Category Archives: Primary Care

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

Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

An all-or-none or “bundled” approach to primary care deployed by Geisinger Health System for patients with diabetes produced better health outcomes, and the benefits happened quickly, according to a study published in The American Journal of Managed Care. The study … finish reading Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

Posted in Bundled Payments, Care Coordination, Diabetes, Disease Management, Medical Home, Primary Care | Tagged , , | Leave a comment

United States Ranks Last on Measures of Access, Quality and Care Coordination

Despite spending nearly double that of other countries on healthcare per person, the United States ranks last on measures of access, equity, quality, efficiency and healthy lives, according to a new Commonwealth Fund report. The United States spent $8,508 per … finish reading United States Ranks Last on Measures of Access, Quality and Care Coordination

Posted in affordable care act, Care Coordination, Care Transitions, Physician Alignment, Primary Care | Tagged , , , | Leave a comment

Duties of Embedded Case Managers in Advanced Primary Care

Embedding registered nurses (RNs) into the advanced primary care practice is best because of their skill set, and their experience dealing with the chronically ill and those with some complex comorbidities, says Annette Watson, senior vice president of community transformation … finish reading Duties of Embedded Case Managers in Advanced Primary Care

Posted in Case Managers, Case Managers and the Patient Experience, Embedded Case Manager, Primary Care | Tagged , , | Leave a comment

WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

With the goal of rolling its physician transformation program out to 75 percent of its practices within the next three years, one of the biggest challenges — or opportunities — is leaving no primary care practice behind, explains Julie Schilz, … finish reading WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

Posted in Accountable Care Organizations, Patient-Centered Medical Home, Physician Organizations, Primary Care | Tagged , , , , , , | Leave a comment

Leveraging Technology to Increase Case Management Efficiency

The use of technology is a big influencer of case management efficiency, but the industry should be mindful of its use and participate in tool creation, advises Teresa M. Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, CCP, president of Ascent Care Management. … finish reading Leveraging Technology to Increase Case Management Efficiency

Posted in Case Managers, Case Managers and the Patient Experience, Disease Management, Healthcare Information Technology, Healthcare IT, Mobile Health, Primary Care, Telehealth | Tagged , | Leave a comment

BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach

Munson Healthcare and Blue Cross Blue Shield of Michigan (BCBSM) are launching a new value-based hospital reimbursement agreement in northern Michigan designed to improve patient care and medical outcomes while also enhancing efficiency and holding down the cost of care. … finish reading BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach

Posted in Accountable Care Organizations, affordable care act, Hospital Services, Physician Organizations, Primary Care | Tagged , , , , , | Leave a comment

Adult Medicaid Beneficiaries in California Have Highest Increase in ED Visits: Study

While uninsured patients are often thought of as high emergency department (ED) utilizers, insured patients, particularly those with Medicaid coverage, have come to rely more frequently on EDs, according to a study from the University of California, San Francisco. In … finish reading Adult Medicaid Beneficiaries in California Have Highest Increase in ED Visits: Study

Posted in Emergency Room, Health Insurance, Hospital Services, Medicaid, Primary Care | Tagged , , , , | Leave a comment

Wide Price Variation for Privately Insured Underscores Hospital Market Power

Across 13 selected U.S. metropolitan areas, hospital prices for privately insured patients — especially for outpatient care — are much higher than Medicare and vary widely within and across communities, according to a new study by the Center for Studying … finish reading Wide Price Variation for Privately Insured Underscores Hospital Market Power

Posted in Health Insurance, Hospital Services, Medicare, Physician Organizations, Primary Care | Tagged , , , , , , | Leave a comment

Blood Pressure Control Rates Nearly Double with Kaiser Permanente Program

Single pill combinations and consistent follow-ups with hypertension patients helped improve the rate of blood pressure control by nearly twice as much, according to a study at Kaiser Permanente, as reported in the Journal of the American Medical Association (JAMA). … finish reading Blood Pressure Control Rates Nearly Double with Kaiser Permanente Program

Posted in Cardiac Care, Improving Patient Care, Medication Adherence, Primary Care, Uncategorized | Tagged , , | Leave a comment