Tag Archives: Health care providers

Do bundled payments encourage more procedures? New study offers answer

New research aims to determine whether a claim that bundled payments may actually increase costs rather than control them holds any weight. Becker’s Hospital Review and McKnight’s reported on the study from the Centers for Medicare and Medicaid Services and the Altarum Institute. At issue was whether bundled payments — also known as episode-based payments […]
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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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Not perfect, but practice makes progress for ACOs

Recently released results of the Medicare Shared Savings Program (MSSP) highlight the fact that Accountable Care Organizations need to be in it for the long haul. In August, the Centers for Medicare & Medicaid Services issued an update announcing that participating ACOs continue to show improvements in their ability to contain costs. Three hundred and […]
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Understanding a new, mandatory payment model

As the health care industry moves toward population health management, providers and payers are working to determine which value-based reimbursement models show the most promise. The Centers for Medicare and Medicaid Services gave the bundled payments a boost this year by making the model mandatory for a number of hospitals — first for hip and […]
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Addressing the possible effects of overlapping reimbursement models

At the core of bundled payments is the goal of improving coordination between all of the facilities and agencies a patient might visit or employ during one episode of care. But as health care providers adjust to this new reimbursement model, some are experiencing trouble coordinating bundled payments with other value-based care initiatives. In the […]
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Analytics are key to engaging providers in the process of change

As health care groups continue to grow larger, it becomes increasingly difficult for information to flow from the health care providers to the central office and vice versa. I have seen this happen to a number of health care organizations that were rapidly adding new practices and personnel. How does a growing organization keep the […]
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Using data to move toward transparency: Six things health care providers can do

In our previous blog, “RISK now matters to health care providers”, we introduced the RISKMATTERS publication from Optum and touched on the latest conversation in the spring edition—health care providers managing financial risk becoming data-rich and insight-strong. And a new trend report in the spring edition, Transparency becoming health care’s new normal, kicks off the […]
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Client perspective: The Optum analytics partnership

In health care’s steady march toward value-based care, health care organizations need solutions to help them tip the odds in their favor. One such solution is an analytics platform, which helps providers gain a deeper understanding of their population risk and better know where and how to devote clinical and financial resources. When choosing an […]
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Putting the patient first: Innovative care models and patient engagement

Now that the concept of using data and analytics to manage the health of an attributed population is widely accepted, it’s time to move the conversation toward the next step: innovative care models and patient engagement. Payers and providers must not assume that stratifying clinical risk and enrolling high risk patients in care management will […]
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