Tag Archives: Population health management

Provide customized care options patients can embrace

With the high costs and risks to patients’ health associated with chronic disease it makes sense to prioritize actions aimed at managing or improving the condition. But what if a patient isn’t inclined to accept the recommendations? Can you still work to improve care and financial outcomes? With predictive analytics you can. By combining not […]
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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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New rules govern how health care providers partner with payers

Since the Patient Protection and Affordable Care Act was signed in 2010 there has continued to be some uncertainty about how healthcare reform will evolve. However, most  large health care organizations agree that value-based care is here to stay. They invested in robust technologies and began implementing population health management strategies. The market’s smaller players […]
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Blinkers on: It’s time to move into the value-based care fast lane

Providers and payers are converging and seeing new opportunities to collaborate to improve care quality and control costs under new value-based care models.  Increasingly, providers are evolving to take more accountability for cost of care and patient outcomes—issues historically laid at payers’ feet. However, providers must continue to operate in a fee-for-service environment while transitioning […]
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Three steps: Get ready for risk-based, fee-for-value health care

Ready or not, here it comes — risk-based, fee-for-value health care is here or coming to a market near you! Health care providers are no longer asking whether they should get ready. They are asking: How fast should we make the transition? They know it may not be pretty. “Organizations need to set a goal […]
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Population health management is more than analytics

How do you define population health management (PHM)? If you’re like most health care leaders, you believe that PHM is the practice of improving health outcomes of a large population of patients and identifying groups that are most at risk and need additional care by applying clinical analytics. That’s correct, but execution against this is […]
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Improving health care outcomes through patient engagement

“Anytime you have a patient that’s more engaged and involved in their care, your outcomes are better.” That’s a quote from Judy Herrington, who has 30 years’ experience in the health care field and serves as the vice president of nursing, medicine services at Parkland Hospital in Texas. Her front-line observation echoes the results of […]
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Prepare for bundled payments by focusing on these six areas

As one year ends and another begins, we sometimes take stock of what’s changed or developed in the last 12 months. The online news site HealthPayerIntelligence.com did just that for the health insurance market by defining the top trends of 2016. Bundled payment models made the list.  Take 5 minutes to explore bundled payments in […]
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What health care execs can learn from Billy Beane

“We are in the midst of a generational business model transformation. It takes a strong man or woman to stand up in front of an organization and say we are going in a different direction.” Health care consultant Ted Schwab, formerly of Oliver Wyman, is quoted in the Optum eBook Moneyball, emphasizing the importance of […]
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Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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