Tag Archives: Physicians

Health system id’s source of new ideas for reform

Proponents of Lean process improvements can’t seem to emphasize enough the importance of engaging all employees and empowering them to become problem solvers. Books, academic reports and articles all address the issue. Their message? Good ideas can come from anywhere – from a newly hired housekeeper to a ready-to-retire nurse manager. The CEO of a […]
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The journey to value: Taking the first value-based steps with population health management-Part 2

In the previous Journey to Value post, we discussed the usefulness of population health management (PHM) as a bridge between the volume and value worlds. This final post in the Journey to Value series discusses another program necessity as organizations journey to value: comprehensive data and sophisticated analytics. The fuel for the value-based care is […]
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The journey to value: Taking the first value-based steps with population health management-Part 1

In our previous Journey to Value post, we suggested four elements that organizations should consider as they as they determine their roadmap for value-based care. With a roadmap that accounts for market needs, financial impacts, provider network strategies and aligned incentives, organizations are ready to program the milestones around which they will convert to value-based […]
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The journey to value: Handling risk means understanding your patient population

In our last Journey to Value post, we discussed how having all key players in alignment allows a provider organization to better manage risk. There’s one element still to consider: the patient. To get a true handle on risk, health care providers must first understand the needs of the populations they’re serving. Here are four […]
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The journey to value: Preparing for change starts with improved revenue

Cash is king, whether health care organizations like it or not. Moving from volume- to value-based care puts revenue at risk when cash flow is critical. There are three specific areas where organizations can improve revenue: Denials management — Denied claims limit cash flow and negate work already completed. Plus, they add more work for […]
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Engaging the patient key to future data sharing says Weintraub

The payers, employers, providers, government as a payer, pharmaceutical firms, bio-tech firms, and other health care participants are at the heart of using the information provided by analytical software, said Michael Weintraub, President and CEO, Optum Analytics, in an interview conducted at the Forbes HealthCare Summit. The challenge, he said, is engaging the patient in […]
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The journey to value: From finances to patient access, get your house in order for fee-for-value

Health care is driven by the wants and needs of the market. Consumers want better transparency and value at the same time governments, payers and employers are trying to keep costs down and stimulate quality improvement. This means more pressure on providers to deliver efficient care while not passing on costs to patients. But, making […]
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Consumer awareness, prioritized resources make or break preventive service use

Increased emphasis on prevention in health care is good policy, but it can’t become good practice unless the services get to the people who need them. In an earlier post, I shared statistics about how older adults are less likely to seek out prevention programs, programs which could have prevented 2 million premature deaths. That […]
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Looking for Proof That ACOs Will Work? It Already Exists.

The rap on accountable care organizations (ACOs) is that there is no evidence to demonstrate they will control costs. I’d say the evidence is right under our noses – right in an analysis by the Congressional Budget Office (CBO). Earlier this year the CBO published an assessment of the Centers for Medicare & Medicaid Services […]
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