledge the health sector is changing towards a focus on value-based purchasing, streamlined services and quality care. And that’s why the U.S. Government Accountability Office (GAO) recently carried out a review of GPO practices. The key findings:
- The Federal Trade Commission has not initiated enforcement actions directed at GPO conduct for over 10 years.
- The five largest GPOs are predominantly funded by administrative fees collected from vendors — about $2.3 billion in 2012. Some of the money from these fees is distributed among partner organizations.
- To the extent that the vendor fee-based funding structure affects prices for medical products and services, Medicare payment rates may be affected over time through the annual update to hospital payment rates, which relies, in part, on information that hospitals report to the Centers for Medicare & Medicaid Services.
- There are concerns that Medicare payments also could be affected if hospitals do not account for revenue they receive from GPOs, which they are required to report as a reduction in costs on their cost reports. However, the extent of this reporting is unknown, and has not been reviewed since 2005.
- Although a repeal of the safe harbor provision would require a clearer understanding of the impact of the GPO funding structure on costs, hospitals’ potential underreporting of administrative fee revenue presents an immediate risk that can be addressed within the current GPO funding structure.
It is therefore critical that supply-pricing transparency be taking more seriously than ever: the Department of Health and Human Services (HHS) is going to be looking at whether hospitals are appropriately reporting administrative fee revenues. Practices, hospitals, surgical centers and the like should take care to offer up the information before they’re asked. HHS and CMS are keen to find more ways to save within the Medicare program, and under-reporting will be addressed. Hiding GPO-related revenues will only make life more difficult for healthcare facilities — and will negate the significant financial and operational benefits of joining a GPO in the first place.
Patients who are paired with Care Navigators report feeling less anxiety, and an increased ability to self-manage their conditions between visits. And providers report increased job satisfaction from improved efficiency, and knowing their patients have access to care teams, and strategic support.
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