Monthly Archives: July 2014

Horizon BCBSNJ Metrics Affirm Patient-Centered Model for Improving Care, Lowering Cost

Patient-centered practices are performing better than traditional practices in a number of clinical metrics, including improving diabetes and cholesterol management, according to the results of a study from Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). The study of … finish reading Horizon BCBSNJ Metrics Affirm Patient-Centered Model for Improving Care, Lowering Cost

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Patient Engagement Still Challenges Pioneer ACO

As a top performer in year one of the CMS Pioneer ACO program, Monarch HealthCare is paving the way to accountable care with a foundation of patient- and provider-centered strategies that support Triple Aim goals. Here, Colin LeClair, executive director … finish reading Patient Engagement Still Challenges Pioneer ACO

Posted in Accountable Care Organizations, Care Coordination, Physician Alignment, Physician Organizations, Population Health Management | Tagged , , | Leave a comment

Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

Rewarding physicians and hospitals for collaborating to improve quality of care and lower costs could reach $150 million in 2014, according to initial results from the Philadelphia-based Independence Blue Cross Accountable Care Organization (ACO). Nearly half of hospitals participating in … finish reading Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

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7 Keys to Successful Population Health Management

Education is one of the seven keys to a successful population health management (PHM) program, explains Elizabeth Miller, vice president of care management at White Memorial Medical Center, part of Adventist Health. You need to gauge whether your population is … finish reading 7 Keys to Successful Population Health Management

Posted in affordable care act, Avoidable Hospitalization, Behavioral Health, Care Coordination, Clinical Integration, Population Health Management | Tagged , , , | Leave a comment

Applying Big Data to Readmissions, High-Cost Patients Can Reduce Healthcare Costs

As many as one third of all readmissions may be preventable, providing a significant opportunity for reducing healthcare costs if big data, or clinical analytics, are applied, according to a new study conducted at the Brigham and Women’s Hospital and … finish reading Applying Big Data to Readmissions, High-Cost Patients Can Reduce Healthcare Costs

Posted in Avoidable Hospitalization, Cardiac Care, Care Coordination, Dementia Care, Diabetes, Disease Management, Elderly Care, electronic health records (EHRs), Emergency Room, Healthcare IT | Tagged , , , | Leave a comment

Strategies for Finding, Engaging Dual Eligibles

To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) starts with state-supplied information to reach this largely older adult and disabled population, explains Julie Faulhaber, HCSC’s vice president of enterprise Medicaid. If that information is inaccurate, HCSC … finish reading Strategies for Finding, Engaging Dual Eligibles

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Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

An all-or-none or “bundled” approach to primary care deployed by Geisinger Health System for patients with diabetes produced better health outcomes, and the benefits happened quickly, according to a study published in The American Journal of Managed Care. The study … finish reading Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

Posted in Bundled Payments, Care Coordination, Diabetes, Disease Management, Medical Home, Primary Care | Tagged , , | Leave a comment

3 Post-Reform Priorities for Case Management: Collaboration, Integration and Extension

Today’s case managers have to be capable of dealing with both physical and mental health issues, says Teri Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, CCP, president of Ascent Care Management. Many case managers don’t feel comfortable dealing with mental health issues, … finish reading 3 Post-Reform Priorities for Case Management: Collaboration, Integration and Extension

Posted in Behavioral Health, Care Coordination, Case Managers, Case Managers and the Patient Experience | Tagged , , , | Leave a comment