Category Archives: Elderly Care

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

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

‘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

CMS 2015 Impact Assessment of Quality Measures: Healthcare’s Triple Aim Improved

Results from the 2015 National Impact Assessment of Quality Measures Report (2015 Impact Report) demonstrate progress in improving healthcare’s Triple Aim, and impacts populations beyond Medicare, according to the CMS. The report is a comprehensive assessment of quality measures used … finish reading CMS 2015 Impact Assessment of Quality Measures: Healthcare’s Triple Aim Improved

Posted in affordable care act, Avoidable Hospitalization, CMS Acute Care Episode, Disease Management, dual eligibles, Elderly Care, Healthcare Costs, Healthcare Utilization, Population Health Management | Leave a comment

Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Cigna’s second-year results from a collaborative care initiative with Granite Healthcare Network (GHN) reveals significant progress in improved health and affordability, and decreased avoidable emergency room (ER) visits by 16 percent, according to Cigna officials. Cigna Collaborative Care, a partnership … finish reading Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Case Managers, Case Managers and the Patient Experience, Diabetes, Disease Management, Elderly Care, electronic health records (EHRs), Emergency Room, Hospital Readmissions, Reducing Healthcare Costs | Tagged , , , , | 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

ACO Data Tools Help Boost Prevention, Medication Compliance, Performance Results

By using as many data tools as possible, including EPIC® and MyChart®, and having physicians or their medical assistants contact patients directly if they missed medical appointments or shots, John C. Lincoln Network was able to significantly boost medical compliance … finish reading ACO Data Tools Help Boost Prevention, Medication Compliance, Performance Results

Posted in Avoidable Hospitalization, Disease Management, Elderly Care, electronic health records (EHRs), Healthcare Costs, Healthcare Information Technology, Healthcare IT, Medication Adherence | Tagged , , , | Leave a comment

CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

Attempting to attract more accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP) without fearing penalties, CMS has released a set of proposed rules with updated penalties and incentives, plus a third new model to attract … finish reading CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Care Transitions, Elderly Care, Medicare | Tagged , , , , | Leave a comment

Cultural Competency Between Case Manager and Patient Breeds Engagement, Retention

Communicating with vulnerable patients effectively, whether it’s about medication non-adherence, or simply what is or isn’t working, requires a certain level of cultural competency between the case manager and patient, says Jay Hale, LPC, CEAP, director of quality improvement and … finish reading Cultural Competency Between Case Manager and Patient Breeds Engagement, Retention

Posted in affordable care act, Avoidable Hospitalization, Behavioral Health, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Diabetes, Disease Management, dual eligibles, Elderly Care | Tagged , , , | Leave a comment