Healthcare Analytics, Population Health Management, Healthcare Big Data

Accountable Care

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...

Can the Patient-Centered Medical Home Help Achieve Savings?

by Jennifer Bresnick

In order for a primary care provider to attain recognition as a patient-centered medical home (PCMH), it has to undergo a number of significant changes to its workflows and processes, including expanding office hours, leveraging health IT improve...

Private Payers Driving Value-Based Payment, Accountable Care

by Jennifer Bresnick

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

by Jennifer Bresnick

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...

Healthcare Analytics Key for Trust, Effectiveness of ACOs

by Jennifer Bresnick

Developing a workable healthcare analytics infrastructure is a critical part of achieving financial benefits when embracing accountable care, says a report by the RAND Corporation and the American Medical Association, which followed 34 physician...

Is New Meaningful Use Policy Needed for EHR Interoperability?

by Jennifer Bresnick

Despite the toll that meaningful use has taken on the provider community, no one can dispute that the EHR Incentive Programs have been successful in producing rapid, game-changing results for the healthcare industry.  With EHRs in nearly every...

Can Healthcare Effectively Measure Patient Engagement?

by Jennifer Bresnick

Patient engagement is considered so important to the larger goals of healthcare reform that it is included as one of the three branches of the Triple Aim.  While the EHR Incentive Programs measure patient engagement by portal log-ins and...

New CMS Accountable Care Organizations Raise Risk Sharing

by Jennifer Bresnick

CMS has announced the creation of a new track for accountable care organizations (ACOs) that will require participating providers to shoulder more financial risk and potentially earn greater financial rewards.  Based on the lessons learned from...

How a Shortage of 90K Physicians May Impact Healthcare Reform

by Jennifer Bresnick

The healthcare industry could be short up to 90,000 physicians by 2025 if current demand continues to outstrip new graduates, warns the Association of American Medical Colleges in a new report, and the impact on current healthcare reform efforts...

New EHRA Workgroup to Focus on Health IT, Accountable Care

by Jennifer Bresnick

A new workgroup from the HIMSS Electronic Health Record Association (EHRA) will focus on developing and disseminating best practices for leveraging health IT to speed the spread of accountable care, improve patient safety, raise quality, and...

Flexible Healthcare Data Strategy a Must for Accountable Care

by Jennifer Bresnick

Arguably, accountable care has made the transition from experimental pilot to the new standard in healthcare payment, but many healthcare organizations are still unsure of how to take advantage of what risk-based reimbursement has to offer. ...

92% of Providers to Use CMS Chronic Disease Management Program

by Jennifer Bresnick

More than ninety percent of healthcare providers are planning to use the new chronic disease management reimbursement structure offered by CMS in 2015, finds a survey from Kryptiq.  The poll of nearly 200 providers indicates widespread interest...

Million Hearts Picks 30 Population Health Management Winners

by Jennifer Bresnick

Thirty healthcare providers across the nation have been recognized as Hypertension Control Champions for their commitment to the Million Hearts Challenge, a population health management program aimed at lowering rates of heart attack and stroke....

New Partnership Marries ACOs and Population Health Management

by Jennifer Bresnick

Population health management and accountable care organizations (ACOs) have always been close allies in the battle to reduce extraneous healthcare spending, manage chronic diseases, and improve data-driven care coordination. ACOs have seen great...

CMS Seeks Comment on PCMH, Care Coordination, ACOs

by Jennifer Bresnick

The Centers for Medicare and Medicaid Services is seeking public comment on its advanced primary care models intended to provide better care coordination, more personalized attention, and better overall population health management throughout...

CMS Offers New Accountable Care Payment Model for Oncologists

by Jennifer Bresnick

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...

Health Information Exchange Data Scarce, Inaccurate, Incomplete

by Jennifer Bresnick

Health information exchange is one of the key building blocks of an interoperable, coordinated healthcare system, yet the overwhelming majority of providers remains isolated and unconnected to their peers in a meaningful way, according to the...


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