Patient Experience
Expert articles and analysis related to patient experience.
AI Summary — Last 30 Days
Patient experience is becoming a more explicit operating requirement in VBC as CMS tightens Medicare Advantage transparency, notice, and appeals expectations under CMS-4208-F, but hospitals are warning that real-time denials may still shift advocacy burden to providers and beneficiaries—raising strategic risk for MA-heavy ACOs, CINs, and health systems managing access, leakage, and satisfaction measures (RAC Monitor). At the same time, payers and providers are repositioning AI, wearables, concierge access models, and prior authorization reform as tools to reduce friction, close care gaps, and protect continuity of care—suggesting patient experience is moving from a CAHPS/retention metric to core infrastructure for performance in risk-based contracts (AHIP.
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Value-Based Outsourcing in Spain Is Associated with Improved Clinical, Efficiency, and Patient Satisfaction Metrics  NEJM Catalyst Innovations in Care Delivery
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Denied in Real Time: Rethinking Patient Advocacy in Medicare Advantage
Denied in Real Time: Rethinking Patient Advocacy in Medicare Advantage  MedLearn Publishing
Health Plans Reduce Prior Authorization, Support Continuity of Care and Enhanced Consumer Communications
Health Plans Reduce Prior Authorization, Support Continuity of Care and Enhanced Consumer Communications  AHIP