Category Archives: Improving Patient 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

Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

The U.S. Senate voted Tuesday, April 14th, to approve a bill that repeals the Medicare Physician Payment Reform Bill, otherwise known as the Sustainable Growth Rate (SGR), a mechanism used to calculate Medicare payments to physicians. The legislation also created … finish reading Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Improving Community Care, Improving Patient Care | Tagged , , | Leave a comment

Mental Health Disorders Complicate Standards for Readmissions

Co-existing psychiatric illness should be considered in assessing hospital readmissions for three common medical conditions used by Medicare and Medicaid to penalize hospitals with “excessive” readmission rates: heart failure, acute myocardial infarction (AMI) and pneumonia, according to a new collaborative … finish reading Mental Health Disorders Complicate Standards for Readmissions

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Cardiac Care, Care Coordination, Hospital Readmissions, Improving Community Care, Improving Patient Care, Reducing Healthcare Costs | Tagged , , , , , , | Leave a comment

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

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

Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

High-risk children suffering from chronic diseases who received comprehensive care at a special clinic at The University of Texas Health Science Center at Houston (UTHealth) experienced dramatic reductions in both serious illnesses and hospital costs, according to a study recently … finish reading Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

Posted in Avoidable Hospitalization, Case Managers, Disease Management, Emergency Room, Healthcare Costs, Hospital Readmissions, Improving Patient Care, Intensive Care Unit, Medicaid, Medical Home, Patient Satisfaction, Patient-Centered Medical Home, Primary Care | Tagged , , , , , , , | Leave a comment

Regions Care Plans Help to Script Patient Outcomes, Satisfaction

Like a director coordinating his cast, officials at Regions Hospital, a HealthPartners hospital, have perfected the care plan, a set of directions for the care team. Instead of ordering their actors to exit stage right, or whisper, to assure the … finish reading Regions Care Plans Help to Script Patient Outcomes, Satisfaction

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Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

In a move away from traditional fee-for-service (FFS) reimbursements to value-based incentives, Anthem Blue Cross and seven top hospital systems have partnered to offer Anthem Blue Cross Vivity, an integrated health system, according to Anthem Blue Cross. The Vivity model … finish reading Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

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Medical Neighborhood Expectations for Physician Practices: Accountability, Communication

“The reality of today is that the healthcare world as we know it is changing more than any time since the advent of Medicare. Think about how much those rules and regulations, guidelines, etc., have impacted our practice lives,” says … finish reading Medical Neighborhood Expectations for Physician Practices: Accountability, Communication

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Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

ACOs in the Pioneer ACO model and Medicare Shared Savings Programs (MSSP) generated more than $372 million in total program savings for Medicare ACOs, according to the CMS. The news is drawn from preliminary quality and financial results from the … finish reading Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

Posted in Accountable Care Organizations, affordable care act, Avoidable Hospitalization, Healthcare Reform, Healthcare Spending, Healthcare Utilization, Improving Patient Care | Tagged , , | Leave a comment