Monthly Archives: March 2013

5 Steps to Crafting a Care Coordination Network

Unexplained transfers between the skilled nursing facility (SNF) and emergency room, and between diagnostic areas and nursing facilities, prompted Summa Health System to reevalute its transitional care services and develop a more finely tuned care coordination network, explains Carolyn Holder, … finish reading 5 Steps to Crafting a Care Coordination Network

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Are Accountable Care Organizations Improving Population Health?

What does “Improving Population Health” really mean? And are ACOs truly designed to improve it? Those are the questions researchers from Weill Cornell recently tackled in the Journal of the American Medical Association (JAMA)— questions they say need to be … finish reading Are Accountable Care Organizations Improving Population Health?

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New Campaign Hopes to Transform Healthcare through Nursing

Designed to help transform healthcare through nursing, the Robert Wood Johnson Foundation (RWJF) has launched a $3 million initiative with the AARP to help states deal with the nation’s most pressing healthcare challenges, including access, quality and cost. The Future … finish reading New Campaign Hopes to Transform Healthcare through Nursing

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Medication Adherence Can Improve Outcomes, Reduce Costs for Patients with Heart Disease

Patients with coronary artery disease (CAD) who are medication adherent can save the healthcare system up to $868 per patient per year, according to a study from Brigham and Women’s Hospital and CVS Caremark, published in the American Journal of … finish reading Medication Adherence Can Improve Outcomes, Reduce Costs for Patients with Heart Disease

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U.S. Hospitals Sharing Data, Expertise Reduce Mortality, Costs

A collaborative of 333 hospitals intent on improving costs and care have saved $9.1 billion and 92,000 deaths since 2008 by replicating the performances of top performing hospitals, according to Premier Healthcare Alliance’s QUEST™ collaborative. If hospitals nationwide followed Quest’s … finish reading U.S. Hospitals Sharing Data, Expertise Reduce Mortality, Costs

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Medicaid Managed Care Plans Provide Higher Quality, Value as Enrollment Continues to Grow

States are increasingly relying on Medicaid managed care health plans to provide coverage for their growing Medicaid populations, according to a new report from America’s Health Insurance Plans (AHIP). In 2011, approximately 29 million people — more than half of … finish reading Medicaid Managed Care Plans Provide Higher Quality, Value as Enrollment Continues to Grow

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Insurance-Based Wellness Programs Decrease Hospitalizations, But Not Healthcare Costs

Workplace wellness incentive programs may decrease hospitalizations, but not overall health claim costs, according to a study from the University of Arizona Eller College of Management, published in Health Affairs. Researchers at Washington University and Harvard Medical School studied the … finish reading Insurance-Based Wellness Programs Decrease Hospitalizations, But Not Healthcare Costs

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Key Components of Clinical Integration

Clinical integration (CI) of providers is essential for an effective ACO, says Dr. Mark Shields, senior medical director with Advocate Physician Partners (APP) and vice president of medical management for Advocate Health Care. But to truly achieve CI, it cannot … finish reading Key Components of Clinical Integration

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Aetna, ProHealth Physicians Collaborate on Accountable Care Organization

Aetna and the Connecticut-based ProHealth Physicians, a large primary care provider with more than 30,000 Medicare patients, have announced an accountable care collaboration that will support Medicare and privately insured patients. The ACO will utilize Healthagen, a division of Aetna … finish reading Aetna, ProHealth Physicians Collaborate on Accountable Care Organization

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24 States and D.C. Select Benchmark Health Insurance Plans That Meet Essential Health Benefit Requirement

Twenty-four states and the District of Columbia have chosen a benchmark health insurance plan that meets the ACA’s essential health benefit requirement, which is scheduled to begin January 2014, according to a new Commonwealth Fund study. Researchers found that 19 … finish reading 24 States and D.C. Select Benchmark Health Insurance Plans That Meet Essential Health Benefit Requirement

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