Category Archives: Clinical Integration

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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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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Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Colorado hospitals and health systems participating in a three-year quality improvement project led by the Colorado Hospital Association (CHA) prevented 2,800 patient harms, 1,250 of which were avoidable readmissions, for an estimated cost savings of $14.8 million, according to the … finish reading Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Clinical Integration, Disease Management, Hospital Readmissions, Hospital Safety, Hospital Services, Hospital Training, Improving Patient Care | 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

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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

Technology ‘Fun Factor’ Engages Patients in Population Health

Engaging patients in population health management can be as easy as making personalized messaging, dashboards for tracking progress, and mobile phones and tablets available to patients, says Patricia Curran, principal in Buck Consultants’ National Clinical Practice, which also helps to … finish reading Technology ‘Fun Factor’ Engages Patients in Population Health

Posted in Avoidable Hospitalization, Care Coordination, Clinical Integration, Healthcare Costs, Healthcare Information Technology, Healthcare IT | Tagged , , | Leave a comment

Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Nearly 20 million misdirected physician referrals in the United States could be leading to billions of dollars in wasteful spending across the country’s healthcare system, according to a new physician survey from Kyruus, an enterprise healthcare solutions company. Massive inefficiencies … finish reading Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Posted in Avoidable Hospitalization, Care Coordination, Clinical Integration, Healthcare Costs, Physician Alignment, Physician Organizations | Tagged , , , , | Leave a comment

3 Components of Ochsner’s Automated ED Discharge Follow-Up Program

Prior to automating its emergency department discharge follow-up, Ochsner Health System emergency rooms conducted follow-up in different ways, explains Mark Green, system AVP of transition management at Ochsner Health System. In this case study, he demonstrates how streamlining the process … finish reading 3 Components of Ochsner’s Automated ED Discharge Follow-Up Program

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Blue Cross Alternative Quality Contract Lowers Costs, Improves Patient Care: Study

A Blue Cross Blue Shield of Massachusetts (Blue Cross) Alternative Quality Contract (AQC) improved quality of patient care and lowered costs in the four years since it was implemented, according to an independent study by Harvard Medical School published in … finish reading Blue Cross Alternative Quality Contract Lowers Costs, Improves Patient Care: Study

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Cardiac Care, Care Coordination, Clinical Integration, Disease Management | Tagged , , , | Leave a comment

BCBS of Illinois Specialty Intensive Medical Home Targets Most Critically Ill

Designed to improve patient access, care coordination and illness management, Blue Cross and Blue Shield of Illinois (BCBSIL) has launched the first specialty intensive medical home (IMH) program in the state with the Illinois Gastroenterology Group (IGG), the state’s largest … finish reading BCBS of Illinois Specialty Intensive Medical Home Targets Most Critically Ill

Posted in Accountable Care Organizations, Avoidable Hospitalization, Behavioral Health, Care Coordination, Case Managers, Clinical Integration, Comprehensive Primary Care Programs, Medical Home | Tagged , , , | Leave a comment