Healthcare Analytics, Population Health Management, Healthcare Big Data

Accountable Care

Humana Expands Population Health Management, Accountable Care

by Jennifer Bresnick

Humana is embarking on several new population health management and accountable care programs this fall, bringing value-based reimbursement and coordinated care to providers in New York, Indiana, and Pennsylvania.  The agreements will help...

Medicare Accountable Care Organizations Bring $411M in Savings

by Jennifer Bresnick

Despite a rocky start and more than a few drop-outs along the way, Medicare’s Accountable Care Organizations in the Pioneer and Shared Savings Programs continue to produce hundreds of millions in savings for CMS and participating providers....

Accountable Care, Big Data Analytics Attract Vendor Attention

by Jennifer Bresnick

Product vendors and service providers targeting the healthcare systems’ growing appetite for advanced big data analytics and accountable care capabilities are continuing to make strategic moves in a swiftly changing marketplace.  ...

CMS Turns to Value-Based Reimbursement, Data Analytics at 50

by Jennifer Bresnick

Medicare has experienced its fair share of ups and downs during the first fifty years of its life, but former CMS Administrator Donald M. Berwick, MD, believes the massive public insurance program is just getting started.  In an interview...

Healthcare Big Data, Accountable Care Spark Vendor Spending

by Jennifer Bresnick

Healthcare big data analytics vendors hoping to explore the financial opportunities of predictive analytics, population health management, infrastructure development, and patient management are making some big investments in research and acquisitions,...

Accountable Care, ACA Bring Medicare Stability until 2030

by Jennifer Bresnick

Medicare has plenty to celebrate as it turns fifty, including a new lease on its financial life thanks to accountable care initiatives that have extended its solvency for another few decades.  As spending growth slows with an industry-wide...

Big Data, Value-Based Reimbursement Must Combine for Quality

by Jennifer Bresnick

The healthcare industry has faced any number of significant challenges during its rapid transition from paper to electronic health records, not least of which is defining the differences between “data” and “information.” ...

ACOs Increasingly Assuming Population Health Management Duties

by Jennifer Bresnick

Accountable care organizations (ACOs) have exploded in popularity over the past three or four years as value-based reimbursement takes hold in the healthcare industry, and their work has rapidly built momentum towards bringing population health...

After CMS Tenure, Tavenner Takes Over Payer Relations at AHIP

by Jennifer Bresnick

Months after stepping down as Administrator of the Centers for Medicare and Medicaid Services (CMS), Marilyn B. Tavenner will become President and CEO of America’s Health Insurance Plans (AHIP), a powerful trade group for payers that includes...

Obama Signs Sustainable Growth Rate Repeal, Ending an Era

by Jennifer Bresnick

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...

Humana: Change the Conversation on Chronic Disease Management

by Jennifer Bresnick

It’s time to change the way the healthcare industry looks at chronic disease management, population health management, and helping patients achieve their best state of health, declared Bruce Broussard, President and CEO of Humana in a keynote...

Senate Passes SGR Repeal, Embraces Value-Based Reimbursement

by Jennifer Bresnick

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...

WEDI to Examine Data Analytics Backbone of Bundled Payments

by Jennifer Bresnick

The Workgroup for Electronic Data Interchange (WEDI) has announced the formation of a new committee focused on assessing the data analytics and health information exchange underpinnings of bundled payments and other value-based reimbursement...

How the Patient-Centered Medical Home, MU Offer Mutual Support

by Jennifer Bresnick

“Competing initiatives” is the phrase most often used to describe why many healthcare providers seem stuck in the health IT dark ages, unable to overcome financial and organizational obstacles, but not all care delivery reforms have to butt...

Stage 3 Meaningful Use Prompts Hopes, Concerns for MGMA

by Jennifer Bresnick

Stage 3 meaningful use, the latest and greatest effort from CMS to bring sophisticated EHR technology, health IT interoperability, increased population health management, and improved data analytics to a weary, wary healthcare industry has been...

Patient-Centered Medical Home Complements Healthcare Reform

by Jennifer Bresnick

The patient-centered medical home (PCMH) model challenges primary care providers to raise the bar on care coordination, population health management, clinical analytics, and access to care, but healthcare organizations that undertake these important...

Expect Population Health, Big Data Analytics at HIMSS15

by Jennifer Bresnick

The annual HIMSS conference and exhibition is to healthcare professionals what a good data warehouse is for big data analytics: a centralized place to make new connections, discover new ideas, learn from colleagues, and leave with a suitcase...

Higher Hospital Readmissions, Worse Outcomes for Dual Eligibles

by Jennifer Bresnick

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,...

2800 Stakeholders Join Accountable Care Best Practices Network

by Jennifer Bresnick

The Health Care Payment Learning and Action Network, a coalition of nearly 3000 healthcare stakeholders investing in the development and deployment of accountable care best practices, kicked off its inaugural meeting this week with pledges from...

Sustainable Growth Rate Fix Passes House but Stalls in Senate

by Jennifer Bresnick

Update: The Senate has declined to conduct a vote on the SGR fix until after it returns from its recess in mid-April.  CMS has announced a contingency plan for providers to address the 21 percent Medicare reimbursement cut that will go into...

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