The missing ingredient for population health management success

Medicare Accountable Care Organizations (ACOs), the Bundled Payments for Care Improvement program, and value-based contracting in general have driven the health care industry to invest in population health management (PHM) applications and services. But it turns out that it takes more to succeed in value-based care than purchasing technology or engaging in a short-term consulting […]
Read More »

Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 2 of a 2-part series Payers leave a lot of value on the table when they manage IT, process, and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
Read More »

Three steps: Get ready for risk-based, fee-for-value health care

Ready or not, here it comes — risk-based, fee-for-value health care is here or coming to a market near you! Health care providers are no longer asking whether they should get ready. They are asking: How fast should we make the transition? They know it may not be pretty. “Organizations need to set a goal […]
Read More »

Better outcomes and reduced costs for our frailest populations

Patients living in skilled nursing facilities (SNFs) are a small subset of Medicare beneficiaries. But these clinically complex individuals generate nearly two times the average medical expense for all Medicare members, according to The Henry J. Kaiser Family Foundation. By promoting more intense attention to this institutional population, health plans can drive better care and […]
Read More »

Population health management is more than analytics

How do you define population health management (PHM)? If you’re like most health care leaders, you believe that PHM is the practice of improving health outcomes of a large population of patients and identifying groups that are most at risk and need additional care by applying clinical analytics. That’s correct, but execution against this is […]
Read More »

Improving health care outcomes through patient engagement

“Anytime you have a patient that’s more engaged and involved in their care, your outcomes are better.” That’s a quote from Judy Herrington, who has 30 years’ experience in the health care field and serves as the vice president of nursing, medicine services at Parkland Hospital in Texas. Her front-line observation echoes the results of […]
Read More »

Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 1 of a 2-part series Payers leave a lot of value on the table when they manage IT, process and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
Read More »

Evolving technology and a move to all-digital hospitals

Some health systems and hospitals are embracing technology in a big way – building all digital, wired facilities. In April 2016, Modern Healthcare reported on Humber River Hospital in northwest Toronto, which has automated approximately 75% of its back-of-hospital functions. At Humber, the most notable changes have to do with efficiency and quality of care. […]
Read More »

Optum and Everest webinar: Achieve Breakthrough Cost Savings for Health Plans

Register now Research shows that health plans leave a lot of value on the table when they manage IT, process and medical costs separately. Join Optum and Everest as they discuss how health plan executives can achieve breakthrough cost savings by converting their entire spectrum of costs into a utility-based model that addresses both medical […]
Read More »

Uber inspired scheduling software reshaping the clinician experience

So who knew we needed a new taxi service? We were all used to calling for a taxi. Getting someone on the line telling us a driver would be dispatched shortly. Then the waiting came. Not sure who would show up or when. Uber saw an opportunity to use the latest mobile technology to transform […]
Read More »