ISPOR Asia-Pacific: Working Toward a Healthier Population in APAC

The past decade has been incredibly busy and productive for health economics outcomes research (HEOR) and health technology assessment (HTA) in the Asia-Pacific (APAC) region. In an effort to ensure equitable and affordable access to quality health care solutions while making costs sustainable, many APAC countries have developed and implemented evidence-based HTA guidelines and policies […]
Read More »

Health care, analytics, and the NBA

This year, for the second year in a row, the NBA Finals included the Golden State Warriors. While they ended up losing the championship, the team has dominated the league for the last two years with a high-powered offense and a barrage of three-point baskets. Without a doubt, Golden State’s success is due in large […]
Read More »

Special topic: Transforming health care together at Optum Forum 2016

The health care landscape is being fundamentally transformed by two major forces — an increased focus on value and more engaged consumers. As the industry continues to evolve toward value-based care, every facet of health care is being asked to stretch in new ways. For the third year, Optum is uniting over 1,000 executives and […]
Read More »

Monitor these metrics to find revenue leaks

Tracking, explaining and plugging gaps in your revenue cycle is tough enough without the added challenge of practice acquisitions and mergers. Joining two systems means standardizing and streamlining policies that may differ greatly from each other. As consolidation work takes place, health systems can pay close attention to certain metrics to help identify revenue leaks. […]
Read More »

Optimizing population health management strategies using data and analytics

With the emergence of value-based care and increasing focus from buyers on outcomes, health plans are feeling the pressure to prove that their population health programs are delivering on the promise to achieve the Triple Aim. Increasingly, reimbursement is tied to quality, utilization, and financial outcomes and health plans need to act now to develop […]
Read More »

Epidemiologic principles: Uncovering actionable insights and real-world evidence

You may be surprised to learn how often you employ epidemiologic principles in your everyday life. The simple act of making a choice may involve applications of epidemiologic methods. For example, when comparing two breakfast cereals or deciding between two mutual funds to invest in, you might use a systematic approach to evaluate the pros […]
Read More »

Best practices for provider network administration

Network administration is important to improving both revenue growth and outcomes while reducing medical spend. However, increased demand from consumers, providers and regulators can make network construction and management more difficult. A sound network capable of meeting different network adequacy requirements helps to support expansion into new markets, exchanges, Medicare, Medicaid, etc., Advanced reimbursement models, […]
Read More »

Understanding cost of care when growing by acquisition

Knowing what you charge for a service is not the same as knowing the cost of providing that service. According to Modern Healthcare, investigating the true cost of care is new to many if not most providers. Modern Healthcare points out that high-deductible plans are one reason providers want to get a handle on costs. […]
Read More »

Full potential of health care data analytics yet to be realized

Health care has come a long way in its use of data and analytics to improve the quality of care and better utilize resources and dollars. But the full potential of good data still has not been realized. Electronic medical records (EMRs) opened the floodgates for collecting, managing, and leveraging patient data. A next logical […]
Read More »

Addressing the possible effects of overlapping reimbursement models

At the core of bundled payments is the goal of improving coordination between all of the facilities and agencies a patient might visit or employ during one episode of care. But as health care providers adjust to this new reimbursement model, some are experiencing trouble coordinating bundled payments with other value-based care initiatives. In the […]
Read More »

Follow

Get every new post delivered to your Inbox.

Join 15,833 other followers