Tag Archives: physicians

5 Embedded Case Management Strategies for 30-Day Readmissions Success

Looking to ward off Medicare 30-day readmissions penalties, Caldwell Memorial Hospital managed to decrease rehospitalizations from over 19 percent to less than 10 percent, a metric that catapaulted their hospital’s readmission ranking into the top five nationwide, says Melanie Fox … finish reading 5 Embedded Case Management Strategies for 30-Day Readmissions Success

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Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

What kind of individuals are best equipped to engage and lead other physicians in the coming years? Those who are willing to “rock the boat,” and then hold on to the sides of the boat even as it sinks, says … finish reading Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

Posted in affordable care act, Alternative Healthcare Coverage, Bundled Payments, Care Coordination, Incentives, Medicare, Physician Alignment, Physician Organizations, Uncategorized | Tagged , , , | Leave a comment

Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Nearly 20 million misdirected physician referrals in the United States could be leading to billions of dollars in wasteful spending across the country’s healthcare system, according to a new physician survey from Kyruus, an enterprise healthcare solutions company. Massive inefficiencies … finish reading Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Posted in Avoidable Hospitalization, Care Coordination, Clinical Integration, Healthcare Costs, Physician Alignment, Physician Organizations | Tagged , , , , | Leave a comment

New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

Understanding where a practice is and where it wants to go helps to ease the challenge of embedding case managers into physician practices, says Annette Watson, RN-BC, CCM, MBA, senior vice president of community transformation for Taconic Professional Resources. She … finish reading New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Embedded Case Manager | Tagged , , , | Leave a comment

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

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Clinical Integration, Disease Management, Improving Patient Care | Tagged , , , , | Leave a comment

Physician Quality Reporting and E-Prescribing Use Increasing: CMS

Participation in two key CMS programs, the Medicare Physician Quality Reporting System (PQRS) and the Electronic Prescribing Incentive Program (eRx), increased significantly in 2012, according to the 2012 Physician Quality Reporting System and Electronic Prescribing (eRx) Experience Report. These two … finish reading Physician Quality Reporting and E-Prescribing Use Increasing: CMS

Posted in affordable care act, Healthcare Costs, Healthcare Information Technology, Healthcare IT, Physician Alignment | Tagged , , , | Leave a comment

Physician-Hospital Co-Management a Top Trend for 2014

In 2014, physicians will continue to be co-managers, actively engaging in the hospital and overseeing patient experience, quality of care and cost reduction, predicted Steven Valentine, president, The Camden Group, during a Healthcare 2014 strategic planning session. In looking at … finish reading Physician-Hospital Co-Management a Top Trend for 2014

Posted in Accountable Care Organizations, affordable care act, Bundled Payments, Care Coordination, Healthcare Costs | Tagged , , , | Leave a comment

AHRQ Evidence-based Guide Helps Implement Health Assessments in Primary Care Settings

Many behaviors that are problematic but treatable are going unnoticed because of the infrequent use of health risk assessments (HRAs), according to the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ). Designed to help … finish reading AHRQ Evidence-based Guide Helps Implement Health Assessments in Primary Care Settings

Posted in affordable care act, Behavioral Health, electronic health records (EHRs), Health Risk Assessment and Stratification | 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

Patient Satisfaction Increases When Patients Know Their Doctors

Nearly one-fourth of patients reported increased patient satisfaction when they knew their physician, according to a Vanderbilt study in the Journal of Orthopaedic Trauma. Realizing that nearly 90 percent of medical patients are unable to correctly name their treating physician … finish reading Patient Satisfaction Increases When Patients Know Their Doctors

Posted in Hospital to Home Transition, Hospital Training, Improving Patient Care, Nurses, Patient Satisfaction | Tagged , , , | Leave a comment