Healthcare Analytics, Population Health Management, Healthcare Big Data

Pay for Performance

Top 5 Questions for Payers about Population Health Initiatives

May 29, 2018 - Value-based reimbursement is slowly but surely increasing its footprint in the healthcare industry as payers look to control costs while rewarding providers for improved prevention and management of chronic disease.  Targeted population health management initiatives play an important role in helping both providers and payers meet those goals. But providers often voice concerns about how...


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Clinical Analytics Aid Payers, Providers with Value-Based Care

by Jennifer Bresnick

Clinical analytics and data integration are helping health payers and providers boost quality and meet the challenges of value-based care, says the 8th Annual Industry Pulse Report from Change Healthcare and the HealthCare Executive Group. Data...

ACC, AHA Update Clinical Quality Measures for Heart Problems

by Jennifer Bresnick

In an effort to reduce harmful variation in care, prepare providers for pay-for-performance contracting, and aid the development of population health management analytics, the American College of Cardiology and American Heart Association...

Big Data Analytics Can Bring Visibility, Value to Healthcare

by Jennifer Bresnick

The healthcare industry is often criticized for being ploddingly slow to innovate, reluctant to embrace new technologies, and unable to keep pace with quality measures and payment reforms intended to improve the quality of care.  The degree...

Is Population Health Management a High Priority for Providers?

by Sara Heath

Population health management may not be as much of a focus for the healthcare community as previously thought, according to a report by Numerof & Associates. While more than half of providers surveyed in the report think of population health...

Physician Quality Reporting System Penalties Snag 470K EPs

by Jennifer Bresnick

Nearly half a million eligible professionals will be losing 1.5 percent of their Medicare reimbursements thanks to non-participation in the Physician Quality Reporting System (PQRS) program in 2013, CMS says.  Despite increasing participation...

Aetna, Weill Cornell announce accountable care agreement

by Jennifer Bresnick

Aetna and more than 1200 Weill Cornell physicians will collaborate on a newly announced accountable care agreement, the payer says, intended to boost the coordination of care and provide higher quality services to more than 9000 New York patients...

ACO facilitators provide valuable help for finances, analytics

by Jennifer Bresnick

Accountable care organizations (ACOs) are popping up left, right, and center as providers band together to accept risk and leverage the power of partnerships to face the myriad challenges of a changing industry.  From improving care quality...

Accountable care extends Medicare hospital funds to 2030

by Jennifer Bresnick

Thanks to accountable care initiatives, better care coordination, and a reduction in 30-day readmissions, Medicare’s Part A hospital trust fund will be financially solvent until 2030, four years longer than previously anticipated, says a new...

Humana, UC San Diego enter accountable care agreement

by Jennifer Bresnick

Humana and the UC San Diego Health System have entered an accountable care agreement to focus on improving outcomes and lowering costs for Southern California patients.  The only academic medical system in the region, UCSD consists of two major...

CMS: Help us reform payments to better manage chronic disease

by Jennifer Bresnick

CMS is asking for a little help with its quest to align Medicare reimbursement with quality outcomes, and has released a request for information (RFI) inviting providers to contribute their thoughts.  As diabetes, heart disease, obesity, and...

Seven health IT questions to improve pay for performance

by Sponsored Content

Pay-for-performance is completely changing the way payers and health provider networks must work together.  The traditional one-way transaction-based communication approach is no longer effective. Care-quality initiatives, cost savings,...

Why are hospitals wary of accountable care organizations?

by Jennifer Bresnick

The march of the accountable care organization (ACO) might not be as inexorable as many experts have predicted, according to a new survey conducted by Purdue Healthcare Advisors (PHA), which found that nearly half of hospital executives have...

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