Industry Voices—The evidence is mounting: Better care actually does cost less
Fierce Healthcare September 29, 2023
Conversations about providing better healthcare often focus on new diagnostic technologies, groundbreaking clinical procedures, or other transformative innovations in the hospital setting. These advances are certainly important, but they often overlook the importance of addressing whole-person care in the home and the community.
Payers, providers, and community organizations have traditionally struggled to meet these needs. Fee-for-service reimbursement models offer little incentive to make referrals for non-clinical, out-of-network, and community-based services. The recent push to improve documentation of social determinants of health (SDoH) represents an important step forward. Without a similar focus on improving care coordination and reimbursement, however, this practice only leads to increased referrals to agencies with limited resources to address an unanticipated increase in demand....