Tag Archives: value-based care

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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High-tech guided meditation eases burn pain

Parkland Hospital in Dallas County, Texas, is one of America’s “most wired,” as recognized by Hospitals & Health Networks® Magazine. Its careful integration of user-friendly tech extends from handy kiosks in the lobby to patient rooms with an array of digital devices that help both patients and staff. While much of the technology is focused […]
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Analytics provides “one report card” for physicians

In today’s health care, there are a lot of players – and a lot of payers, each with their own standards for evaluating physicians and the care they provide. As Greg Kile, CEO of the analytics firm Populytics, explains in an Optum® video, his company’s top 10 payers have 176 different metrics. Being washed over […]
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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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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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MACRA is big for doctors. What about hospitals?

With the Medicare Access and CHIP Reauthorization Act replacing the sustainable growth rate, changes are coming for physicians. But will MACRA impact facility providers? Consultants at Optum say yes. Specifically they say hospitals and health systems should prepare for changes to referral patterns and readmission rates. Jay Hazelrigs, vice president and lead actuary 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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