Tag Archives: health care industry

Data access is key to closing care gaps

Advanced analytics can uncover gaps in care but unless that information is available to front line health care professionals the gaps will remain. Teamwork and the right technology can ensure data can be accessed and utilized in a timely manner. This approach is working for both providers and payers. For example Premier Medical Associates, a […]
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Prepare for bundled payments by focusing on these six areas

As one year ends and another begins, we sometimes take stock of what’s changed or developed in the last 12 months. The online news site HealthPayerIntelligence.com did just that for the health insurance market by defining the top trends of 2016. Bundled payment models made the list.  Take 5 minutes to explore bundled payments in […]
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What health care execs can learn from Billy Beane

“We are in the midst of a generational business model transformation. It takes a strong man or woman to stand up in front of an organization and say we are going in a different direction.” Health care consultant Ted Schwab, formerly of Oliver Wyman, is quoted in the Optum eBook Moneyball, emphasizing the importance of […]
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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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Who should make up the team that directs your move to accountable care?

As the U.S. health care system moves away from reimbursement models that reward volume and toward those that reward care coordination – traditional industry roles are blurring. • New #5in5 video: Fee for value requires revised relationships As this integration accelerates, organizations must build new governance structures that can provide strategic direction and accountability. That […]
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Rethinking department cooperation to build IT, HIE systems

To really manage clinical and financial risks, healthcare providers may need to do more with their data. To enable that goal, they may need to rethink how tasks are divided between departments. Health Data Management reported on an issue paper from the Workgroup for Electronic Data Interchange. WEDI found a strong health IT infrastructure and […]
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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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Learn about new impacts to health plans with OnTrend.

“What’s next?” That’s a difficult question to answer given how quickly the health care industry changes. And meeting the demands of the day doesn’t leave much time to stay on top of the key issues impacting our industry during this period of unprecedented change. That’s why we started OnTrend. This bimonthly bite-sized report provides a […]
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In provider networks bigger not necessarily better … or worse

As the health care industry adapts to the Affordable Care Act and value-based care, provider networks and their size are making news. Insurers are ditching large preferred provider organizations in favor of narrower networks. The appeal is easy to see. In a Huffington Post blog, President and CEO of the New York State Health Foundation James […]
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