Tag Archives: primary care physicians

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

10 Characteristics of CDPHP’s Embedded Case Management Model

Following in the footsteps of Geisinger Health System’s embedded case manager model, Capital District Physicians Health Plan (CDPHP’s) Enhanced Primary Care effort used embedded nurse case managers to move from a provider-centered to a patient-centered model. The model helped to … finish reading 10 Characteristics of CDPHP’s Embedded Case Management Model

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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

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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

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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’

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3 Key Factors Drive Rapid Growth of Urgent Care Centers

Consumer demand for convenient access to care for illnesses and injuries is driving the rapid growth of urgent care centers across the country, according to a new qualitative study by the Center for Studying Health System Change (HSC) for the … finish reading 3 Key Factors Drive Rapid Growth of Urgent Care Centers

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6 Steps Could Cut Heart Failure Readmissions

Researchers have identified six steps hospital staff can do to help heart failure patients avoid readmittance to the hospital within 30 days after they’re discharged, according to research in the American Heart Association’s journal Circulation: Cardiovascular Quality and Outcomes. While … finish reading 6 Steps Could Cut Heart Failure Readmissions

Posted in Avoidable Hospitalization, Cardiac Care, Care Coordination, Hospital Readmissions, Hospital to Home Transition, Improving Patient Care, Reducing Healthcare Costs | Tagged , , | Leave a comment

Barriers to Primary Care After Hours Lead to ER Overuse, Neglected Medical Care

Patients who can’t reach their primary care physicians after hours are more likely to go to the ED, or go without medical care, according to a study by the Center for Studying Health System Change (HSC). Funded by the National … finish reading Barriers to Primary Care After Hours Lead to ER Overuse, Neglected Medical Care

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Physicians, Pharmacists Not Always Aligned on Emerging Diabetes Trends

Physicians and pharmacists are not always aligned when it comes to how public policy, new drugs and devices, and structural changes in the healthcare system should impact diabetes, according to a new survey from WorldOne and Joslin Diabetes Center. Soliciting … finish reading Physicians, Pharmacists Not Always Aligned on Emerging Diabetes Trends

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Most Patients Want to Self-Manage Healthcare Online: Survey

While the majority of Americans want to manage their healthcare online, nearly half of them aren’t sure if their information is available electronically. According to a recent survey from Accenture Health, 90 percent of patients are interested in using technology, … finish reading Most Patients Want to Self-Manage Healthcare Online: Survey

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