Healthcare Analytics, Population Health Management, Healthcare Big Data

Care Coordination

Patient-Centered Medical Home Has Saved Payer $1.2B Since 2011

July 2, 2018 - CareFirst BlueCross BlueShield has saved nearly $1.2 billion – yes, billion – since 2011 by implementing a patient-centered medical home (PCMH) model across ninety percent of its contracted healthcare providers in its mid-Atlantic service area. By organizing primary care providers into teams of between five and fifteen providers who work together to coordinate care,...“Bending the cost curve while improving quality for our members was the principal goal of the PCMH program when it was launched. We are pleased that our data again shows the program is helping to slow the rate at which medical costs grow while improving the quality of care,” said CareFirst President and CEO Chet Burrell. “While there are certainly other factors...“Data must be a click away,” the performance report states. “Without comprehensive views of patterns matched with the ability to drill down into detail at the Member level, the result is inattentiveness on the part of primaries to feedback.” “The more available, complete, and drillable the data, the more it is used in decision-making by PCPs.”...


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CMS Data Element Library Promotes Health Information Exchange

by Jessica Kent

CMS has announced the availability of the Data Element Library (DEL), a database that will promote health information exchange, increase communication among healthcare facilities, and enhance care coordination. The DEL is a free, centralize...

Over 80% of Nurses See Increased Role in Patient Management

by Jessica Kent

Eighty-seven percent of registered nurses (RNs) agreed that non-physician healthcare professionals, including RNs and nurse practitioners, are playing an increasingly important role in patient management and care coordination, according to ...

Minority Health Disparities Impacting Care Access, Management

by Jessica Kent

Minority health disparities continue to impact several quality metrics, including care access, provider communication, chronic disease management, and mental health treatment, according to a new CMS report. CMS stated that in order to addre...

How NPs, PAs Add Value to Population Health Management Teams

by Jennifer Bresnick

Nurse practitioners (NPs) and physician assistants (PAs) can offer vital support to organizations undergoing their value-based care transitions, especially as providers start to develop population health management teams.  With an expa...NPs differ slightly from their PA colleagues in that the educational program is based in a nursing model, Knestrick added, which lends itself well to the primary care environment. “Coming from a nursing model, holistic care, preventio...

Population Health Nurses Require Changes in Education, Practices

by Jessica Kent

Nurses can play an integral role in improving population health, but healthcare stakeholders must first initiate changes in nursing education, practices, and policy to enhance population-focused leadership capabilities and data management s...

Should Connectivity, Not Comprehensiveness, be the EHR Goal?

by Jennifer Bresnick

The few electronic health record vendors that have risen to dominance in the past decade have done so by creating strong brand identities and targeting their offerings to specific segments of the health IT marketplace. Names like athenaheal...

Vendors Push Big Data Analytics, but Hospitals Focus on Safety, Security

by Jennifer Bresnick

LAS VEGAS - Vendors and healthcare providers are not seeing eye to eye on their top priorities for 2018, according to the latest HIMSS US Leadership and Workforce Survey released at HIMSS18 today. While vendors and consulting firms are eage...

New Epic Systems EHR, Big Data Features Zero In on Interoperability

by Jennifer Bresnick

Epic Systems is moving ever closer to creating true interoperability within a comprehensive health record by enhancing many of its data exchange, patient and provider communication, and population health management functionalities. As part ...

SHIEC Expands Patient-Centered Data Home HIE Network Nationwide

by Jennifer Bresnick

The Strategic Health Information Exchange Collaborative (SHIEC), a coalition of many of the nation’s successful HIEs, has expanded its Patient-Centered Data Home (PCDH) initiative to cover a number of new regions across the United Sta...The strategy is particularly useful for the many healthcare provider communities that share patients across multiple states. “Almost every single state has several healthcare markets that cross inter-state, inter-HIE lines,” sai...Messages related to patients who have opted out of HIE participation in their home state are dropped from the system before being delivered, ensuring the individual’s wishes are being followed. “Health information exchange happe...

Identifying Big Data Sources for Population Health Management

by Jennifer Bresnick

Effective population health management is beginning to require healthcare providers to rely heavily on big data derived from both their own health IT systems and from their business partners.  Identifying patients at high risk of devel...

Penn State, Highmark Health to Spend $1B on Population Health

by Jessica Kent

Penn State Health and Highmark Health have announced a population health management partnership designed to deliver quality, value-based care to patients across central Pennsylvania. The partnership includes a joint investment of more than ...

LA Housing Program Improves Mental Health, Cuts Hospital Costs

by Jennifer Bresnick

Providing stable housing for homeless residents of Los Angeles produced both financial and mental health improvements for the city and its homeless populations, a new report on the Housing for Health initiative found. A three-year study of ...

LTPAC Orgs Need Better Health Data Exchange Standards, APIs

by Jennifer Bresnick

More robust health data exchange standards and the adoption of application programming interfaces (APIs) will help to improve interoperability among long-term and post-acute care (LTPAC) facilities, the ONC says, but helping these organizat...

Developing Community Partners for Population Health Management

by Jennifer Bresnick

Whether they are participating in value-based reimbursements or still based in fee-for-service, the vast majority of primary care providers are keenly aware that they can no longer afford to go it alone.  Consumer expectations are chan...

EHR Natural Language Processing Flags Social Determinant Search Terms

by Jennifer Bresnick

Applying natural language processing (NLP) techniques to the electronic health record can help providers identify key terms associated with the social determinants of health, says a new study out of Massachusetts General Hospital. Using QPI...

Walgreens Offers Online Library of Population Health Research

by Jennifer Bresnick

In a bid to further position itself as a leader in population health management that goes far beyond the pharmacy, Walgreens has announced the launch of an online library of healthcare research studies. The Center for Health and Wellbeing R...

How Do Population Health, Public Health, Community Health Differ?

by Jennifer Bresnick

The rapid proliferation of value-based care arrangements, driven by EHR adoption and the subsequent explosion of big data, has given providers both the opportunity and the financial imperative to focus on delivering holistic, preventive hea...

Top 10 Challenges of Population Health Management

by Jennifer Bresnick

Population health management has become a must-have competency for healthcare providers of all types, sizes, and specialties. As risk-based contracting and pay-for-performance arrangements start to provide enhanced financial incentives...

Value-Based Care Requires Good Big Data, Better Communication

by Jennifer Bresnick

Brevity may be the soul of wit in the literary world, but it’s the opposite of a good thing when it comes to safe, comprehensive, and cost-effective patient care.  In the value-based care environment, where multiple entities may ...Transparent and comprehensive communication are essential for success in the pay-for-performance world, said Dr. Kristopher Brickman, FACEP, Director of the Emergency Department at the University of Toledo Medical Center and medic...Developing data exchange between disparate organizations “There is a complete disconnect between the SNF world and the rest of the care continuum,” lamented Brickman.  “None of the facilities are on the same system.&n...Patients often seek care within more than one health system, which complicates the task of tracking each individual’s activities. “We receive major benefit from having Care Everywhere from Epic,” said Jhangiani.  &ldq...Engaging patients to cut costs and improve outcomes Anderson might not always feel as if he has all the data he needs, but it isn’t for lack of trying.  “We know that the key to patient management is identifying those at th...And as the region’s provides polish up their patient engagement and community communication skills, he is expecting that number to keep moving upward.  “Patients don’t usually want to be unhealthy, but sometimes they ...

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