Tag Archives: case management

Analytics provides “one report card” for physicians

In today’s health care, there are a lot of players – and a lot of payers, each with their own standards for evaluating physicians and the care they provide. As Greg Kile, CEO of the analytics firm Populytics, explains in an Optum® video, his company’s top 10 payers have 176 different metrics. Being washed over […]
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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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Comfortable managing chronic illness? Ready for what’s next?

When just beginning the shift to data-driven value-based care, health care providers can start by focusing on one clearly defined population. But true population health management is about successfully administering care for all patients attributed to an organization. So how do providers travel the path from novice to intermediate levels of care management? Once a […]
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Four areas where providers can dramatically improve care management

Value-based care is fundamentally altering the nature of health care in the United States. Care delivery is transitioning from an episodic, somewhat reactive model into a more proactive health management approach. More and more often, provider organizations are accepting a per-member-per-month budget to manage the health of a population, and their incentives revolve around maximizing […]
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