Incredible. I'm a pediatric NP practicing in Texas from Louisiana. I am familiar with Oschner. I am currently pursuing medical finance education (coding certification, clinical documentation specialist etc). I watched your revenue cycle management video. Excellent valuable info. Thank you!
As an OMC Provider i can tell you they are the most focused system when it comes to driving Metrics. It is very impressive. This is my second year at OMC. I moved from another large system prior to which i was in Chicago. I agree a lot of systems can learn from OMC consistent drive to provide better outcomes in the most challenging State.
Something that may be of interest to your audience is that the hypertension and diabetes care model that worked so well is now offered by Ochsner Digital Medicine nationally to health plans and self-insured employers, and they are seeing the same results. Thank you Dr. Bricker for bringing awareness to the Ochsner organization.
Prevention diseases is the future, we just need to do it better, however is a complex topic which involves food companies, financial support, changing health policies from treating to preventing. I enjoyed your video, thank you 😊
Care coordination is such a vital component to this success. So many expensive pitfalls are avoided when the CC team works to make sure the patients have what they need when they need it. Way to geaux, Ochsner! 🏆
Dr. Bricker - you got a microphone! That was my only thought/comment prior, glad that you got the message (telepathically, perhaps?) Keep up the great plain-English videos! Healthcare needs more common sense and practical voices like yours!
Can you comment on what year 2-10 looks like? One of the challenges with MLR is the incentive for higher claim cost to potentially raise insurer money. Does the insurer want these low costs to continue over many years such that want to continue to work with Oschner in this model?
Absolutely incredible!! Ochsner's model seems like the ultimate win-win-win for payers, providers, and patients!! It was a very interesting point to understand how Louisiana's socio-economic context opens the door for better directed care. This seems like an incredible way to provide healthcare to the Poorest states like Arkansas, Mississippi, Oklahoma, etc. The system would be less incentivized to focus on patients with commercial insurance, and proceed in the same path as Ochsner. Do we know of any drawbacks that need to be considered by healthcare systems in similar states that weren't addressed in the video or is it just a matter of risk-taking and time?
Hi Dr. Bricker: thanks for another great video and exemplar ! Is the Oshner model similar to ChenMed’s? What’s the average patient panel looked like at Oshner, etc.?
I have worked in revenue cycle tech for many years but not following how they took on the risk - so do they get paid a flat fee per patient and are responsible for all of their care similar to other proposed CMS etc solutions but Oschner has actually done it successfully?
I thought this was really interesting and i complement you on your videos. I have learned from them. Maybe I misunderstood, but you stated the company 'saved' 64 million with basically medicare reimbursements with better quality. Does this mean that all the other hospital organizations claiming Medicare isn't enough to cover their costs are over billing or, as you stated, adding services not required just to pad their reimbursements? IE is there any incentive at all for hospitals to reduce RVUs that do NOT improve the patients health?
I love your channel but let's talk about the one topic you an all other doctors avoid that is a major cause of high healthcare costs, which is the shortage of physicians in the U.S. This exacerbated by residency position caps influenced by federal funding and the lobbying efforts of the American Medical Association (AMA), significantly impacts healthcare costs. As the demand for medical services outstrips the supply of physicians, economic principles suggest that the cost of services-and consequently, the wages for available doctors-will rise. The AMA, wielding considerable influence in healthcare policy, has faced criticism for not sufficiently advocating to expand these residency caps, possibly to maintain higher wage levels for its members. This scenario contributes to higher healthcare costs, which insurers pass onto consumers through increased premiums. Thus, if the AMA's actions or inactions contribute to maintaining doctor shortages, they indirectly but significantly strain Americans' financial health by driving up insurance costs, reflecting a direct impact of professional protectionism on the wider economy.
All good points. Doctor supply regulated by the number of residency spots. Each specialty society influences that. For example, dermatologists decreased the number of residency positions because they thought there were too many dermatologists.
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Incredible. I'm a pediatric NP practicing in Texas from Louisiana. I am familiar with Oschner. I am currently pursuing medical finance education (coding certification, clinical documentation specialist etc). I watched your revenue cycle management video. Excellent valuable info. Thank you!
