Tag Archives: healthcare reform

The Contemporary Physician Leader Embodies the “Triple Aim”

The “Triple Aim”—a term coined by the Institute of Healthcare Improvement to embody the goals of better care, controlled costs, and improved health—has become a rallying cry in the health care industry. As the U.S. health care market focuses on changing incentives to accomplish the Triple Aim, a new generation of physician leaders, such as […]
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Living the Promise of Big Data Part II

In the first of this series, we discussed the need for payers to more effectively understand the needs of specific groups of members and ultimately improve standards of care.  A comprehensive analytics approach presents a framework for helping health plans to clinically evaluate members, collaborate with providers more strategically, and apply models to help gauge […]
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Living the Promise of Big Data Part I

The promise of big data is potentially revolutionary for health care; it will ease the transition to authentic data-driven decision-making, enabling payers to more effectively understand the needs of specific groups of members and ultimately improve standards of care.  Practically speaking, however, the vastness of the data that health plans can access presents unique challenges […]
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Obstacle or Opportunity? Make ICD-10 Work for Your Organization

“The optimist sees the opportunity in every difficulty.” –Winston Churchill Because the processes for coding health care diagnoses and treatments touch nearly every aspect of the health care system, replacing the outdated ICD-9 system carries certain risks. And while some continue to debate whether and how to implement the change, others recognize the reality of […]
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Rx for Medicare value-based programs, Part 2: Data at the right time and in the right format

In my last post, I discussed how participants in the Medicare Shared Savings Program (MSSP) and Pioneer Accountable Care Organization (ACO) program are clamoring for access to the “right data” on their members for the purposes of population health management. In this post, I’ll discuss how critical it is that the right data be delivered […]
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Rx for Medicare value-based programs, Part 1: Applying the right data

Early reflections are starting to roll in from our clients participating in CMS Medicare Shared Savings pilots and Pioneer Accountable Care Organization (ACO) programs. Based on their feedback, one thing seems certain: providers are quickly turning their focus to data as the means to achieve scalable, sustainable success in these programs.

Acting locally to improve health care

Small, everyday decisions can lead to big improvements in the cost and quality of health care. Calling it “DIY Health Care Reform,” Optum’s Bill Snyder provides advice everyone can follow to ensure they receive the best quality of care, while reducing costs. Read his contribution to the Sioux Falls Argus Leader.