Monthly Archives: September 2014

Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

In a move away from traditional fee-for-service (FFS) reimbursements to value-based incentives, Anthem Blue Cross and seven top hospital systems have partnered to offer Anthem Blue Cross Vivity, an integrated health system, according to Anthem Blue Cross. The Vivity model … finish reading Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

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Medical Neighborhood Expectations for Physician Practices: Accountability, Communication

“The reality of today is that the healthcare world as we know it is changing more than any time since the advent of Medicare. Think about how much those rules and regulations, guidelines, etc., have impacted our practice lives,” says … finish reading Medical Neighborhood Expectations for Physician Practices: Accountability, Communication

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Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

ACOs in the Pioneer ACO model and Medicare Shared Savings Programs (MSSP) generated more than $372 million in total program savings for Medicare ACOs, according to the CMS. The news is drawn from preliminary quality and financial results from the … finish reading Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

Posted in Accountable Care Organizations, affordable care act, Avoidable Hospitalization, Healthcare Reform, Healthcare Spending, Healthcare Utilization, Improving Patient Care | Tagged , , | Leave a comment

Overcoming 3 Roadblocks to Duals Care Coordination

Assuring adequate revenue for a duals care coordination program is critical to its success, says Julie Faulhaber, Health Care Services Corporation’s (HCSC) vice president of enterprise. Being sure that care planning and risk assessment components adequately and appropriately document the … finish reading Overcoming 3 Roadblocks to Duals Care Coordination

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Pharmacist Home Visits, Call Center Help High-Risk Patients to Manage Medication Adherence, Avoid Readmission

A new medication management program sends clinical pharmacists into high-risk patients’ homes in order to manage their medication adherence and lifestyles, according to Lahey Health and Dovetail Health, who are partnering in the program. Lahey Health Enhanced Care Program targets … finish reading Pharmacist Home Visits, Call Center Help High-Risk Patients to Manage Medication Adherence, Avoid Readmission

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Case Managers Coach Patients on Readmission ‘Red Flags’

Seeing patients within seven days of hospital discharge is key to avoiding “red flags” that can land that patient back in the hospital, says Dr. Randall Krakauer, MD, national Medicare medical director for Aetna. Red flags can range from patients … finish reading Case Managers Coach Patients on Readmission ‘Red Flags’

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8 Percent Fewer ER Visits for Patients Treated in Patient-Centered Medical Home

Patient-centered medical Homes (PCMHs) reduce emergency department visits for the chronically ill by nearly 8 percent, according to a study authored by Independence Blue Cross (Independence) and CTI Clinical Trial and Consulting Services (CTI), and published by Health Services Research. … finish reading 8 Percent Fewer ER Visits for Patients Treated in Patient-Centered Medical Home

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Kaiser Permanente’s Total Panel Ownership Avoids ‘Cookie Cutter Medicine’

Population care in the form of cookie cutter medicine will not work, says Jim Bellows, Ph.D., senior director of evaluation and analytics for Kaiser Permanente. Instead, care has to be dispensed “one member at a time,” the philosophy behind total … finish reading Kaiser Permanente’s Total Panel Ownership Avoids ‘Cookie Cutter Medicine’

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