Tag Archives: care coordination

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

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Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Strengthening communication between caregivers and patients should be a top priority for reducing healthcare costs and improving patient experience, according to a new poll of U.S. healthcare quality improvement professionals conducted by ASQ, a global network of resources and experts. … finish reading Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Posted in affordable care act, Behavioral Health, Care Coordination, Care Transitions, Healthcare Costs, Healthcare Information Technology, Healthcare IT | Tagged , , , | Leave a comment

Health Plans Foster Population Health with Care Coordination, Case Management

As population health management (PHM) finds its footing in value-based healthcare, PHM program focus, support tools and key players continue to shift, according to 129 respondents who participated in the latest Population Health Management Survey conducted in June 2014 by … finish reading Health Plans Foster Population Health with Care Coordination, Case Management

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Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Since its implementation in 2012, a medical home for Medicaid patients showed a 130.4 percent increase in timely patient follow-up visits, a 25 percent decrease in 30-day hospital readmissions, and a decrease in the overall cost of care for each … finish reading Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Comprehensive Primary Care Programs, Healthcare Costs, Healthcare IT, Hospital Readmissions | Tagged , , | Leave a comment

5 Documentation Requirements for Chronic Care Management Reimbursement

To be properly reimbursed by Medicare for select chronic care management (CCM) services not previously eligible for payment, documenting all conditions and satisfying requirements is critical, including the most challenging requirement, the ’20 minutes a month’ rule, says Rick Hindman, … finish reading 5 Documentation Requirements for Chronic Care Management Reimbursement

Posted in affordable care act, Care Coordination, Care Transitions, Disease Management, electronic health records (EHRs), Healthcare Costs, Healthcare IT, Healthcare Law | Tagged , , , | Leave a comment

New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

Up to $114 million in infrastructure and redesigned care processes is being invested in up to 75 eligible Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), according to the Centers for Medicare & Medicaid Services (CMS). … finish reading New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

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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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Overcoming 3 Roadblocks to Duals Care Coordination

Assuring adequate revenue for a duals care coordination program is critical to its success, says Julie Faulhaber, Health Care Services Corporation’s (HCSC) vice president of enterprise. Being sure that care planning and risk assessment components adequately and appropriately document the … finish reading Overcoming 3 Roadblocks to Duals Care Coordination

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Kaiser Permanente’s Total Panel Ownership Avoids ‘Cookie Cutter Medicine’

Population care in the form of cookie cutter medicine will not work, says Jim Bellows, Ph.D., senior director of evaluation and analytics for Kaiser Permanente. Instead, care has to be dispensed “one member at a time,” the philosophy behind total … finish reading Kaiser Permanente’s Total Panel Ownership Avoids ‘Cookie Cutter Medicine’

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Strategies for Finding, Engaging Dual Eligibles

To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) starts with state-supplied information to reach this largely older adult and disabled population, explains Julie Faulhaber, HCSC’s vice president of enterprise Medicaid. If that information is inaccurate, HCSC … finish reading Strategies for Finding, Engaging Dual Eligibles

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