Segmentation of Medicaid Population Based on Healthcare Usage Patterns [7]

Segmentation of Medicaid Population Based on Healthcare Usage Patterns [7]

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Article
Full-text available
One of the foremost challenges confronting healthcare companies today is the dual objective of reducing the cost of care while enhancing healthcare quality for patients. The term "cost of care" refers to the expenses incurred by healthcare insurance companies in managing a patient's health. A prevalent factor exacerbating these costs is the "fee-for- service" (FFS) payment model. In this model, providers are reimbursed for each service performed, thereby incentivizing the ordering of unnecessary tests and procedures, which inflates healthcare costs. This approach does not prioritize cost-efficient management, making it difficult for patients and healthcare companies to anticipate total expenses prior to receiving care. Consequently, healthcare companies are actively exploring alternative payment models that lower costs and improve patient health outcomes. The Value-Based Care (VBC) model presents a promising alternative for health insurance companies. Unlike the FFS model, VBC compensates healthcare providers based on patient outcomes rather than the volume of services rendered. This research into the Value-Based Care model aims to address persistent issues within the healthcare sector, such as medical waste and unsustainable healthcare expenditures. While responses to VBC models vary, the approach is increasingly receiving positive recognition from the physician community. Given the high demand for ongoing advancements in Value-Based Care programs, it is crucial to emphasize the significance of patient-physician relationships and the enhancement of patient outcomes.
Article
Full-text available
One of the foremost challenges confronting healthcare companies today is the dual objective of reducing the cost of care while enhancing healthcare quality for patients. The term "cost of care" refers to the expenses incurred by healthcare insurance companies in managing a patient's health. A prevalent factor exacerbating these costs is the "fee-for- service" (FFS) payment model. In this model, providers are reimbursed for each service performed, thereby incentivizing the ordering of unnecessary tests and procedures, which inflates healthcare costs. This approach does not prioritize cost-efficient management, making it difficult for patients and healthcare companies to anticipate total expenses prior to receiving care. Consequently, healthcare companies are actively exploring alternative payment models that lower costs and improve patient health outcomes. The Value-Based Care (VBC) model presents a promising alternative for health insurance companies. Unlike the FFS model, VBC compensates healthcare providers based on patient outcomes rather than the volume of services rendered. This research into the Value-Based Care model aims to address persistent issues within the healthcare sector, such as medical waste and unsustainable healthcare expenditures. While responses to VBC models vary, the approach is increasingly receiving positive recognition from the physician community. Given the high demand for ongoing advancements in Value-Based Care programs, it is crucial to emphasize the significance of patient-physician relationships and the enhancement of patient outcomes.
Article
One of the foremost challenges confronting healthcare companies today is the dual objective of reducing the cost of care while enhancing healthcare quality for patients. The term "cost of care" refers to the expenses incurred by healthcare insurance companies in managing a patient's health. A prevalent factor exacerbating these costs is the "fee-for- service" (FFS) payment model. In this model, providers are reimbursed for each service performed, thereby incentivizing the ordering of unnecessary tests and procedures, which inflates healthcare costs. This approach does not prioritize cost-efficient management, making it difficult for patients and healthcare companies to anticipate total expenses prior to receiving care. Consequently, healthcare companies are actively exploring alternative payment models that lower costs and improve patient health outcomes. The Value-Based Care (VBC) model presents a promising alternative for health insurance companies. Unlike the FFS model, VBC compensates healthcare providers based on patient outcomes rather than the volume of services rendered. This research into the Value-Based Care model aims to address persistent issues within the healthcare sector, such as medical waste and unsustainable healthcare expenditures. While responses to VBC models vary, the approach is increasingly receiving positive recognition from the physician community. Given the high demand for ongoing advancements in Value-Based Care programs, it is crucial to emphasize the significance of patient-physician relationships and the enhancement of patient outcomes.
Article
One of the foremost challenges confronting healthcare companies today is the dual objective of reducing the cost of care while enhancing healthcare quality for patients. The term "cost of care" refers to the expenses incurred by healthcare insurance companies in managing a patient's health. A prevalent factor exacerbating these costs is the "fee-for- service" (FFS) payment model. In this model, providers are reimbursed for each service performed, thereby incentivizing the ordering of unnecessary tests and procedures, which inflates healthcare costs. This approach does not prioritize cost-efficient management, making it difficult for patients and healthcare companies to anticipate total expenses prior to receiving care. Consequently, healthcare companies are actively exploring alternative payment models that lower costs and improve patient health outcomes. The Value-Based Care (VBC) model presents a promising alternative for health insurance companies. Unlike the FFS model, VBC compensates healthcare providers based on patient outcomes rather than the volume of services rendered. This research into the Value-Based Care model aims to address persistent issues within the healthcare sector, such as medical waste and unsustainable healthcare expenditures. While responses to VBC models vary, the approach is increasingly receiving positive recognition from the physician community. Given the high demand for ongoing advancements in Value-Based Care programs, it is crucial to emphasize the significance of patient-physician relationships and the enhancement of patient outcomes.
Article
One of the foremost challenges confronting healthcare companies today is the dual objective of reducing the cost of care while enhancing healthcare quality for patients. The term "cost of care" refers to the expenses incurred by healthcare insurance companies in managing a patient's health. A prevalent factor exacerbating these costs is the "fee-for- service" (FFS) payment model. In this model, providers are reimbursed for each service performed, thereby incentivizing the ordering of unnecessary tests and procedures, which inflates healthcare costs. This approach does not prioritize cost-efficient management, making it difficult for patients and healthcare companies to anticipate total expenses prior to receiving care. Consequently, healthcare companies are actively exploring alternative payment models that lower costs and improve patient health outcomes. The Value-Based Care (VBC) model presents a promising alternative for health insurance companies. Unlike the FFS model, VBC compensates healthcare providers based on patient outcomes rather than the volume of services rendered. This research into the Value-Based Care model aims to address persistent issues within the healthcare sector, such as medical waste and unsustainable healthcare expenditures. While responses to VBC models vary, the approach is increasingly receiving positive recognition from the physician community. Given the high demand for ongoing advancements in Value-Based Care programs, it is crucial to emphasize the significance of patient-physician relationships and the enhancement of patient outcomes.