Archive for December, 2015

Infographic: Physician Practice Profitability

December 14th, 2015 by Melanie Matthews

The Practice Profitability Index, a survey of more than 5,000 physicians that provides an annual window into the issues affecting the financial and operational health of physician practices across the United States, revealed room for cautious optimism in 2016, with the share of physicians forecasting a negative profitability trend declining year over year. The Practice Profitability Index is sponsored by CareCloud and QuantiaMD.

A new infographic highlights some of the results from the Practice Profitability Index, including challenges to practice profitability, physician practice ownership trends and key targets for physician practice operational improvement.

One year after the Centers for Medicare and Medicaid Services began reimbursing physician practices for chronic care management services, Bon Secours Medical Group is now comfortable with the CCM reimbursement requirements and is reporting that it’s unique approach to this revenue opportunity is ramping up nicely. And, the organization’s approach to chronic care management reimbursement is helping to position itself for advance care planning as a new billable CMS event in the upcoming year.

During Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning, a January 26th webinar at 1:30 p.m. Eastern, Robert Fortini, PNP, chief clinical officer for Bon Secours Medical Group, will provide an inside look at his organization’s experience with CMS’ chronic care management reimbursement this year and how they are leveraging this experience for CMS’ newest billable event in 2016—advance care planning.

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Infographic: Improving Outcomes With Health Data Analytics

December 11th, 2015 by Melanie Matthews

The cost of healthcare in the United States continues to rise. In 2015, costs are projected to rise by 5.3 percent to a per capita cost of $9,695, according to a new infographic by the Government Business Council.

The infographic examines the factors that are driving up U.S. healthcare costs and how big data analytics can help to control costs and improve the quality of care.

While widespread adoption of electronic health records has generated new streams of actionable patient data, John C. Lincoln has taken data mining to new levels to enhance performance of its accountable care organization (ACO).

Beyond the EMR: Mining Population Health Analytics to Elevate Accountable Care reviews the concentrated data dig undertaken by John C. Lincoln to prepare for participation in the CMS Medicare Shared Savings Program (MSSP).

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Infographic: Chronic Care Management Revenue Opportunities

December 9th, 2015 by Melanie Matthews

The value of gaining experience and proficiency with population management and value-based reimbursement is becoming essential as Medicare shifts a greater portion of its payments to these methodologies. Medicare’s chronic care management reimbursement codes allow practices to get paid while learning about this new shift and gaining confidence and competence with value-based reimbursement, according to a new infographic by McKesson.

The infographic examines the incidence of chronic conditions among Medicare beneficiaries and the revenue opportunity for practices that bill Medicare under the Chronic Care Management codes.

Starting this past January, Medicare is reimbursing physician practices for select Chronic Care Management (CCM) services not previously eligible for reimbursement, underscoring the vital role of care management in primary care.

Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities offers practical guidance to prepare physician practices to maximize CCM reimbursement in the year ahead.

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How Aligned Incentives and Evidence-Based Care Support Patient Engagement

December 8th, 2015 by Patricia Donovan

Best practice care standards and new models of provider compensation round out Intermountain Healthcare's patient engagement framework.

Intermountain Healthcare’s vision of shared accountability among patients, payors, providers and even the community is constructed around three key tenets: engaging patients, delivering evidence-based care and aligning provider assignments. Here, Tammy Richards, corporate director of patient and clinical engagement at Intermountain Healthcare, expands upon the latter two pillars, and how they support her organization’s six-stage patient engagement framework.

Regarding evidence-based care, Intermountain has demonstrated that higher quality often costs less. Patients typically have better health medical outcomes and tend to experience fewer complications and readmissions, and through our extensive data repositories, Intermountain’s clinical programs and services are ramping up developments and consistent use of those best practice standards. Our term for that is “care process models.”

Patient engagement means that patients are in involved in their own health and care choices and they interact meaningfully with caregivers. That’s the key. What does “meaningfully” mean and can it be accomplished through technology? Does it require face to face interactions? What portion of each will make the difference there? We engage patients in wellness and prevention decisions, choices about their care or develop models of care to support patients in their unique circumstances. Population health is most definitely the focus.

We are also looking at electronic tools. We’re aggressively pursuing transparency specifically and publicly reporting star ratings for individual providers and physicians, as well as those comments submitted by patients about those physicians. We’re also addressing the emotional labor of medicine and decision fatigue. By aligning financial incentives, we create a payment system that rewards hospitals and physicians for providing the right care rather than just more care.

