Category Archives: Health Risk Assessment and Stratification

Data Science, Stratification Drives Patient-Centric Care, Quality Outcomes

Determining risk stratification can be arbitrary, unless patients are placed at the center of care and surrounded with data science and resources, whether it’s case managers, risk managers, registries, or more, says Mark Green, system AVP of transition management at … finish reading Data Science, Stratification Drives Patient-Centric Care, Quality Outcomes

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Improving the Health of Dual Eligibles with HRAs

A local approach—the integration of public health with managed car—is what a lot of states and CMS are starting to look for in care coordination of Medicare-Medicaid beneficiaries, explains Pamme Taylor, vice president of advocacy and community-based programs for WellCare … finish reading Improving the Health of Dual Eligibles with HRAs

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5 Characteristics of a Value-Based Physician Compensation Model

While there is no ‘one size fits all’ physician reimbursement model, some methods, like risk-adjusting populations and ensuring colleague satisfaction, have proven integral in today’s value-based healthcare sphere. Here, Cynthia Kilroy, senior vice president of provider strategy and business development … finish reading 5 Characteristics of a Value-Based Physician Compensation Model

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There’s No Place Like Home Visits to Address Safety, Care Concerns

Three-fourths of healthcare organizations visit some percentage of their patients or health plan members in their homes, according to new market data from the Healthcare Intelligence Network, in order to keep patients safer and healthier and to keep readmissions and … finish reading There’s No Place Like Home Visits to Address Safety, Care Concerns

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Care Transitions, Dementia Care, Elderly Care, electronic health records (EHRs), Health Risk Assessment and Stratification, Healthcare Costs, Healthcare Utilization, Home Healthcare, Hospital Readmissions, Hospital to Home Transition | Tagged , , , , | Leave a comment

Florida Blue, Mayo Clinic Extend Bundled Payment Program for Knee Replacement

Florida Blue and Mayo Clinic are extending their knee replacement bundled payment agreement, introduced in 2012, for Florida Blue’s members, according to Florida Blue. They are also extending their overall network agreement to include thousands of Florida Blue’s commercially insured … finish reading Florida Blue, Mayo Clinic Extend Bundled Payment Program for Knee Replacement

Posted in Bundled Payments, Health Risk Assessment and Stratification, Healthcare Costs, Healthcare Spending, Healthcare Utilization, Improving Patient Care | Tagged , , , | Leave a comment

AHRQ Evidence-based Guide Helps Implement Health Assessments in Primary Care Settings

Many behaviors that are problematic but treatable are going unnoticed because of the infrequent use of health risk assessments (HRAs), according to the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ). Designed to help … finish reading AHRQ Evidence-based Guide Helps Implement Health Assessments in Primary Care Settings

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Health Coaching Conversation Happens Largely by Telephone: HINfographic

Health coaching is a critical tool in population health management, helping to boost self-management of disease and reduce risk and associated cost across the health continuum, according to the latest e-survey from the Healthcare Intelligence Network (HIN). And the health … finish reading Health Coaching Conversation Happens Largely by Telephone: HINfographic

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Spending on Wellness Incentives Has Doubled in Last Four Years

Corporate employers are spending nearly double on wellness-based incentives for employees than what they spent in 2009, according to a new employer survey conducted by Fidelity Investments® and the National Business Group on Health (NBGH). Employers plan to spend an … finish reading Spending on Wellness Incentives Has Doubled in Last Four Years

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More Midsized Companies Adopt Employee Wellness Programs to Help Reduce Escalating Healthcare Costs

More than half of U.S. companies spent significantly more on healthcare costs this past year, and nearly all of them cite controlling these costs as a priority, according to a study from the ADP Research Institute. These escalating costs are … finish reading More Midsized Companies Adopt Employee Wellness Programs to Help Reduce Escalating Healthcare Costs

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Health Benefits Cost Growth Increases by Smallest Margin in 15 Years

Growth in the average total health benefit cost per employee slowed from 6.1 percent last year to just 4.1 percent in 2012, the smallest increase since 1997, according to the National Survey of Employer-Sponsored Health Plans, conducted annually by Mercer. … finish reading Health Benefits Cost Growth Increases by Smallest Margin in 15 Years

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