Monthly Archives: June 2014

Focus on Preventable Readmissions Could Save Hospitals Financial Penalties

Reporting of hospital readmission rates should be based exclusively on preventable or potentially preventable readmissions, so that hospitals are not unfairly penalized, according to researchers from the Perelman School of Medicine at the University of Pennsylvania and Vanderbilt University. Preventable … finish reading Focus on Preventable Readmissions Could Save Hospitals Financial Penalties

Posted in Hospital Readmissions, Hospital Services | Tagged , , , , | 1 Comment

United States Ranks Last on Measures of Access, Quality and Care Coordination

Despite spending nearly double that of other countries on healthcare per person, the United States ranks last on measures of access, equity, quality, efficiency and healthy lives, according to a new Commonwealth Fund report. The United States spent $8,508 per … finish reading United States Ranks Last on Measures of Access, Quality and Care Coordination

Posted in affordable care act, Care Coordination, Care Transitions, Physician Alignment, Primary Care | Tagged , , , | Leave a comment

7 Roles of a Clinic-Based Health Coach

To succeed in a value-driven system, healthcare organizations need to shift primary responsibility for health management to the individuals it serves. Clinic-based health coaches can help implement this by providing patients with the necessary tools, skills and resources to help … finish reading 7 Roles of a Clinic-Based Health Coach

Posted in affordable care act, Alternative Healthcare Coverage, Behavioral Health, Health Coaching, Improving Patient Care | Tagged , , , | Leave a comment

Anthem-HealthCare Partners ACO Saved More Than $4 Million in 2013

California-based Anthem Blue Cross and HealthCare Partners’ Accountable Care Organization (ACO) saved $4.7 million during the first six months of 2013, HealthCare Partners announced. The ACO, established in late 2012, is notable because it includes approximately 55,000 preferred provider organization … finish reading Anthem-HealthCare Partners ACO Saved More Than $4 Million in 2013

Posted in Accountable Care Organizations, Alternative Healthcare Coverage, Avoidable Hospitalization, Cardiac Care, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience | Tagged , , , | Leave a comment

Improving the Health of Dual Eligibles with HRAs

A local approach—the integration of public health with managed car—is what a lot of states and CMS are starting to look for in care coordination of Medicare-Medicaid beneficiaries, explains Pamme Taylor, vice president of advocacy and community-based programs for WellCare … finish reading Improving the Health of Dual Eligibles with HRAs

Posted in Disease Management, dual eligibles, Health Risk Assessment and Stratification, Healthcare Costs | Tagged , , | Leave a comment

Data Dive Uncovers Socioeconomics Driving ER Visits, Readmissions

By diving deep into existing data, officials at John C. Lincoln Network accountable care organization (ACO) realized the primary cause of readmissions for a subset of patients wasn’t inaccessible primary care, but lack of food. Patients were going to the … finish reading Data Dive Uncovers Socioeconomics Driving ER Visits, Readmissions

Posted in Avoidable Hospitalization, Cardiac Care, Care Coordination, dual eligibles, Elderly Care, Hospital Readmissions | Tagged , , | Leave a comment

Culture of Population Health Management Key to Medical Home Success

While electronic health records are integral to patient-centered medical homes’ success, the new roles and relationships of providers and staff may be even more important in driving quality improvement, according to a study funded by the Commonwealth Fund. Given the … finish reading Culture of Population Health Management Key to Medical Home Success

Posted in affordable care act, Avoidable Hospitalization, Case Managers, Disease Management, electronic health records (EHRs), Healthcare Costs, Healthcare Information Technology | Tagged , , , | Leave a comment