Archive for the ‘Consumer-Driven Healthcare’ Category

Infographic: Digital Health and the Physician-Patient Relationship

August 14th, 2015 by Melanie Matthews

Without question technology is having a profound impact on the practice of medicine with the availability of health information on the internet, according to a new infographic by Vigyanix.

The infographic looks at how digital health is impacting the physician-patient relationship, popular health apps available to consumers and how the availability of information changes patient decisions.

2015 Healthcare Benchmarks: Telehealth & TelemedicineThe world of digitally enabled care is exploding: the number of patients using telehealth services will rise to 7 million in 2018, according to IHS Technology; healthcare apps and 'wearables' are trending in technology circles and healthcare providers' offices; and CMS's new 'Next Generation ACO' model is expected to favor expanded telehealth coverage.

2015 Healthcare Benchmarks: Telehealth & Telemedicine delivers actionable new telehealth metrics on technologies, program components, successes and ROI from 115 healthcare organizations. This 60-page report, now in its fourth year, documents benchmarks on current and planned telehealth and telemedicine initiatives, with historical perspective from 2009 to present.

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Infographic: Improving the Patient Experience

July 29th, 2015 by Melanie Matthews

Some 67 percent of healthcare executives agree that the role of customer service will change more in the next two years than in the last 10, according to a new infographic by Aspect.

The infographic compares the healthcare industry's focus on the consumer experience with other industries and the percent of healthcare organizations that offer technology-enabled customer service applications.

11 Profitable Value-Based Reimbursement Models: Lessons from Early AdoptersCMS's ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate. Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs). Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare's per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours' building of a business case for its multidisciplinary care team to the John C. Lincoln ACO's deep dive into data analytics to identify and manage the care of high-risk, high-cost 'VIP' patients to 'beat the benchmark' to WellPoint's engagement of specialists in care coordination.

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Infographic: Consumer Healthcare Payment Trends

June 12th, 2015 by Melanie Matthews

Consumer payments to healthcare providers increased by 193 percent in 2014, according to a new infographic by Instamed.

The infographic also examines other healthcare consumer payment trends.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow NetworksGreater cost transparency and consumer engagement are front-and-center in the health insurance revolution that is underway, and the use of data is driving these monumental changes.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow Networks examines the various ways claims data can be used in the new health insurance marketplace. In addition to helping support the adjudication of out-of-network claims, claims data can provide the building blocks for ACO development, as well as the foundation for pursuing a narrow-network strategy, developing consumer-oriented tools to promote effective plan selection and plan management, and building internal dashboards for strategic decision making.

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Infographic: The Adverse Impact of High-Deductible Health Plans on Providers

March 23rd, 2015 by Melanie Matthews

The increase in high-deductible health plans (HDHP) is having a negative impact on healthcare providers, according to a new infographic by Nobility.

The growth in HDHPs, up from one million in 2005 to 17.4 million in 2014, has led to some patients skipping or delaying procedures and an increase in medical debt for patients who cannot afford their deductible. The infographic examines the impact of HDHPs and how physician practices can respond to this growing trend.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare IndustryFrom collaboration and consolidation to the inevitable acceptance of a value-based system, the state of healthcare continues to stimulate health plans, providers and employers.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry, HIN's eleventh annual industry forecast, examines the factors challenging healthcare players and suggests strategies for organizations to distinguish themselves in the steadily evolving marketplace.

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Infographic: Patient Empowerment

March 9th, 2015 by Melanie Matthews

With skyrocketing digital data and a flood of tools to track and manage personal health, patients are taking greater interest in and control of their own healthcare.

A new infographic by CDW Healthcare examines the impact that patient data management, patient portals, the cloud, big data and virtual storage are having on patient self-management.

Evidence-Based Health Coaching: Motivational Interviewing in Action Validated in over 300 clinical studies, motivational interviewing (MI) remains the most patient-centered and effective approach for supporting better patient engagement and activation, disease self-care, treatment adherence and lifestyle management.

Evidence-Based Health Coaching: Motivational Interviewing in Action, is the first MI video training series especially designed for clinicians who serve individuals at risk of, or affected by, chronic diseases. Whether you are serving in a wellness, disease management, or care management program, or a primary or specialty care setting, hospital or community program, this series will help you build the practical MI knowledge and skills you need to support your patient health and address the behavioral factors that are responsible for over 85% of avoidable healthcare costs.

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Infographic: Consumer Understanding of Health Insurance Coverage

February 13th, 2015 by Melanie Matthews

While the ACA has encouraged the U.S. healthcare system to become more consumer-focused, a recent online survey, conducted by Harris Poll on behalf of SCIO Health Analytics®, revealed that many insured Americans do not have a clear understanding of what healthcare services are covered under their current plan, and have avoided visiting a doctor for a general health concern within the past 12 months because of cost concerns.

An infographic by SCIO Health Analytics delves into the study's findings, with a look at the number of individuals who did not seek medical care due to cost concerns, the impact of this avoidance and how health plans can use big data to provide appropriate guidance to healthcare consumers.

Narrow Network Strategies and Trends for Health Plans and PBMsNarrow networks — for both medical and pharmacy providers — are gradually becoming more accepted by carriers, plan sponsors and patients. Smaller provider networks allow payers to manage overall healthcare costs while still maintaining access to benefits — an important consideration as plan designs become more commoditized in the age of public and private health insurance exchanges.

