Monthly Archives: February 2014

4-Step Data-Driven Care Model Targets Dual Eligibles

The philosophy that healthcare is local—and therefore, care needs to be local and community-based—drives WellCare Health Plans’s efforts to connect its dually eligible population to health services. Here Pamme Lyons Taylor, WellCare’s vice president of advocacy and community-based programs, explains … finish reading 4-Step Data-Driven Care Model Targets Dual Eligibles

Posted in Disease Management, dual eligibles, Improving Community Care, Improving Patient Care | Tagged , , | Leave a comment

Medical Homes Have Limited Impact on Quality, Utilization and Cost: Study

While interventions to transform primary care practices (PCPs) into patient-centered medical homes (PCMHs) are common, but their effectiveness in improving quality and decreasing costs is unclear, according to a study in JAMA. One of the first, largest, and longest-running multipayor … finish reading Medical Homes Have Limited Impact on Quality, Utilization and Cost: Study

Posted in affordable care act, Healthcare Quality and Access, Healthcare Reform, Healthcare Utilization, Patient-Centered Medical Home | Tagged , , , , , | Leave a comment

1 in 4 Medicare Beneficiaries Returns to ER after Nursing Home Discharge

A high percentage of Medicare patients who are discharged from nursing homes are returning to the hospital or emergency rooms (ER) within 30 days, according to a study from the University of North Carolina at Chapel Hill School of Nursing. … finish reading 1 in 4 Medicare Beneficiaries Returns to ER after Nursing Home Discharge

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Care Coordination, Care Transitions | Tagged , , , | Leave a comment

6 Ways to Groom Embedded Case Managers for Advanced Primary Care

Embedded case managers are carefully being groomed as ambassadors for the evolving patient-centered healthcare landscape. And while challenges to employing them persist, including staff buy-in and communication, reimbursement is less of an obstacle today than in the past due to … finish reading 6 Ways to Groom Embedded Case Managers for Advanced Primary Care

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WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

With the goal of rolling its physician transformation program out to 75 percent of its practices within the next three years, one of the biggest challenges — or opportunities — is leaving no primary care practice behind, explains Julie Schilz, … finish reading WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

Posted in Accountable Care Organizations, Patient-Centered Medical Home, Physician Organizations, Primary Care | Tagged , , , , , , | Leave a comment

Telemedicine Expands Access to Acute Medical Care

People who are younger, more affluent and do not have established healthcare relationships are more likely to use a telemedicine program that allows them to get medical help — including prescriptions — by talking to a doctor over the telephone, … finish reading Telemedicine Expands Access to Acute Medical Care

Posted in Healthcare Costs, Healthcare IT, Telehealth | Tagged , , , | Leave a comment