Tag Archives: accountable care

Health care industry changes mean there’s always something new to learn

There are only so many hours in the day and your current deadlines and duties likely take up most of them. But if you don’t take time to make plans to adjust to the changing health care industry, you could be left behind. You can learn to set your optimal pace for change and determine […]
Read More »

Population health demands providers do more than react to illness

In the era of health care reform, the mandate for providers is clear: Keep patients healthy and out of the hospital, improve patient satisfaction and reduce costs. Across the country, health care systems are grappling with how to achieve these goals. Even for the very best, this isn’t an easy task. One of the organizations […]
Read More »

Understanding the risks of incomplete medical coding

Information that could affect readmission risks, reimbursement, quality assessments and more is missing from medical records according to a recent study. MedPageToday reported on the study, conducted by researchers at Johns Hopkins University School of Medicine and published in November 2015 in the journal PLOS ONE. The researchers compared two large databases – one based on claims […]
Read More »

When doctors trust the data, change is easier

In the conversation about population health management and the transition to value-based care, there’s a significant focus — and rightfully so — on patient engagement. Fostering a trusting relationship between patients and providers, and empowering patients to become actively engaged in improving their health, are keys to producing better outcomes. Provider organizations also need to […]
Read More »

Is your data organized to allow for utilization?

Even early-adopter health systems – leaders in the transition to population health management who have relied on data for some time – find it valuable to review their analytics platforms and ask, ‘what can you do for me now?’ One such system is Mercy health system – a Pioneer ACO and participant in the Physicians Group Practice demonstration […]
Read More »

3 analytics deliverables credited with ACO progress

What does it take to create an accountable care organization that meets benchmarks in care delivery and proves to be profitable? Jeff James, Chief Executive Officer at North Carolina-based Wilmington Health, says metrics and analytics allow for his group’s ACO to exist. The ACO was formed as a partnership with Blue Cross Blue Shield of […]
Read More »

Documenting diagnoses makes a difference in care quality.

An often-repeated statistic warns that 8 million Americans have diabetes and don’t know it. There are similar claims about other chronic illnesses, like hypertension and chronic heart failure. If a patient doesn’t know they are missing a diagnosis, their health care provider may not either. The white paper Accurate coding: The foundation of accountable care explains that […]
Read More »

Focus on the future when developing your provider network

Every health system and provider organization entering into risk-based contracts needs to focus on the types of providers they want in their network. The type of providers they want will depend on the services they provide and the geographic coverage they need. However, a network should not be static as providers take on additional levels […]
Read More »

CMS is incentivizing providers to participate in its value-based care programs

The organizations who will likely thrive as health care shifts to fee-for-value payments are those who aggressively embrace the changes. Both the Centers for Medicare and Medicaid Services (CMS) and Congress have sent strong indications recently that the primary engine for future health care reforms will be quality rather than quantity. And based on the […]
Read More »

What does the latest data from CMS mean for Medicare accountable care organizations?

The numbers coming out of the Centers for Medicare and Medicaid Services (CMS) tell an encouraging story about the prospects for Medicare Accountable Care Organizations and the Medicare Shared Savings Program. According to a CMS report, 243 ACOs saved Medicare $877 million in an 18-month span that ended in 2013. While that is only less […]
Read More »