Archive for 2018

Infographic: 2019 Merit-based Incentive Payment System Adjustment for 2017 Performance Year

October 15th, 2018 by Melanie Matthews

Clinicians will receive a positive, neutral, or negative payment adjustment factor based on their 2017 Merit-based Incentive Payment System (MIPS) final score, according to a new infographic by the Centers for Medicare and Medicaid Services.

The infographic examines the MIPS final score and payment adjustment factors.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: Unlocking the New Patient Engagement Experience

October 12th, 2018 by Melanie Matthews

The digital age is no longer about just the product—it’s equally about the customer experience, according to a new infographic by Publicis Health.

The infographic explores the shift occurring in the healthcare space to a new outcome-based economy that is powered by an increasingly digital and data-driven experience.

Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action PlanUnityPoint Health has moved from a siloed approach to improving the patient experience at each of its locations to a system-wide approach that encompasses a consistent, baseline experience while still allowing for each institution to address its specific needs. Armed with data from its Press Ganey and CAHPS ® Hospital Survey scores, UnityPoint’s patient experience team developed a front-line staff-driven improvement action plan.

During Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action Plan a 45-minute webina, now available for replay, Paige Moore, director, patient experience at UnityPoint Health—Des Moines, shares how the organization switched from a top-down, leadership-driven patient experience improvement approach to one that engages front-line staff to own the process.

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Infographic: 2018 Healthcare Provider Referral Trends

October 10th, 2018 by Melanie Matthews

While 77 percent of healthcare providers recognize the importance of keeping patients in-network for care coordination, a notable 79 percent say they refer patients out of network, according to a new infographic by Kyruus.

The infographic looks at contradictions in today’s referral behaviors, key barriers to keeping patients in-network and turning obstacles into opportunities.

When the prestigious Memorial Sloan Kettering Cancer Center (MSKCC) began to face tougher competition from hospitals with managed care contracts and limited networks, the state-of-the-art specialty hospital decided to implement a team-based care coordination approach to attract and retain healthcare payors focused on value-based care.

Integrated Case Management: Elevating Quality and Clinical Metrics with Multidisciplinary Team-Based Care details the framework and implementation of the service-based multidisciplinary program MSKCC adopted to demonstrate that the care it provides to more than 25,000 admitted patients each year is both cost-effective and cost-efficient.

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Guest Post: How Conversational AI Will Improve the Standard of Healthcare

October 9th, 2018 by Ram Menon

Conversational AI will be the crucial part in improving what is known as “retail” healthcare as well as the bulk of interactions patients have with the healthcare system.

In the past year, there have been countless stories on how artificial intelligence (AI) will change the healthcare system. Some of the headlines from the past few months include AI that can detect skin cancers as accurately as trained physicians; AI that allows for more precise X-ray readings and AI systems that can scan for signs of diabetic retinopathy. A brave new world of healthcare is developing each day; recent reports indicate that the AI health market could be worth more than $34 billion by 2025.

Conversational AI—a system that allows computers to speak to humans in lifelike ways—is an integral part of the changes in the healthcare industry that isn’t discussed as often. Nonetheless, it will be the crucial part in improving what is known as “retail” healthcare as well as the bulk of interactions patients have with the healthcare system.

Conversational AI offers a standard of personalized care unavailable now with existing resources. In the coming years, it will help reduce the number of visits to doctors and ensure patients only need to visit emergency rooms during an actual emergency, and provide a universal standard of personalized care now available to very few patients.

Here are the ways conversational AI is improving healthcare as we speak and what we can expect soon.

Conversation AI Remakes Provider Access:

Here’s what happened in the past when you had a non-emergency medical issue: you left a message for your doctor and waited days for them to call back. With conversational AI you can reach your provider at any point, perhaps to send them a message or a photo of a condition or side effect you want to be checked. You can also book an appointment based on a doctor’s name and expertise. Virtual medical assistants will soon be available on channels like Google Home, Alexa, and elsewhere.

Conversational AI offers access that isn’t intrusive to a provider and yet gives patients ease of mind that their concerns will be answered in a timely fashion. In the future, virtual assistants will take that a step further by confidentiality tracking conversations between doctors and patients, possibly even using that to create a patient chart.

