Healthcare Analytics, Population Health Management, Healthcare Big Data

Quality Of Care

Chronic Disease Management Costs 17 Times More than Average

April 22, 2015 - The most expensive patients with the highest service utilization rates, including those who need chronic disease management services for multiple conditions, cost approximately 17 times more than patients who are not considered “high users” of the healthcare system, says a study published this week in the American Journal of Managed Care.  The top three percent of patients...


Articles

Do EHRs Improve Population Health Management, Data Analytics?

Electronic health records remain a barrier instead of a helpful tool for increasing population health management capabilities, clinical analytics, health information exchange, and patient care coordination, say physicians and other stakeholders...

Is the New CMS Hospital Quality Rating System Fair, Accurate?

CMS has given the nation’s hospitals lower-than-expected marks on their new report cards thanks to an overhaul of the way hospital quality scores are being calculated.  With the patient experience placed front and center in the new...

Obama Signs Sustainable Growth Rate Repeal, Ending an Era

Yesterday, President Obama put his pen to one of the most significant pieces of healthcare legislation since the Affordable Care Act.  The Medicare Sustainable Growth Rate repeal, passed in landslide votes by the House and the Senate, will simplify...

Senate Passes SGR Repeal, Embraces Value-Based Reimbursement

Value-based reimbursement will largely be the new law of the land after the Senate stepped up to pass the Medicare Sustainable Growth Rate (SGR) repeal.  After keeping the healthcare industry holding its breath for a long two weeks during its...

Nurse Informaticists Have “Direct Positive Impact” on Patient Care

Nurse informaticists are integral to the data analytics and health IT implementation strategies of healthcare organizations, says the 2015 Impact of the Informatics Nurse Survey released at HIMSS15 this week, and they produce a measurably positive...

$10 Medication Adherence Intervention May Reap 98% Return

A medication adherence intervention targeted towards Medicaid children with asthma that costs just ten dollars per month could substantially increase use of daily corticosteroid therapy while saving millions for managed care plans and state Medicaid...

Higher Hospital Readmissions, Worse Outcomes for Dual Eligibles

Patients who are eligible for both Medicare and Medicaid experience more hospital readmissions, less positive outcomes, and significantly lower Medicare Advantage Star Ratings, according to a new study from Inovalon.  The large-scale study,...

Private Payers Driving Value-Based Payment, Accountable Care

Commercial health plans are at the forefront of industry-wide efforts to improve care coordination and embrace value-based payment, writes Karen Ignagni, MBA, President and Chief Executive Officer, America’s Health Insurance Plans (AHIP) in...

SGR Fix to Simplify Quality Reporting, Value-Based Payments

In an annual battle that has flared up every spring since 1997, Congress is once again considering the repeal and replacement of the Medicare sustainable growth rate (SGR), and this year’s potential legislation has significant impacts on CMS...

CMS Details Methods for Streamlined Quality Program Reporting

CMS has long faced criticism that its quality program reporting structures are cumbersome and difficult to understand, but the agency is currently taking steps to ensure that the process becomes easier for providers who are participating in multiple...

Medical Device Integration a Key Concern for Patient Safety

Even though patient monitoring devices are among the most basic, essential, and frequently used tools in healthcare, medical device integration is a subject that has been largely relegated to second-tier status as healthcare organizations continue...

MD Health Systems Collaborate for Population Health Management

In Maryland, five major health systems have formed the Advanced Health Collaborative (AHC), an organization that will aim to improve the quality of care, reduce costs and improve population health management. The AHC members are Adventist HealthCare,...

Understanding the Basics of the Patient-Centered Medical Home

The patient-centered medical home (PCMH) is one of healthcare’s most popular designations, serving as a way for primary care organizations to codify and implement population health management programs, care coordination tactics, and the principles...

PCORI Grants $64 Million to Population Health Research Projects

The Patient-Centered Outcomes Research Institute (PCORI) has approved $64.1 million in funding to support five population health research projects hoping to improve patient-centered care across the healthcare industry. The awards are the first...

CMS Offers New Accountable Care Payment Model for Oncologists

CMS is already making good on its commitment to expanding accountable care by announcing new opportunities for value-based reimbursement for oncologists.  Providers participating in the new Oncology Care Model (OCM) will receive bundled payments...

90% of Medicare Will Be Value-Based Reimbursement by 2018

Existing accountable care organizations will be getting a great deal of company within the next few years thanks to an ambitious HHS timeline that hopes to see 90% of traditional Medicare payments transformed into value-based reimbursement, through...

PA Partners Will Use EHR Data Analytics to Improve Care Quality

Johns Hopkins and Allegheny Health Network will leverage EHR data analytics and clinical trials to improve cancer care. An expanded collaboration between Allegheny Health Network, Highmark Health, and Johns Hopkins Medicine will focus on using...

Most States Lack Transparent Physician Quality Reporting Data

Most states don’t make the grade when it comes to the availability of physician quality reporting data for consumer decision-making. The majority of US states received a failing grade for patient access to complete, accurate, and transparent...

Medicaid Raises Wellbeing, But Not Chronic Disease Management

The value of Medicaid might not lie in chronic disease management, but the program can raise other quality of life and health factors. Patients with Medicaid coverage may not be much better off in the chronic disease management or physical health...

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