Monthly Archives: November 2012

Well-Being, Care Transitions Among 8 Imperatives of Population Health Management Collaboration

Healthways and Mercy, the sixth largest Catholic healthcare system in the United States, will collaborate on an eight-tiered strategy to deliver more efficient and effective solutions for total population health management. The aim of the collaboration is to keep healthy … finish reading Well-Being, Care Transitions Among 8 Imperatives of Population Health Management Collaboration

Posted in Care Transitions, Physician Alignment, Population Health Management | Tagged | Leave a comment

More Co-Management Agreements Ahead on Healthcare Horizon: Analysis

Healthcare organizations will be guided in 2013 by the familiar mantra of IHI’s Triple Aim as well as the emergence of continuum-driven and integrated healthcare delivery systems and the new business and payment models that support them, predicts Steven T. … finish reading More Co-Management Agreements Ahead on Healthcare Horizon: Analysis

Posted in Accountable Care Organizations, Bundled Payments, Clinical Integration, Patient-Centered Medical Home, Physician Alignment, Population Health Management | Tagged , , | Leave a comment

Prevention Is Key To Reducing Healthcare Costs For All Employees

Reductions in employee health risks lead to immediate cost savings, while the accumulation of additional health risks lead to significantly higher medical and pharmacy costs, according to a study from StayWell Health Management and Towers Watson. Cost savings associated with … finish reading Prevention Is Key To Reducing Healthcare Costs For All Employees

Posted in Alternative Healthcare Coverage, Healthcare Costs, Prevention and Wellness, Uncategorized | Tagged , | Leave a comment

New NCQA Measure Helps Health Plans Reduce Preventable Hospital Readmissions

A new report from the National Committee for Quality Assurance (NCQA) provides a detailed look at a new measure designed to help purchasers and health plans reduce hospital readmissions, improve care and reduce costs. Reducing Readmissions: Measuring Health Plan Performance, … finish reading New NCQA Measure Helps Health Plans Reduce Preventable Hospital Readmissions

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RN Care Coordinators Contribute to Savings, Quality Improvement in Cigna Accountable Care Model

Registered nurses who serve as clinical care coordinators and help patients with chronic conditions to navigate the healthcare system are critical to the success of Cigna’s shared savings collaborative accountable care (CAC) program, according to a peer-reviewed study published in … finish reading RN Care Coordinators Contribute to Savings, Quality Improvement in Cigna Accountable Care Model

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Colorado’s All-Payor Claims Database Highlights Payment Discrepancies for Common Services

A new tool for measuring healthcare costs and utilization across payors throughout Colorado, and designed to improve care and reduce costs, is now available. Colorado’s All-Payor Claims Database (APCD) is a comprehensive health claims data resource — giving patients, purchasers, … finish reading Colorado’s All-Payor Claims Database Highlights Payment Discrepancies for Common Services

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Healthcare Costs, Healthcare Information Technology | Tagged | Leave a comment

URAC’s Proposed Clinical Integration Standards Emphasize Collaboration, Care Coordination

URAC, a leading healthcare accreditation, education, and measurement organization, is seeking public comment on proposed initial standards for clinically integrated networks. These initial standards will become part of the organization’s Clinically Integrated Network accreditation program, and will support a set … finish reading URAC’s Proposed Clinical Integration Standards Emphasize Collaboration, Care Coordination

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Health Benefits Cost Growth Increases by Smallest Margin in 15 Years

Growth in the average total health benefit cost per employee slowed from 6.1 percent last year to just 4.1 percent in 2012, the smallest increase since 1997, according to the National Survey of Employer-Sponsored Health Plans, conducted annually by Mercer. … finish reading Health Benefits Cost Growth Increases by Smallest Margin in 15 Years

Posted in Alternative Healthcare Coverage, Behavioral Health, Health Insurance, Health Risk Assessment and Stratification, Healthcare Costs, Healthcare Reform | Tagged , , , | Leave a comment

HF Patients Treated by Cardiologist Rather Than Hospitalist Have Fewer Readmissions

When heart failure (HF) patients are treated by a cardiologist rather than a hospitalist, their rates of hospital readmissions are lower, according to a new study from the Minneapolis Heart Institute Foundation (MHIF). Congestive HF is the most common cause … finish reading HF Patients Treated by Cardiologist Rather Than Hospitalist Have Fewer Readmissions

Posted in Avoidable Hospitalization, Cardiac Care, Care Transitions, Healthcare Costs, Hospital Readmissions, Hospital Training | Tagged , , , | Leave a comment

3 Steps to Improve Hospital Discharges

Getting patients back in for follow-up appointments within five to seven days of hospital discharge is key in preventing unnecessary readmissions, explains Irene Zolotorofe, administrative director of clinical operations at Bon Secours Health System. Medication reconciliation is also a crucial … finish reading 3 Steps to Improve Hospital Discharges

Posted in Avoidable Hospitalization, Disease Management, Embedded Case Manager, Medication Adherence | Tagged , , | Leave a comment