Tag Archives: care delivery

3 categories of non-clinical factors lead to readmissions

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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Health systems: Do you see payers as partners or adversaries?

“It’s not the fact that we did that, it’s how we did it.” That’s what Jeff James, chief executive officer for Wilmington Health says is the headline from his group’s decision to team with Blue Cross/Blue Shield of North Carolina to create that state’s first commercial accountable care organization (ACO).  Watch Jeff James answer 5 […]
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Timing a transition to value-based care

Once providers decide they will transition to value-based care, the next question is when should they make their move. Providers can do more than pick an arbitrary date. There are tools to help organizations make informed decisions on transition timing. Providers can conduct a financial impact assessment. Doing so allows groups to model several factors […]
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Identify six focus areas to manage business model changes

Providers can better manage enterprise-wide care transitions by addressing six key focus areas. As provider organizations map their strategy for transitioning into a value-based care organization, they may find they need to redefine their whole business model. It’s a big undertaking. Providers can make it more manageable by breaking the work into six categories. Physician […]
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Your journey to a new health care world needs a new mindset

In addition to making value-based care more widespread, health reform legislation in the late 2000s set the stage for a massive influx of newly insured patients. These developments are some of the major reasons that provider leaders like you are looking at ways to adjust your care delivery model. It is in this stage of […]
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Providers can prepare to negotiate risk-based contracts.

Launch a web search for physicians and contracts. Much of the information you’ll find relates to employment contracts — agreements of hire, salaries, on call hours. But, with the changing health care industry doctors, hospitals and other providers are finding themselves negotiating new kinds of contracts. They are sitting down across the table from payers […]
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Population health stratification – thinking beyond the standard clinical risk segments

In my previous blogs I have outlined the need for providers to develop customer relationship management and patient relationship management capabilities which includes understanding the consumer’s perspective on health and the healthcare system. Currently providers are focused on understanding an individual’s clinical risk profile but it is important to integrate an individual’s attitude and activation […]
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Integrated approach to customer relationship management and patient relationship management

As I have discussed in previous blogs, today’s health care trends challenge hospitals and physicians to think differently about how they engage the community and consumers. With new dynamics due to health care and market reforms and the retailization of health care, providers need to strategically and systematically think about how to engage the individual […]
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If Patients Determined Health Care Payments

Left to their own, health care consumers might well design very different delivery and payment arrangements for health care – and we can learn from this perspective. While providers often think of health care on a continuum, individuals generally think of themselves in just one segment of the system: healthy, acutely ill, managing a chronic […]
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