Category Archives: Comprehensive Primary Care Programs

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

Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Since its implementation in 2012, a medical home for Medicaid patients showed a 130.4 percent increase in timely patient follow-up visits, a 25 percent decrease in 30-day hospital readmissions, and a decrease in the overall cost of care for each … finish reading Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Comprehensive Primary Care Programs, Healthcare Costs, Healthcare IT, Hospital Readmissions | Tagged , , | Leave a comment

New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

Up to $114 million in infrastructure and redesigned care processes is being invested in up to 75 eligible Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), according to the Centers for Medicare & Medicaid Services (CMS). … finish reading New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Care Coordination, Comprehensive Primary Care Programs | 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

6 Elements of Highmark’s Pay-for-Performance ‘Best Practices’ Project

At Highmark Inc., physicians are eligible for bonus payments across a broad spectrum of measures from clinical and quality measures to prescribing habits, access to care and level of technology use. In addition, practices can also qualify for a bonus … finish reading 6 Elements of Highmark’s Pay-for-Performance ‘Best Practices’ Project

Posted in affordable care act, Comprehensive Primary Care Programs, Healthcare Reform, Healthcare Utilization, pay-for-performance, Physician Alignment | Tagged , , | Leave a comment

6 Best Practices for Physician Pay-for-Performance Programs

In order to ensure the success of a best practice project for pay-for-performance programs, there are several requirements, including finding a physician to champion and truly lead it, and targeting as large a population as possible, explains Julie Hobson, RN, … finish reading 6 Best Practices for Physician Pay-for-Performance Programs

Posted in Care Coordination, Comprehensive Primary Care Programs, Primary Care | Tagged , , , | Leave a comment

New Report Challenges Basic Assumptions About Healthcare Payment Reform

Improving the quality and affordability of healthcare in the United States isn’t about finding the right mix of rewards and punishments for patients and clinicians, according to a new report from the Health Care Incentives Improvement Institute, Inc. (HCI3®), in … finish reading New Report Challenges Basic Assumptions About Healthcare Payment Reform

Posted in Comprehensive Primary Care Programs, Healthcare Reform | Tagged , , | Leave a comment

4 Healthy Behaviors Will Reduce Risk of Death, Heart Disease

Exercising regularly, eating a healthy Mediterranean-style diet, maintaining a normal weight and, most importantly, not smoking can help improve heart health and reduce the risk of death, according to a new study from Johns Hopkins University. In a large, multi-center … finish reading 4 Healthy Behaviors Will Reduce Risk of Death, Heart Disease

Posted in Avoidable Hospitalization, Behavioral Health, Cardiac Care, Comprehensive Primary Care Programs | Tagged , , | Leave a comment

Healthcare Claims Costs to Increase by a Third by 2017; Wide Variability Among States

Healthcare claims costs could increase by as much as 32 percent nationally by 2017, with wide variability among states given ACA-fueled provisions, according to new research published by the Society of Actuaries (SOA). Under the ACA, healthcare coverage is expected … finish reading Healthcare Claims Costs to Increase by a Third by 2017; Wide Variability Among States

Posted in Comprehensive Primary Care Programs, Disease Management, Healthcare Costs | Tagged , , | Leave a comment

Shared Decision-Making Between Patients and Doctors Will Require Investment by Health Systems

Patients and doctors should decide together what medical decisions are right for each patient, according to a RAND Corporation study published in the journal Health Affairs. In order to make medical care more patient-centered, Medicare is encouraging healthcare providers to … finish reading Shared Decision-Making Between Patients and Doctors Will Require Investment by Health Systems

Posted in Avoidable Hospitalization, Comprehensive Primary Care Programs, Healthcare Costs, Patient Safety, Patient Satisfaction, Physician Alignment | Tagged , , | Leave a comment