Category Archives: Healthcare Quality and Access

Medical Homes Have Limited Impact on Quality, Utilization and Cost: Study

While interventions to transform primary care practices (PCPs) into patient-centered medical homes (PCMHs) are common, but their effectiveness in improving quality and decreasing costs is unclear, according to a study in JAMA. One of the first, largest, and longest-running multipayor … finish reading Medical Homes Have Limited Impact on Quality, Utilization and Cost: Study

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PHO 2.0: Opportunities Abound in Physician-Hospital Organization Model

With acquisition and consolidation rampant on the value-based healthcare landscape, it’s time to take another look at the physician-hospital organization (PHO) model, suggest healthcare thought leaders Travis Ansel, manager of strategic services, Healthcare Strategy Group, and Greg Mertz, director of … finish reading PHO 2.0: Opportunities Abound in Physician-Hospital Organization Model

Posted in Healthcare Costs, Healthcare Quality and Access, Hospital Ranking, Hospital Services, Physician Hospital Organizations | Tagged | Leave a comment

3 Steps to a CMS Star Quality Improvement Roadmap

Because not all CMS Five-Star Quality Ratings measures are created equal, organizations seeking to improve their ratings need to have a strategy in place, says Joseph Johnson, vice president of L.E.K. Consulting. Finding an area with the greatest financial opportunities … finish reading 3 Steps to a CMS Star Quality Improvement Roadmap

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Florida’s Hospitals Five-Year Results: Reduced Readmissions, Cost

Statewide quality initiatives have resulted in significant improvement in participating hospitals across Florida over the past five years, according to a new report by the Florida Hospital Association (FHA). Among the results from the first five years of the quality … finish reading Florida’s Hospitals Five-Year Results: Reduced Readmissions, Cost

Posted in Accountable Care Organizations, Healthcare Costs, Healthcare Quality and Access, Healthcare Reform, Healthcare Utilization, Hospital Infection, Hospital Ranking, Hospital Readmissions, Hospital Safety, Improving Patient Care, Reducing Healthcare Costs | Tagged , , | Leave a comment

Survey Shows 75 Percent of Independent Physicians Unacquainted with Accountable Care

Results from Athena Health’s fourth annual Physician Sentiment Index™ (PSI) exposed a general sense of unfamiliarity with the accountable care model among physicians. Nearly 75 percent of physicians surveyed have either only “heard of” or are “somewhat familiar with” an … finish reading Survey Shows 75 Percent of Independent Physicians Unacquainted with Accountable Care

Posted in Accountable Care Organizations, electronic health records (EHRs), Healthcare Quality and Access, Healthcare Reform, Physician Alignment, Physician Organizations | Tagged , , , | Leave a comment

Best Practices to Help Health Plans Succeed in the Insurance Exchange Marketplace

Consumer Engagement: The Key to a Successful Exchange, a white paper from Truven Health Analytics™, identifies the challenges health plans will face as dozens of new public and private exchanges become available, and provides a path to developing effective go-to-market … finish reading Best Practices to Help Health Plans Succeed in the Insurance Exchange Marketplace

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HCI3 Releases Report on Bundled Payment Healthcare Reimbursement Progress

Efforts to change the way healthcare providers are compensated in the U.S. from fee-for-service to payment for a bundled set of services are well underway according to a new study released at the National Bundled Payment Summit. The independent research … finish reading HCI3 Releases Report on Bundled Payment Healthcare Reimbursement Progress

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New Web-based ROI Tool Demonstrates Return on Investment of Remote Patient Monitoring Programs

The Center for Connected Health (CCH) and the Center for Technology and Aging (CTA) have collaborated on the development of a tool for analyzing the ROI for remote patient monitoring (RPM) technologies, enabling healthcare providers to evaluate the financial benefit … finish reading New Web-based ROI Tool Demonstrates Return on Investment of Remote Patient Monitoring Programs

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Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Healthcare Spending, and Evolving Policies

In 2009, the federal and state governments spent a total of more than $250 billion on healthcare benefits for the 9 million low-income elderly or disabled people who are jointly enrolled in Medicare and Medicaid. A report by CBO examines … finish reading Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Healthcare Spending, and Evolving Policies

Posted in dual eligibles, Healthcare Costs, Healthcare Quality and Access, Healthcare Spending, Healthcare Utilization, Incentives, Medicaid, Medicare, Reducing Healthcare Costs | Tagged , , | Leave a comment

Final Rules Support Employers’ Outcomes-Based Wellness Programs

HHS issued final rules on employment-based wellness programs, supporting workplace health promotion and prevention as a means to reduce the burden of chronic illness, improve health, and limit growth of healthcare costs, according to the HHS. The rules, to be … finish reading Final Rules Support Employers’ Outcomes-Based Wellness Programs

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