Monthly Archives: January 2015

HHS Announces Timetable, Goals for Medicare Value-Based Reimbursement

For the first time in Medicare history, HHS announced explicit deadlines and goals for alternative payment models and value-based payments. According to the newly released announcement, Medicare’s timeline for moving Medicare payments from volume- to value-based is as follows: HHS … finish reading HHS Announces Timetable, Goals for Medicare Value-Based Reimbursement

Posted in Accountable Care Organizations, affordable care act, Bundled Payments, Disease Management, Medicare | Leave a comment

Pilot Prevents Unnecessary Hospitalizations by Optimizing Transfers of Nursing Facility Residents

Designed to prevent unnecessary hospitalizations of nursing facility patients, a new study focuses on how to optimize transfers of these patients between facilities and acute-care institutions by improving care and communication, according to research from Indiana University (IU) and Regenstrief … finish reading Pilot Prevents Unnecessary Hospitalizations by Optimizing Transfers of Nursing Facility Residents

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Disease Management, Elderly Care, Hospital Readmissions, Hospital Services, Hospital Training, Improving Patient Care | Tagged , , , | Leave a comment

5 Embedded Case Management Strategies for 30-Day Readmissions Success

Looking to ward off Medicare 30-day readmissions penalties, Caldwell Memorial Hospital managed to decrease rehospitalizations from over 19 percent to less than 10 percent, a metric that catapaulted their hospital’s readmission ranking into the top five nationwide, says Melanie Fox … finish reading 5 Embedded Case Management Strategies for 30-Day Readmissions Success

Posted in Care Coordination, Case Managers, Embedded Case Manager, Hospital Readmissions | Tagged , , , | Leave a comment

5 Reasons to Create a Virtual Multi-Specialty Physician Network

“How can we deliver care in a very different way and not compromise quality?” was the question that drove Blue Shield of California and Adventist Health to implement a virtual multi-specialty physician network, dubbed a payor-provider telehealth collaborative, says Lisa … finish reading 5 Reasons to Create a Virtual Multi-Specialty Physician Network

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Care Coordination, Clinical Integration, Telehealth | Tagged , , , | Leave a comment

Trinity Health-Heritage Population Health Partnership Designed to Upgrade Primary Care Models

Trinity Health and Heritage Provider Network (HPN) have formed a joint venture set to redesign existing healthcare models, including primary care, care management, hospitalist, post-acute care and high-risk clinics, in order to improve and coordinate care, according to Trinity Health. … finish reading Trinity Health-Heritage Population Health Partnership Designed to Upgrade Primary Care Models

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Case Managers, Clinical Integration, Comprehensive Primary Care Programs, Disease Management, Population Health Management | Tagged , , , , , | Leave a comment

2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

The 2015 economic outlook for the hospital industry continues to favor the largest, most geographically diverse health systems in the market, according to a new forecast from BDC Advisors, a national healthcare consulting firm. The positive outlook for large non-profit … finish reading 2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

Posted in Bundled Payments, Healthcare Costs, Healthcare Spending, Healthcare Utilization | Tagged , , , | Leave a comment

Health Plans Foster Population Health with Care Coordination, Case Management

As population health management (PHM) finds its footing in value-based healthcare, PHM program focus, support tools and key players continue to shift, according to 129 respondents who participated in the latest Population Health Management Survey conducted in June 2014 by … finish reading Health Plans Foster Population Health with Care Coordination, Case Management

Posted in affordable care act, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Disease Management, Population Health Management | Tagged , , | Leave a comment