Companies like Amazon, Zappos and Netflix continue to raise the bar. Consumer expectations related to service and tailored experiences have risen accordingly. Retail may have set the stage for these new norms, but consumers are increasingly expecting higher levels of service when interacting with all types of organizations — including health plans. To meet these […]
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As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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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 […]
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The need for better care coordination becomes clear when you see the results of surveys showing the number of patients taking multiple medications and visiting multiple doctors. In spring of 2016, the New York Times reported on a national survey, conducted by Harvard researchers, that found 39 percent of people over age 65 use five or more […]
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One of the buzzwords in health care reform is “interoperability.” But what’s behind the buzz? Interoperability is the ability to share data across systems and analyze and use the data. But it’s not just about sharing for sharing’s sake. The goal is to use information to create bigger, more complete data sets that can power […]
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To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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Failure to follow up with a physician or follow a medication regimen can cause a recently released patient to end up right back in the hospital. But there are other, non-clinical factors that also lead to readmissions. The causes can be grouped into three main categories: Patients’ medical literacy According to the National Network of Libraries […]
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While providers may now see population health programs as key to value-based care success, many are struggling with implementing change in a way that affects outcomes. “It’s like the proverbial changing of the tires while driving down the road at 90 mph,” says Steve Griffiths, senior vice president of Health Care Analytics Consulting at Optum. […]
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With the Medicare Access and CHIP Reauthorization Act replacing the sustainable growth rate, changes are coming for physicians. But will MACRA impact facility providers? Consultants at Optum say yes. Specifically they say hospitals and health systems should prepare for changes to referral patterns and readmission rates. Jay Hazelrigs, vice president and lead actuary at Optum, […]
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Analytics platforms that provide insights immediately after data is collected can help physicians and care managers make the most of their time with patients. Real-time data integration allows care teams to engage patients closer to the point of care and make decisions on next steps. But in some cases even data accessible in real time […]
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