Conversational AI Will Help Medication Management, Claims Processing:

If you suffer from a chronic condition like diabetes or arthritis it’s easy to get bewildered by complicated instructions on how and when to take medications or when to follow up on troublesome symptoms. With conversational AI, a virtual assistant can offer reminders about taking medication, answer basic questions about conditions even direct patients to advice on how to improve their wellness and information on lifestyle changes.

Healthcare maintenance is often about the small things that people overlook because they can’t get a simple answer. That could mean finding out if they should take antibiotics with a meal or on an empty stomach or simple resources on getting active. Providing a better way to quickly but accurately follow healthcare plans can reduce an enormous burden on both the patient and the system.

Keeping on top of health insurance claims is also a challenge. Using a virtual assistant, healthcare members can check their existing coverage, file for claims, and track the status of their claims. In many cases, they can do it when they are still visiting the doctor or getting help.

In The Future— Virtual Urgent Care:

Many healthcare providers and HMOs have software in place that allows nurses to meet “virtually” with a patient using a video system that works much like Skype. Technology is in the works that will allow a virtual assistant to diagnose certain conditions and provide limited care. For example, a patient reporting symptoms of a urinary tract infection—a common illness in women—could describe symptoms to the virtual assistant. The assistant could prescribe antibiotics you could pick up at your local pharmacy. This is much easier than an in-person visit, which is often unnecessary for routine conditions.

Ram Menon

Ram Menon

About the Author: Ram Menon is the CEO and co-founder of Avaamo. Previously, he was president of social computing at TIBCO. He founded the division and built the business from scratch into a leader in social business software with nine million paid users in just two years. Prior to joining TIBCO, Ram was with Accenture, a global consulting firm, where he specialized in supply chain and e-commerce strategy consulting with Global 500 companies.

Infographic: Four Challenges in Modern Healthcare

October 8th, 2018 by Melanie Matthews

Healthcare is a central part of modern society and its world is changing like never before, from how care is delivered to how research is gathered and how it’s all financed, according to a new infographic by IBM.

The infographic presents the four biggest challenges healthcare is facing and how technology can help move the industry forward.

The accountable care organization, or ACO, has become a cornerstone of healthcare delivery system and payment reform by raising the bar on healthcare quality and reducing unnecessary costs. There are now more than 700 ACOs in existence today, by a 2017 SK&A estimate.

2017 Healthcare Benchmarks: Accountable Care Organizations, HIN’s fourth compendium of metrics on ACOs, captures ACO operation in today’s value- and quality-focused healthcare environment. This 50-page report, now in its fourth edition, delivers actionable data from healthcare companies who completed HIN’s fourth comprehensive ACO assessment in May 2017.

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Infographic: How Is Artificial Intelligence Working for Healthcare?

October 5th, 2018 by Melanie Matthews

Artificial intelligence (AI) has left behind its sci-fi legacy to become a transformative technology in a modern digital age. A range of possibilities exists for AI in healthcare, according to a new infographic by Optum, Inc.

The infographic defines AI and then examines the value of AI in healthcare as well as planning for healthcare AI.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics.

Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space.

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Guest Post: Rethinking Healthcare Cybersecurity by Focusing on the Attacker, not the Attack

October 4th, 2018 by Ofer Israeli

Why are healthcare systems so challenging to secure? What is driving this complexity. How might we rethink our approach?

Healthcare systems, like all digital networks today are increasingly inter-connected and consumer-driven. The digital transformation necessary to make them agile, also renders them easy targets for data and identity theft, insurance fraud, and other forms of cybercrime. As the recent spate of ransomware has shown, cyberattacks on healthcare institutions also disrupt vital services and risk patient safety.

Beyond the health organization’s core staff, a wide variety of guests, students, visitors, patients, maintenance workers and others have direct physical access to healthcare systems and devices. Temporary workers and contractors require access to sensitive systems while employed. External interconnection of these systems with universities, research partners, and other remote services further mitigates the effectiveness of perimeter and access security controls. Higher and thicker security walls will not support the organization’s need to break down barriers, share information, and increase patient access.

Clearly, a new approach is required. If we cannot stop attacks, then we must stop the attackers. This is not a semantic nuance. The key to protecting healthcare systems in the future will be to transform our thinking—from a focus on defending ourselves from an infinitely expanding phalanx of attacks and attack vectors, to instead focus on disrupting the attack process itself regardless of attack style or source. We must stop the attackers.

