Healthcare Analytics, Population Health Management, Healthcare Big Data

Value Based Care

Humana Launches Value-Based Care Model for Expectant Mothers

April 25, 2018 - Humana has partnered with OB-GYN practices to introduce a national value-based payment model that will improve maternity care quality and reduce costs for Humana members with low- to moderate-risk pregnancies. “Because quality maternity care is important for many of our members and a significant focus of specialty care services in our country, we’re very pleased to launch Humana’s...


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How AI Can Cut Costs, Uncover Hidden Opportunities in Healthcare

by Jennifer Bresnick

In what seems like just a matter of months, artificial intelligence has become the number one topic of discussion in the health IT industry.  Machine learning, neural networks, deep learning, and natural language processing suddenly seem...

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 expansive...

HCOs Falling Short of Population Health, Value-Based Care Goals

by Jennifer Bresnick

Slow and steady may win the race in Aesop’s fables, but healthcare organizations that are falling short of their population health management and value-based care goals will have a hard time making up ground against their competitors, reveals...

Real-Time Scheduling Data Helps BIDCO Manage Population Health

by Jennifer Bresnick

At Beth Israel Deaconess Care Organization (BIDCO), coordinating care and managing population health for the patients of more than 2500 affiliated providers comes with a number of organizational and technical challenges. More than 40 different...

UnitedHealth Supports Bundled Payments with Health Data Analytics

by Jessica Kent

UnitedHealth Group recently announced its collaboration with healthcare providers, health systems, and government that will include offering health data analytics coordination tied to the growing use of bundled payment models in Medicare. UnitedHealth...

CMS Announces Patient-Centered Data Sharing Initiative

by Jennifer Bresnick

LAS VEGAS - CMS Administrator Seema Verma has announced a new initiative to ensure that patients remain at the center of the healthcare system as providers and payers continue to transition to value-based care.   The MyHealthEData initiative...

Podiatric Services Aid Chronic Care Management, Value-Based Care

by Jessica Kent

The integration of podiatric services could enhance chronic care management, improve health outcomes, reduce healthcare costs, and ultimately benefit the shift toward value-based care, according to a study commissioned by the New York State Podiatric...

Payers Starting to Tie Precision Medicine to Value-Based Care

by Jennifer Bresnick

Precision medicine has started to offer important answers to patients with diseases that have a genetic component, but covering the costs of cutting-edge testing and emerging therapies can be a challenge. Payers are often hesitant to commit to...

74% of Execs Say Interoperability is Critical for Value-Based Care

by Jessica Kent

Over 70 percent of healthcare financial executives say that data interoperability must improve within the next three years to ensure the success of value-based care, according to a Healthcare Financial Management Association (HFMA) survey sponsored...

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...

Financial Big Data Analytics Woes Plague Healthcare Providers, Payers

by Jennifer Bresnick

Healthcare providers and payers must improve their financial big analytics competencies if they wish to succeed in 2018’s rapidly evolving business environment, says a new report by Kaufman Hall, but few organizations have the ability to...

83 Intermountain Clinics Become Patient-Centered Medical Homes

by Jessica Kent

The Intermountain Medical Group recently announced that its 83 primary care clinics have received National Committee for Quality Assurance (NCQA) recognition as patient-centered medical homes (PCMHs). Intermountain, a Utah-based healthcare organization,...

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 $1...

Population Health, Value-Based Care Still Challenging for ACOs

by Jessica Kent

As alternative payment models like accountable care organizations (ACOs) start to replace fee-for-service models in healthcare, leaders must translate value-based care policies into realities that will benefit both patients and clinicians.  ...

Using Business Intelligence to Fine-Tune Operating Room Utilization

by Jennifer Bresnick

Surgical space is a finite resource for hospitals and health systems, and it is also one of the most important.  Long wait times for an operating room are simply unacceptable for most physicians and their patients, especially when emergency...

How the Healthcare “Value Chain” Leads to Big Data Analytics Success

by Jennifer Bresnick

Healthcare organizations may come in many different sizes, shapes, and specialties, but all providers working in the industry today have one major trait in common: their big data is getting bigger by the minute – and leveraging these assets...

Big Data Analytics, Population Health Top Executive Priority List

by Jennifer Bresnick

Big data analytics and population health management are among the top priorities for healthcare executives in 2018 as organizations attempt to navigate an uncertain regulatory landscape while improving the quality of care, according to the 2018...

ACOs Focus on Health IT, Population Health Management Plans

by Jennifer Bresnick

Trimming costs by implementing coordinated, high-touch population health management initiatives is the primary focus for the majority of accountable care organizations (ACOs) responding to a new poll conducted by National Association of ACOs...

CMS Requests Input on “New Direction” in Patient-Centered Care

by Jennifer Bresnick

CMS officials have opened up an informal survey designed to collect public input on how the agency can take an innovative approach to fostering affordable, effective patient-centered care. With a focus on value-based reimbursement structures...

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