Tag Archives: Care Coordination

3 key elements of any effective analytics strategy

An effective analytics strategy can help provider organizations control costs and identify risks and opportunities – key techniques to succeeding in a world of payments based on outcomes rather than volume. Any effective analytical strategy needs three elements. 1. Highly accurate data Analytics tools that provide the most usable insights generally draw data from a […]
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Perspectives from provider organizations transitioning to value-based care models

Organizations across the country are transitioning to value-based systems of care delivery and reimbursement at different speeds and with varying objectives. With the first half of 2015 bringing many major announcements from both commercial payers and the Centers for Medicare and Medicaid Services (CMS), the push toward value-based models seemed to have become the preferred […]
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Is your organization data rich but insight poor?

The good news: more than 80 percent of doctors have electronic health records (EHRs) and more than 90 percent of hospitals have EHRs. The not-so-good news: 30 percent of hospitals use a data mining or a warehousing tool, while 80 percent of EHR data is unstructured. There’s lots of data available, but what insights are […]
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Changing reimbursement models requires changes to physician compensation models – the value of unblinded performance metrics

In my final blog related to changing reimbursement models requiring changes to physician compensation models, I want to identify the value of sharing unblinded information once physicians have approved, digested and absorbed the compensation model. Many of the organizations I have talked to find unblinded incentives to be a very powerful tool. However, you need […]
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Changing reimbursement models requires changes to physician compensation models – A structured approach to implementation

My previous blog, “Changing reimbursement models requires changes to physician compensation models – Characteristics of value-based compensation model,” outlined that as provider organizations move to risk-bearing contracts there are characteristics that go beyond just measuring quality of care and patient outcomes. A structured approach to engaging physicians is required to ensure long-term adoption and ultimate […]
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Combining high-tech and high-touch with care guides

The previous blog post focused on how Minneapolis-based HealthEast applied data and analytics from Optum One to get great care management results. This final blog in the three-part series will show how care management is making a difference in patient lives. One relatively new element to care coordination that HealthEast put into practice was certified […]
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Designing an effective integrated clinical model

As the shift to risk-sharing and value-based models of care continues, physicians, hospitals and hospital based physician group must put greater focus on better coordination of care and outcomes. They must also be capable of taking on some level of clinical and financial risk. But how do we integrate these different aspects into a single […]
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Simplifying care coordination for high-risk patients

The previous blog post in this series introduced, HealthEast, a Minneapolis health system using data and analytics to drive success in their medical home care management. This post will discuss how the system applied data and analytics to get great results. For their care coordination and reporting needs, HealthEast decided to install Optum One, a […]
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Using data and analytics for care management in medical homes

Less than five years ago, a Minneapolis-based health system went all-in to the medical home model, with great results. The HealthEast Care System is the largest health care provider in the East Metro area of Minnesota’s Twin Cities. In addition to its four hospitals, HealthEast runs 14 primary care clinics, a variety of specialty care […]
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Changing reimbursement models requires changes to physician compensation models – characteristics of value-based compensation Model

My previous blog, “Changing Reimbursement Models Requires Changes to Physician Compensation Models – Fundamental Pillars to Building a Strong Physician Compensation Model,” outlined that there are five pillars that the model should incorporate. Value-based transformation requires incentivizing physicians and the care team on a variety of behaviors that go beyond productivity. Outlined below are a […]
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