Tag Archives: Physicians

MACRA requires knowledge of qualities of “good” data

Medicare is allowing physicians and group practices to set their own course toward compliance with the Medicare Access and CHIP Reauthorization Act, or MACRA. But regardless of the path chosen, accurate measurement is key. That’s because the most basic level of participation requires physicians to submit data on one quality measure and one improvement activity […]
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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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Care transitions can feel like changing the tires while driving

While providers may now see population health programs as key to value-based care success, many are struggling with implementing change in a way that affects outcomes. “It’s like the proverbial changing of the tires while driving down the road at 90 mph,” says Steve Griffiths, senior vice president of Health Care Analytics Consulting at Optum. […]
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Confirm patients’ medical memories to develop complete health histories

Can you remember what you wore to work last Thursday? How about what you had for lunch yesterday? We humans aren’t particularly great at recalling details. Study after study shows it. Colonoscopy patients don’t remember details of their procedures when more than a year has passed, according to a report in Healio. How about hip […]
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Who should make up the team that directs your move to accountable care?

As the U.S. health care system moves away from reimbursement models that reward volume and toward those that reward care coordination – traditional industry roles are blurring. • New #5in5 video: Fee for value requires revised relationships As this integration accelerates, organizations must build new governance structures that can provide strategic direction and accountability. That […]
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How an outstanding provider got even better with analytics

Lehigh Valley Health Network was already a pretty stellar health care organization. After all, it had been listed in US News & World Report’s “America’s Best Hospitals” 20 years running, and the American Hospital Association had numbered it among the “100 Most Wired” in 11 consecutive years. But the Pennsylvania provider wasn’t about to rest […]
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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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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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Health systems: Do you see payers as partners or adversaries?

“It’s not the fact that we did that, it’s how we did it.” That’s what Jeff James, chief executive officer for Wilmington Health says is the headline from his group’s decision to team with Blue Cross/Blue Shield of North Carolina to create that state’s first commercial accountable care organization (ACO).  Watch Jeff James answer 5 […]
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Clinical research becomes part of a care coordination model

Value-based care strategies are making partners out of former rivals and leading to the destruction of care silos. Maybe you know of a hospital that has teamed up with skilled nursing facilities or even a payer organization. But have you heard of a union between a provider and a clinical research network? That is what […]
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