Tag Archives: health care risk management

New rules govern how health care providers partner with payers

Since the Patient Protection and Affordable Care Act was signed in 2010 there has continued to be some uncertainty about how healthcare reform will evolve. However, most  large health care organizations agree that value-based care is here to stay. They invested in robust technologies and began implementing population health management strategies. The market’s smaller players […]
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Blinkers on: It’s time to move into the value-based care fast lane

Providers and payers are converging and seeing new opportunities to collaborate to improve care quality and control costs under new value-based care models.  Increasingly, providers are evolving to take more accountability for cost of care and patient outcomes—issues historically laid at payers’ feet. However, providers must continue to operate in a fee-for-service environment while transitioning […]
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Full potential of health care data analytics yet to be realized

Health care has come a long way in its use of data and analytics to improve the quality of care and better utilize resources and dollars. But the full potential of good data still has not been realized. Electronic medical records (EMRs) opened the floodgates for collecting, managing, and leveraging patient data. A next logical […]
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Successful patient-centered medical homes rely on good data

In earlier posts, we discussed that good data is data that spurs action — on the part of both providers and patients. This is no truer than for the patient-centered medical home (PCMH) model, where primary care is organized in a way that emphasizes care coordination and communication. Patients get higher quality care and providers […]
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Good data can be a powerful tool in improving patient care

There’s a story of a group of doctors who were measured on how well they controlled patients’ blood pressure. When the scorecard came out, a physician was at the bottom and a nurse practitioner was near the top. Talk about a wake-up call. No doctor wants to be last on any clinical measurement. Physicians want […]
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Bigger doesn’t always mean better when it comes to health care data

Most health care organizations have terabytes of patient data at their disposal. But without the right analytics programs, all that information is just words and numbers. “Big data” doesn’t always equal “good data.” Providers now know that to get a full picture of patients’ health status they need data from many sources, including claims, clinical, […]
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The journey toward better patient care never really ends

Take a look at the Oakland Athletics baseball team today and it may not seem like much of a success story. The team hasn’t won a World Series since 1989 and has made the playoffs only eight times in the past 17 years. They aren’t that good, right? Peer deeper and you’ll discover that the […]
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Managing risk requires finding and treating your costliest patients first

Statistical analysis used by Billy Beane to mold the Oakland Athletics of the early 2000s into winners wasn’t new by any means. The Brooklyn Dodgers hired a statistician in 1947 who advocated using players adept at getting on base. It took Major League Baseball more than half a century to embrace the use of data […]
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The right data can mean the difference between winning and losing

In the early 2000s, the Oakland Athletics were the measuring stick for how to win ballgames. The A’s won more than 100 games in both 2002 and 2003. They made the playoffs four consecutive years. And the team did it with the sixth-smallest payroll in Major League Baseball. General manager Billy Beane was the mastermind […]
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