One often overlooked but potentially critical step in the preparation for the now delayed April 2015 transition from ICD-9 to ICD-10 is updating agreements between providers and payors. While the change is ultimately expected to be valuable due to the increased specificity and granularity of diagnosis coding, the potential for unintended financial consequences must not be understated. Most providers are well under way with their operational transition plans, but many have not considered amending their payor agreements to mitigate the potential impact of problems that arise. Continue reading
Uncertainty surrounding public healthcare exchanges and the impacts due to approaching changes in Medicaid eligibility has caused many health systems to reexamine how they deliver care. Health systems that are seeking to provide greater value to their communities should consider collaborating with federally qualified health centers (FQHCs), given the special legal and financial status of these organizations and their experience treating populations with complex needs.
As a result of their expertise in caring for vulnerable and underserved populations, FQHCs are particularly well-equipped to deliver or coordinate primary care, diagnostic, and preventive clinical services for newly insured Medicaid patients. Continue reading