Tag Archives: health care

A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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Becky’s Story: A Total Game Changer

Clinical research studies are vital in the health care industry to find out what is working and what isn’t. In some instances, they also create the potential to save a life. That was the case for a woman named Becky Fowler. She signed up for a research study on cholesterol with PMG Research and Wilmington […]
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Identify the linchpin to cultural change

There are hurdles that make implementing an analytics platform a unique challenge. But at its core the job is really one of change management. The linchpin to any cultural change is clinical and administrative leadership. Dr. Lewis Sandy, senior vice president of clinical advancement for UnitedHealth Group, says leadership is probably the most difficult requirement […]
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ACOs and the future of health care

Are accountable care organizations (ACOs) the future of health care? In Washington, DC and throughout the country, a lot of people are betting that they are. Designed to improve the coordination and quality of care and lower costs for Medicare patients, ACOs are considered an important step in the effort to move Medicare – 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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Population health demands providers do more than react to illness

In the era of health care reform, the mandate for providers is clear: Keep patients healthy and out of the hospital, improve patient satisfaction and reduce costs. Across the country, health care systems are grappling with how to achieve these goals. Even for the very best, this isn’t an easy task. One of the organizations […]
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Monitor these metrics to find revenue leaks

Tracking, explaining and plugging gaps in your revenue cycle is tough enough without the added challenge of practice acquisitions and mergers. Joining two systems means standardizing and streamlining policies that may differ greatly from each other. As consolidation work takes place, health systems can pay close attention to certain metrics to help identify revenue leaks. […]
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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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Big data challenge: Junk in means junk out

Access to good, quality data is one of the most pressing challenges related to the use of analytics in health care. If you input incomplete or “dirty” data, outputs won’t be reliable. Even the best algorithms in the world won’t work when applied to a distorted source. To ensure you are crunching numbers in a […]
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When doctors trust the data, change is easier

In the conversation about population health management and the transition to value-based care, there’s a significant focus — and rightfully so — on patient engagement. Fostering a trusting relationship between patients and providers, and empowering patients to become actively engaged in improving their health, are keys to producing better outcomes. Provider organizations also need to […]
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