Author Archives: Cheryl Miller

One-Fifth to Launch ‘Next Generation’ ACO in 2015

Twenty percent of healthcare organizations plan to participate in CMS’s new ‘Next Generation’ ACO model in the coming year, according to 2015 Accountable Care Organization metrics from the Healthcare Intelligence Network (HIN). About one third of future Next Generation ACOs … finish reading One-Fifth to Launch ‘Next Generation’ ACO in 2015

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Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

The Pioneer Accountable Care Organization (ACO) Model has generated over $384 million in savings to Medicare over its first two years — an average of approximately $300 per participating beneficiary per year — and significantly decreased inpatient care, while continuing … finish reading Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Care Coordination, Care Transitions, Disease Management, dual eligibles, Elderly Care, Improving Patient Care, Medicare | Tagged , , , , , | Leave a comment

Evidence-Based Care, Obesity Among 15 ‘Vital Signs’ for Monitoring Nation’s Health: IOM Report

Tracking 15 core measures, including evidence-based care and obesity, are crucial for assessing and monitoring the nation’s health, according to a new report from the Institute of Medicine (IOM). Progress in these vital signs—or core measures— should reduce the burden … finish reading Evidence-Based Care, Obesity Among 15 ‘Vital Signs’ for Monitoring Nation’s Health: IOM Report

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Care Coordination, Disease Management, Elderly Care, electronic health records (EHRs) | Tagged , , , | Leave a comment

Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Strengthening communication between caregivers and patients should be a top priority for reducing healthcare costs and improving patient experience, according to a new poll of U.S. healthcare quality improvement professionals conducted by ASQ, a global network of resources and experts. … finish reading Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Posted in affordable care act, Behavioral Health, Care Coordination, Care Transitions, Healthcare Costs, Healthcare Information Technology, Healthcare IT | Tagged , , , | Leave a comment

Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

The U.S. Senate voted Tuesday, April 14th, to approve a bill that repeals the Medicare Physician Payment Reform Bill, otherwise known as the Sustainable Growth Rate (SGR), a mechanism used to calculate Medicare payments to physicians. The legislation also created … finish reading Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

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EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

The rate of emergency department (ED) visits in California for non-injuries has risen while the rate of visits for injuries has dropped, according to a new study led by UC San Francisco that documents the increasing amount of care provided … finish reading EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Disease Management, Emergency Room, Hospital Readmissions, Hospital Safety, Hospital Services, Reducing Healthcare Costs | Tagged , , , | Leave a comment

Mental Health Disorders Complicate Standards for Readmissions

Co-existing psychiatric illness should be considered in assessing hospital readmissions for three common medical conditions used by Medicare and Medicaid to penalize hospitals with “excessive” readmission rates: heart failure, acute myocardial infarction (AMI) and pneumonia, according to a new collaborative … finish reading Mental Health Disorders Complicate Standards for Readmissions

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Cardiac Care, Care Coordination, Hospital Readmissions, Improving Community Care, Improving Patient Care, Reducing Healthcare Costs | Tagged , , , , , , | Leave a comment

Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

Improving access to accountable care is one of four improvements Humana disclosed from ongoing programs to improve quality and reduce costs for Medicare beneficiaries, according to Humana. Humana disclosed results to date from initiatives to foster value-based reimbursement in the … finish reading Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Elderly Care, Healthcare Costs, Medicare | Tagged , , , , , | Leave a comment

Physicians Need Help with Details, Data Management in New Value-Based Payment Models: Study

As value-based healthcare payment models continue to surge, physician practices need help managing increasing amounts of data and responding to the diversity of programs and quality metrics from different payors, according to a new joint study by the RAND Corporation … finish reading Physicians Need Help with Details, Data Management in New Value-Based Payment Models: Study

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‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

In another step towards advancing models of care that reward value over volume, HHS announced the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery. A new initiative from CMS’s Innovation Center, the model is part of … finish reading ‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Care Coordination, Care Transitions, Disease Management, dual eligibles, Elderly Care, Healthcare Costs, Healthcare Utilization, Home Healthcare, Medicare/Medicaid EHR Incentive, Skilled Nursing Facilities, Telehealth | Tagged , , , , | Leave a comment