Tag Archives: Patient Care

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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Florida Medical Clinic scores new contracts after using analytics

In the move from fee-for-service to value-based health care a number of organizations are missing the target. I have seen several very good health care groups miss out on substantial value-based contracts because they could not take on the risks. The solution is to manage the risks through the utilization of analytics. Florida Medical Clinic, […]
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Analytics helps Cornerstone create Patient Advocate program

Gaps in care are a common affliction among health care organizations across the nation. I have seen it in otherwise good practices, both large and small, yet these groups somehow either overlook the problem or don’t know it exists. Cornerstone Health Care was suffering from “gaps in care,” that is patients who were not receiving […]
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Pay-for-value can improve behavioral health care

Paying for value not only helps drive improvements in behavioral health care and lower costs. It also inspires innovation in treatment and empowers consumers. Today at Optum, nearly 20 percent of our total spending on inpatient network-based behavioral health is tied to performance-based contracts. These contracts reward providers for collaboration, better patient outcomes and improved […]
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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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Five common areas where provider-based risk can falter

There is no single path to success for provider organizations who want to learn how to take on patient risk. Hospital/physician gainsharing, patient-centered medical homes, bundled payments, shared savings models and global payments all vary in the level of risk managed by the provider, as well as in their ability to bend the cost curve. […]
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Data analytics optimize providers’ management of value-based contracts

Providers who manage value-based contracts are looking for ways to improve clinical outcomes and reduce costs. And they’re doing this by acquiring care management strategies and an ability to build better predictive risk models for high-risk populations. With a just small sliver of the U.S. population accounting for a bulk of health care costs, provider […]
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Analyzing “good” data provides a true snapshot of patients’ risk

Analyzing your data can reveal important insights about your patient population, including identifying those who are at highest risk for hospitalization. In my last post, we discussed the importance of having “good” data. This means data that has been gleaned from as many sources as possible, and has been normalized and validated so that it […]
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If Patients Determined Health Care Payments

Left to their own, health care consumers might well design very different delivery and payment arrangements for health care – and we can learn from this perspective. While providers often think of health care on a continuum, individuals generally think of themselves in just one segment of the system: healthy, acutely ill, managing a chronic […]
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