Tag Archives: clinical integration

2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

The 2015 economic outlook for the hospital industry continues to favor the largest, most geographically diverse health systems in the market, according to a new forecast from BDC Advisors, a national healthcare consulting firm. The positive outlook for large non-profit … finish reading 2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

Posted in Bundled Payments, Healthcare Costs, Healthcare Spending, Healthcare Utilization | Tagged , , , | Leave a comment

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

Posted in Care Coordination, Disease Management, dual eligibles | Tagged , , | Leave a comment

Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

Rewarding physicians and hospitals for collaborating to improve quality of care and lower costs could reach $150 million in 2014, according to initial results from the Philadelphia-based Independence Blue Cross Accountable Care Organization (ACO). Nearly half of hospitals participating in … finish reading Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

Posted in Accountable Care Organizations, Avoidable Hospitalization, Care Coordination, Clinical Integration | Tagged , , , , | Leave a comment

Key Components of Clinical Integration

Clinical integration (CI) of providers is essential for an effective ACO, says Dr. Mark Shields, senior medical director with Advocate Physician Partners (APP) and vice president of medical management for Advocate Health Care. But to truly achieve CI, it cannot … finish reading Key Components of Clinical Integration

Posted in Accountable Care Organizations, Bundled Payments, Clinical Integration | Tagged , , | Leave a comment