As an OMC Provider i can tell you they are the most focused system when it comes to driving Metrics. It is very impressive. This is my second year at OMC. I moved from another large system prior to which i was in Chicago. I agree a lot of systems can learn from OMC consistent drive to provide better outcomes in the most challenging State.
Thank you for sharing your experience.
Something that may be of interest to your audience is that the hypertension and diabetes care model that worked so well is now offered by Ochsner Digital Medicine nationally to health plans and self-insured employers, and they are seeing the same results. Thank you Dr. Bricker for bringing awareness to the Ochsner organization.
Thank you for sharing.
Prevention diseases is the future, we just need to do it better, however is a complex topic which involves food companies, financial support, changing health policies from treating to preventing. I enjoyed your video, thank you 😊
Thank you for watching and sharing your thoughts.
Care coordination is such a vital component to this success. So many expensive pitfalls are avoided when the CC team works to make sure the patients have what they need when they need it. Way to geaux, Ochsner! 🏆
Awesome. Thank you for your comment.
7:37 Good quote!
Stay amazing and blessed
Thank you for your support.
Dr. Bricker - you got a microphone! That was my only thought/comment prior, glad that you got the message (telepathically, perhaps?) Keep up the great plain-English videos! Healthcare needs more common sense and practical voices like yours!
Thank you for your support.
Can you comment on what year 2-10 looks like? One of the challenges with MLR is the incentive for higher claim cost to potentially raise insurer money. Does the insurer want these low costs to continue over many years such that want to continue to work with Oschner in this model?
Mostly risk-adjusted Medicare Advantage payments. Program has been around for several years and continuously improving. Thank you for watching.
Absolutely incredible!! Ochsner's model seems like the ultimate win-win-win for payers, providers, and patients!! It was a very interesting point to understand how Louisiana's socio-economic context opens the door for better directed care. This seems like an incredible way to provide healthcare to the Poorest states like Arkansas, Mississippi, Oklahoma, etc. The system would be less incentivized to focus on patients with commercial insurance, and proceed in the same path as Ochsner.
Do we know of any drawbacks that need to be considered by healthcare systems in similar states that weren't addressed in the video or is it just a matter of risk-taking and time?
Ochsner also put all their doctors on salary.
Hi Dr. Bricker: thanks for another great video and exemplar ! Is the Oshner model similar to ChenMed’s? What’s the average patient panel looked like at Oshner, etc.?
Yes, but with a whole lot of specialists too… who were put on salary.
Good question. I don’t know.
I have worked in revenue cycle tech for many years but not following how they took on the risk - so do they get paid a flat fee per patient and are responsible for all of their care similar to other proposed CMS etc solutions but Oschner has actually done it successfully?
Essentially… Yes.
I thought this was really interesting and i complement you on your videos. I have learned from them. Maybe I misunderstood, but you stated the company 'saved' 64 million with basically medicare reimbursements with better quality. Does this mean that all the other hospital organizations claiming Medicare isn't enough to cover their costs are over billing or, as you stated, adding services not required just to pad their reimbursements? IE is there any incentive at all for hospitals to reduce RVUs that do NOT improve the patients health?
I love your channel but let's talk about the one topic you an all other doctors avoid that is a major cause of high healthcare costs, which is the shortage of physicians in the U.S. This exacerbated by residency position caps influenced by federal funding and the lobbying efforts of the American Medical Association (AMA), significantly impacts healthcare costs. As the demand for medical services outstrips the supply of physicians, economic principles suggest that the cost of services-and consequently, the wages for available doctors-will rise. The AMA, wielding considerable influence in healthcare policy, has faced criticism for not sufficiently advocating to expand these residency caps, possibly to maintain higher wage levels for its members. This scenario contributes to higher healthcare costs, which insurers pass onto consumers through increased premiums. Thus, if the AMA's actions or inactions contribute to maintaining doctor shortages, they indirectly but significantly strain Americans' financial health by driving up insurance costs, reflecting a direct impact of professional protectionism on the wider economy.
All good points. Doctor supply regulated by the number of residency spots. Each specialty society influences that. For example, dermatologists decreased the number of residency positions because they thought there were too many dermatologists.