As difficult as that might sound at first blush, there is, in fact, a silver bullet that will disrupt the vast majority of attacks. Malicious actors targeting healthcare systems all share a common trait that makes them vulnerable to disruption and detection. Regardless of how they enter a healthcare network, or what their intent, attackers must move laterally across the healthcare network to access their target applications, devices, systems, and data. To move undetected, they must gather intelligence about the environment and make careful decisions regarding their attack path.

The key then, quite simply, is to disrupt the attacker’s decision-making process—to blind and befuddle them so that they cannot progress their attack. Done well, cyber deception technology disrupts the attacker’s intelligence gathering process, and destroys their ability to make accurate decisions, by flooding the attack plane with false and misleading data. Similar in effect to evasive maneuvers used in aerial combat such as disgorging flak, disrupting radar, and disorienting GPS signals, these new technologies destroy the attacker’s ability to navigate, and ensure they are detected by any movement they do decide to make.

The challenges of securing healthcare systems will continue to grow as attackers, and their tools, methods, and infrastructure, become more sophisticated and diverse. Just as digital transformation is improving efficiency and patient outcomes, the traditional security mindset must be transformed to a modern security mindset. To protect these new system architectures, we must refocus our efforts from defending against attacks to disrupting the attack process itself. Deception offers a promising path forward in this direction.

Ofer Israeli

Ofer Israeli

About the Author: Ofer Israeli, founder and CEO of Illusive Networks, pioneered deception-based cybersecurity. He leads the company at the forefront of the next evolution of cyber defense. Prior to establishing Illusive Networks, Mr. Israeli managed development teams based around the globe at Israel’s seminal cybersecurity company Check Point Software Technologies and was a research assistant in the Atom Chip Lab focusing on theoretical Quantum Mechanics.

Infographic: Resource Allocation in Healthcare Decision-Making

October 3rd, 2018 by Melanie Matthews

Resource allocation methods use mathematical optimization techniques to identify the allocation of healthcare dollars between a set of alternatives, according to a new infographic by RTI Health Solutions.

The infographic examines how different players in the public health and healthcare system benefit from resource allocation methods.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

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Infographic: Healthcare Consumer Insight & Digital Engagement

October 1st, 2018 by Melanie Matthews

Healthcare consumers are relying more on online ratings and review sites to make informed healthcare decisions, according to a new infographic by Binary Fountain, Inc.

The infographic examines consumer comfort levels with sharing healthcare experiences online, the growing dependence on online ratings and review sites and the top websites/platforms for choosing a physician.

Patient-centric interventions like population health management, health coaching, home visits and telephonic outreach are designed to engage individuals in health self-management—contributing to healthier clinical and financial results in healthcare’s value-based reimbursement climate.

But when organizations consistently rank patient engagement as their most critical care challenge, as hundreds have in response to HIN benchmark surveys, which strategies will help to bring about the desired health behavior change in high-risk populations?

9 Protocols to Promote Patient Engagement in High-Risk, High-Cost Populations presents a collection of tactics that are successfully activating the most resistant, hard-to-engage patients and health plan members in chronic condition management. Whether an organization refers to this population segment as high-risk, high-cost, clinically complex, high-utilizer or simply top-of-the-pyramid ‘VIPs,’ the touch points and technologies in this resource will recharge their care coordination approach.

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Infographic: How Hospital Administrators Empower their Organizations

September 28th, 2018 by Melanie Matthews

The challenges healthcare administrators face require a unique set of leadership skills. Administrators who empower their teams also empower their whole organization, giving everyone the opportunity to work together to achieve goals and provide high-quality healthcare, according to a new infographic by Regis.

The infographic examines the steps to empowerment, the benefits of empowerment to staff and teams and three styles of leadership and how they relate to empowerment.

Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare IndustryHealthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry, HIN’s 14th annual business forecast, is designed to support healthcare C-suite planning as leaders react to presidential priorities and seek new strategies for engaging providers, patients and health plan members in value-based care.

HIN’s highly anticipated annual strategic playbook opens with perspectives from industry thought leader Brian Sanderson, managing principal, healthcare services, Crowe Horwath, who outlines a roadmap to healthcare provider success by examining the key issues, challenges and opportunities facing providers in the year to come. Following Sanderson’s outlook is guidance for healthcare payors from David Buchanan, president, Buchanan Strategies, on navigating seven hot button areas for insurers, from the future of Obamacare to the changing face of telehealth to the surprising role grocery stores might one day play in healthcare delivery. Click here for more information.

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