Tag Archives: providers

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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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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Preventive care: Gauge potential to drive revenue

Say your patient population is the size of Cincinnati and Toledo combined, you might be able to fill up my beloved Buckeyes’ Ohio Stadium with patients who’ve skipped two years of well visits. I’m talking about 18 percent of your patients missing out on preventive care. What would closing that gap in care mean to […]
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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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Best practices for advanced care planning in skilled nursing facility settings

Today’s health care reform continues to drive toward greater patient-centered care. Health plans are seeing this more and more as we continue to provide increasing amounts of information through a myriad of touch points. We want our members to have access to the information they need to feel more informed, and more confident, when making […]
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Provider executives share insights on the evolution of population health

How can you adapt to population health? If you’re a health care provider, such a question can’t be answered in a sentence or a paragraph—or even an entire article. But providers who are undergoing a fee-for-service to fee-for-value transformation have offered some insight into how and why they’re evolving to become excellent at managing the […]
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Use big data and analytics to slow health care costs and compete on outcomes

By: The Optum Risk & Quality Solutions Team Health care is awash in data, so one might think that providers and payers would be on the forefront of the big data movement. While it’s true that claims data has been used for various purposes, including epidemiological research and predictive modeling, it doesn’t have the richness […]
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