Intermountain supports the Institute of Medicine recommendation to address these three types of substandard care: under-treatment, or doing too little; overtreatment, doing too much; and clinical mistakes. All three types of substandard care pose medical risks to patients, and we are addressing decision fatigue with that in mind.

We’re developing new models for compensating hospitals and physicians. These models are based on a combination of productivity, quality, service and total cost of care. In addition to that, SelectHealth, our insurance company, is designing health plan benefits that encourage members to participate in their care and to consider financial impacts of their healthcare decisions. Of course, we also focus traditionally on efficiency, which helps us manage costs.

We know regardless of our circumstances or histories, we also must now acknowledge that assuming full financial risk for patient populations and increasing pressures or reduced cost in healthcare means placing more emphasis on improving patient outcomes.

Source: Framework for Patient Engagement: 6 Stages to Success in a Value-Based Health System

http://hin.3dcartstores.com/Framework-for-Patient-Engagement-6-Stages-to-Success-in-a-Value-Based-Health-System_p_5102.html

Framework for Patient Engagement: 6 Stages to Success in a Value-Based Health System details Intermountain Healthcare’s multilayered approach and how it supports its corporate mission: Helping people live the healthiest lives possible.

Infographic: Technology Use, Prices Drive High U.S. Healthcare Costs

December 7th, 2015 by Melanie Matthews

The United States spent more per person on healthcare than 12 other high-income nations in 2013, while seeing the lowest life expectancy and some of the worst health outcomes among this group, according to a Commonwealth Fund report. The analysis shows that in the United States, which spent an average of $9,086 per person annually, life expectancy was 78.8 years. Switzerland, the second-highest-spending country, spent $6,325 per person and had a life expectancy of 82.9 years. Mortality rates for cancer were among the lowest in the United States, but rates of chronic conditions, obesity, and infant mortality were higher than those abroad.

U.S. healthcare spending per person is highest not because Americans go to doctors and hospitals more often, but because of greater medical technology use and healthcare prices that are higher than in other nations, according to the report. Some of the reports findings are depicted in a new infographic by The Commonwealth Fund, including a comparison of: bypass surgery costs in the United States and the Netherlands; MRI exams per 1,000 people in the United States and Canada; and annual physician visits in the United States and in 34 high-income countries.

From cost pressures, consumerism and consolidation to a proliferation of patient-centered, value-based delivery and payment models, the state of healthcare continues to challenge organizations in the industry.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, HIN’s 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

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Infographic: IoT and Patient Engagement

December 4th, 2015 by Melanie Matthews

Patient engagement is among the top priorities for most healthcare organizations. Healthcare providers must interact with their patients and empower them with the right information at the right time. The emerging trend of the Internet of Things (IoT) is revolutionizing the world with its vast capabilities of connecting people and things with each other, and the healthcare industry is no exception, according to a new infographic by Vigyanix.

According to IDC Health Insights, 35 percent of healthcare organizations have already implemented IoT either in pilot or production stages. The infographic explores how IoT is helping to increase patient engagement.

Transformational patient-centered models emerging post-ACA are designed to succeed with a core of engaged, activated patients, yet enlistment of individuals in chronic care management, telehealth and other health enhancement interventions continues to challenge the healthcare industry.

2015 Healthcare Benchmarks: Patient Engagement documents strategies, program components, successes and challenges of engaging patients and health plan members in self-care from 133 organizations responding to the 2015 Patient Engagement survey by the Healthcare Intelligence Network.

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HINfographic: Chronic Care Management’s Path to Patient-Centered Care Coordination

December 2nd, 2015 by Melanie Matthews

A commitment to chronic care management (CCM) not only offers providers additional revenue via Medicare Chronic Care Management reimbursement but also can be a stepping stone to patient-centered care models like the medical home or accountable care organization (ACO). An inaugural Chronic Care Management survey by the Healthcare Intelligence Network captured current trends in chronic care management.

A new infographic by HIN examines current trends in Medicare chronic care management reimbursement.

2015 Healthcare Benchmarks: Chronic Care ManagementThe desire to improve health outcomes for individuals with serious illness coupled with opportunities to generate additional revenue have prompted healthcare providers to step up chronic care management initiatives. The Centers for Medicare and Medicaid Services now reimburses physician practices for select chronic care management (CCM) services for Medicare beneficiaries, with more private payors likely to follow suit.

2015 Healthcare Benchmarks: Chronic Care Management captures tools, practices and lessons learned by the healthcare industry related to the management of chronic disease. Click here for more information.

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