Healthcare Analytics, Population Health Management, Healthcare Big Data

Accountable Care

How the Patient-Centered Medical Home “Repackages” Primary Care

by Jennifer Bresnick

The healthcare industry operates in a unique economic niche where the “what you see is what you get” principle that governs most other consumer interactions only vaguely applies.  Patients often walk into the consult room with...

CMS Gets “Deadly Serious” About Interoperability as MU Fades

by Jennifer Bresnick

At the JP Morgan Annual Health Care Conference this week, Acting CMS Administrator Andy Slavitt offered the healthcare industry something very rare: a straightforward, plain-talking look into its immediate regulatory future. After years of back-and-forth...

Why Mental Healthcare is Key to Population Health Management

by Jennifer Bresnick

There is an odd division in the healthcare world that creates an unfortunate schism between the clinical care of a patient and his mental and behavioral wellbeing.  Even as population health management programs grow and expand, forging new...

HHS, CMS Announce Accountable Care Organization Growth Plans

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) accountable care organization (ACO) programs are growing larger than ever before, according to a press release from the Department of Health & Human Services (HHS). The programs will...

RAND: Patient-Centered Medical Home May Cost $147K Per Year

by Jennifer Bresnick

Are the potential savings and patient care benefits of the patient-centered medical home (PCMH) worth the costs?  RAND Corporation is weighing in on the eternal debate over the benefits and drawbacks of implementing the innovative care framework...

CMS Offers $157M to Fund Community Population Health Management

by Jennifer Bresnick

Recognizing the need to integrate the social and community needs of patients into population health management on a broader scale, CMS has announced a new $157 million funding opportunity to bolster innovative strategies for helping to address...

Five New Year’s Resolutions for Physicians and Health IT Pros

by Jennifer Bresnick

It’s that time of the year again: time to finish up the last of the Christmas cookies, regret making plans to attend an overpriced New Year’s Eve event, and scribble down those resolutions you absolutely, positively, definitely promise...

176M May Be Covered by Accountable Care Organizations by 2020

by Jennifer Bresnick

Accountable care organizations (ACOs) have quickly become one of the industry’s most successful strategies for enlisting providers in value-based reimbursement arrangements, and have rapidly brought significant changes to population health...

Online Patient Engagement Spikes When High Costs Are Involved

by Jennifer Bresnick

Patients who are financially responsibile for high out-of-pocket costs are significantly more likely to choose email and other online patient engagement methods over an expensive office visit to contact providers about their health concerns,...

CMS Details MACRA, MIPS Accountable Care Quality Metrics

by Jennifer Bresnick

CMS is bringing the Merit-Based Incentive Payment System (MIPS) one step closer to its 2019 implementation date by providing the industry with a timeline for the development of quality metrics and other measures that will gauge provider performance...

Establishing the Basis for Accountable Care Organization Success

by Sylvia Dochterman

Care management is the key to ACO success, but many healthcare organizations overlook the most fundamental factor in care coordination…an advanced system of primary care! ACO models involve many varied elements of care management, but...

Bringing the Patient Voice into an Accountable Care Organization

by Shanti Wilson

While the growth rate of accountable care organizations (ACOs) has slowed over the past two years, and despite several departures from Medicare’s Pioneer ACO program, approximately 70 percent of the US population live in areas served by...

Big Data, Population Health Management Make Successful ACOs

by Jennifer Bresnick

As healthcare spending continues to spike into the stratosphere, Medicare and its commercial counterparts have an urgent mission on their hands.  They must find a way to effectively control costs, stem the tide of chronic disease, and deliver...

What Makes for a Successful Accountable Care Organization?

by Jennifer Bresnick

Medicare and private payers have both pinned a large part of their financial hopes on developing the accountable care organization, which aims to improve coordination, cut costs, and raise quality in a fiscally responsible – but somewhat...

Population Health Management Requires Process, Payment Changes

by Jennifer Bresnick

With the healthcare industry changing in a thousand different ways all at once, it’s often difficult for organizations to find an entry point into long-term strategic initiatives like population health management and accountable care. Providers...

CMS’ Pioneer ACO Program Not Conducive to Small Hospitals

by Sara Heath

Despite claims that accountable care organizations (ACOs) have tremendous benefits to the delivery of care, several participants in the Centers for Medicare & Medicaid Services’ (CMS’s) Pioneer ACO Program have chosen to leave...

Will Inadequate Metrics Doom the Accountable Care Organization?

by Jennifer Bresnick

Accountable care organizations are all about the data.  Detailed quality reporting and cost benchmarking are the hallmarks of this value-based reimbursement model, and the carefully balanced system of risk, savings, performance, and quality...

CMS Seeks Comments on Merit-Based Incentive Payment System

by Jennifer Bresnick

Healthcare stakeholders who need a little more time to gather their thoughts about the Merit-Based Incentive Payment System (MIPS) may take advantage of an extended comment period, CMS said in a document slated for publication in the Federal...

How to Close Gaps between ACO Measure Sets, Clinical Practice

by Jennifer Bresnick

Accountable care organizations may be all the rage among both public and private payers, but the quality measures used to gauge performance – and dole out shared savings and other reimbursement – are not always as complete, accurate,...

Big Data Analytics, Accountable Care Need C-Suite Collaboration

by Jennifer Bresnick

Chief Medical Officers and Chief Financial Officers must put aside their differences and embrace a spirit of collaboration if they are to extract maximum value from big data analytics and value-based, accountable care arrangements, according...

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