Healthcare Analytics, Population Health Management, Healthcare Big Data

Accountable Care

HCA: Obamacare Brings Accountable Care, Patient Responsibility

by Jennifer Bresnick

The Hospital Corporation of America (HCA), the largest for-profit healthcare provider in the country, is coming out in favor of the Affordable Care Act’s attempt to expand insurance coverage to the majority of American patients.  Obamacare,...

ACOs Must Have Better Data for Population Health Management

by Jennifer Bresnick

The American Hospital Association (AHA) is urging CMS to follow through on proposed changes to the way Medicare Shared Savings Program (MSSP) accountable care organizations receive data about their beneficiaries.  In a letter addressed to outgoing...

Accountable Care Takes New Forms as Fee-for-Service Fades

by Jennifer Bresnick

Accountable care agreements are proliferating in shape and structure as healthcare providers begin to leave behind fee-for-service reimbursement in earnest.  While hundreds of new organizations are engaging in the standard risk-sharing arrangement...

CMS to Cover Lung Cancer Screenings, Promote Patient Registries

by Jennifer Bresnick

Medicare has finalized its decision to cover yearly CT scans for older adults at risk for lung cancer, making the integration of population health management into the routine workflow just that much more enticing for physicians.  Heavy smokers...

Ore. Coordinated Care Organizations Backed by Analytics, HIE

by Jennifer Bresnick

Oregon’s coordinated care organizations (CCOs) are well ahead of HHS Secretary Sylvia Burwell’s desire to bring accountable care to the majority of patients in the United States. In just a few short years, the state’s Medicaid program has...

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

by Jennifer Bresnick

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...

CMS: Population Health Management Reduces Admissions, ER Use

by Jennifer Bresnick

Two population health management initiatives that focus on increasing the use of primary care providers have reaped significant results for patients, says CMS Deputy Administrator and Chief Medical Officer Dr. Patrick Conway.  The Comprehensive...

EHR Referral Program Speeds Patient Care Coordination at UVA

by Jennifer Bresnick

A three-year grant from the Center for Medicare and Medicaid Innovation is bringing electronic patient care coordination to the University of Virginia Health System (UVA).  As one of five academic medical centers piloting eConsults and eReferrals...

Hospital CEOs Can Leverage Accountable Care for Financial Health

by Jennifer Bresnick

Hospitals CEOs have a lot of problems on their plates as their organizations continue to churn through numerous reforms.  Financial sustainability and revenue cycle management are at the top of the heap, says an unsurprising result from a poll...

Midwest Takes the Lead in Accountable Care Collaboration

by Jennifer Bresnick

The adoption of accountable care principles may not be top priority for many healthcare organizations, but for a number of providers in the Midwestern states, the process of forming new collaborations to improve quality, boost care coordination,...

Creating a Strategy to Raise Patient Engagement, Satisfaction

by Jennifer Bresnick

Healthcare organizations are quickly learning that the idea of a one-and-done patient consult is becoming a thing of the past.  As outcomes-based reimbursement begins to account for more and more of a provider’s financial landscape and picky...

Patient Engagement Isn’t Easy When mHealth Apps are Subpar

by Jennifer Bresnick

How can providers foster true patient engagement in an uncontrolled landscape of mHealth app adoption? Mobile health apps may be considered one of the key elements of a truly effective patient engagement strategy, but the unregulated and cluttered...

Evidence Grows for the Effective Patient-Centered Medical Home

by Jennifer Bresnick

How effective is the patient-centered medical home? A series of studies argue that coordinated care is worth the effort. The patient-centered medical home (PCMH) has become a widely-used frameworks for a healthcare organization’s transition...

89 Accountable Care Organizations Join Medicare Savings Program

by Jennifer Bresnick

Eighty-nine new accountable care organizations (ACOs) will take part in the Medicare Shared Savings Program (MSSP) in 2015, CMS says. The Medicare Shared Savings Program (MSSP) will be expanding significantly with the addition of 89 new accountable...

Humana, United Hospital Form Accountable Care Agreement

by Stephanie Reardon

Humana, Inc. and United Hospital System will enact a new three-year Accountable Care agreement and partnership, effective January 1, 2015. The rising cost of health care is often at the forefront of the challenges that providers face each year....

Patient Engagement Starts with Providers Talking about Portals

by Jennifer Bresnick

Providers must take the lead in educating their patients about the existence, use, and benefits of online portals if they wish to reap the rewards of a knowledgeable patient who is active in her own care, finds the most recent annual survey from...

UnitedHealthcare Expands Bundled Payments for Cancer Care

by Jennifer Bresnick

Bundled payments for cancer care aim to reduce costs, improve standardization of treatments, and encourage transparency. UnitedHealthcare is expanding its bundled payments program for cancer treatments as part of its continued push towards bringing...

New Accountable Care Group to Challenge Wisconsin Landscape

by Jennifer Bresnick

Two competing accountable care networks are taking shape in Wisconsin to promote integrated healthcare delivery and lower costs for the region’s patients.  While the seven-member abouthealth group grabbed headlines earlier this month, it will...

Payers Say Healthcare Data Analytics Is “Unprepared to Evolve”

by Jennifer Bresnick

Why do payers think that healthcare data analytics won’t be able to rise to the challenges of cost-cutting and other reforms? Healthcare might be at the very beginning of its journey towards leveraging data analytics for everyday patient...

WI Hospitals Partner for Accountable Care, Population Health

by Jennifer Bresnick

A group of seven Wisconsin hospitals and health systems have formed a strategic partnership focused on providing accountable care and improved population health management to the nearly 90% of patients in the state that fall under their purview. ...

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