Narrow Network Strategies and Trends for Health Plans and PBMs outlines the tactics health plans are using to restrict medical and pharmacy networks while still maintaining adequate access to care and positive relationships with providers. It also summarizes case studies of health plans and PBMs that have formed narrow networks and the results they’ve seen.

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Multi-Specialty Telehealth Collaborative Offers One-Stop Healthcare for Underserved, Remote Patients

October 24th, 2014 by Cheryl Miller

It’s all about the patient.

That’s what prompted Blue Shield of California and Adventist Health, both not-for-profit organizations, to collaborate on a telehealth program that could afford quality care to all Californians, when and where they need it, says Lisa Williams, senior director of strategic integration and execution, healthcare quality and affordability, Blue Shield of California, during Creating a Virtual Multi-Specialty Physician Network: A Payor-Provider Telehealth Collaborative, an October 15th webinar, now available for replay.

The presentation also featured Robert Marchuk, vice president of ancillary services at Adventist Health, and Christine Martin, director of operations, Adventist Health; all three shared the inside details on the collaboration and the shared mission and values that has led to the program's success.

Located in largely rural markets, access to specialists is especially critical for the program’s success, Ms. Williams says. The nine-site program, which launched in March, includes 11 specialties, ranging from cardiology to dermatology to orthopedics and rheumatology, which account for the majority of volume in pre-op and post-op care. Specialists are all board-certified and credentialed. The program will expand to an additional 16 sites by the end of this year, with plans to add telepsychiatry, she says.

Central to the program is its care coordination center, a full-service, virtual, multi-specialty physician practice with robust patient and provider supporting services, says Mr. Marchuk. Similarly to a one-stop shopping site, when patients enter a site, clinicians make one phone call regarding that patient to the center, which coordinates all aspects of that patient’s care, from scheduling an appointment with the provider and the clinic itself, ensuring all patient records are available and uploaded to their electronic medical record (EMR), to scheduling follow-up ancillary services and physician appointments and billing. “It’s been very successful,” says Mr. Marchuk, “and really sets us apart from other programs.”

Identifying gaps in their markets, and then finding the right specialty and specialist for that market are big parts of the process, Mr. Marchuk continues. "There are physicians out there that can be wonderful on a face-to-face visit and very, very good clinically, but don't necessarily lend themselves well to a video interaction, so we screen very carefully."

Clinician engagement, extensive training, and communication at all points of contact are also important, says Ms. Martin. “You can never over-communicate,” she says. Patients, staff, local providers and specialty providers all need to know what’s going on, so the experience can be as seamless as possible.

Reimbursement for telehealth is still on the negotiation table, Mr. Marchuk adds. But ultimately, it pays to invest in the technology now for the future.

“It’s one of the fastest growing growing fields. It’s affordable, accessible, and cost-effective. Telehealth really can enhance the physician and patient relationship.”

Listen to interviews with Robert Marchuk and Lisa Williams.

Infographic: Provider Payments Trends

October 6th, 2014 by Melanie Matthews

The healthcare payments industry is changing rapidly due to consumerism and regulatory mandates, according to the fourth annual Trends in Healthcare Payments Report by InstaMed. Patient payments to providers have increased 72 percent since 2011 due to these market forces.

InstaMed's new infographic based on the report looks at how patient provider payments are changing administrative requirements by providers, the need for payment plans and how credit card and mobile will impact provider payments in the future.

Provider Payment Trends

The New Hospital-Physician Enterprise: Meeting the Challenges of Value-Based Care Shifting reimbursement models are forcing hospital executives to rethink their approach to physician relationships. New cost and quality demands require hospitals to explore all alternatives—including tighter alignment with physicians. The New Hospital-Physician Enterprise: Meeting the Challenges of Value-Based Care provides expert advice on structuring and sustaining hospital-physician relationships in the post-reform environment.

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Infographic: Healthcare Consumer Evolution

August 20th, 2014 by Melanie Matthews

As healthcare technology and patient accountability continue to grow, healthcare consumers are taking on a much more active role in their healthcare.

This new infographic by Vitals looks at how healthcare consumers are evolving and five habits of highly-evolved patients.

Evolution of the Healthcare Consumer

The Patient-Centered Payoff: Driving Practice Growth Through Image, Culture, and Patient ExperienceLearn the steps your practice can take to reap the many payoffs of achieving high patient-centered standards without having to make a big financial investment. In The Patient-Centered Payoff: Driving Practice Growth Through Image, Culture and Patient Experience, authors Cheryl Bisera and Judy Capko, explain how healthcare professionals and organizations can thrive in the new patient-centered environment.

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Infographic: Trends in Account-Based Health Plans

July 14th, 2014 by Melanie Matthews

High deductible health plans and HSAs have been in the market for over a decade and adoption rates (particularly for HDHPs, HSAs and HRAs) continue to accelerate rapidly, according to a new survey by Alegeus Technologies.

The survey also found a significant consumer education gap and a need for enhanced decision-support resources to help consumers better manage their ever-growing responsibility for healthcare. An infographic by Alegeus Technologies highlights the survey findings, including details on market penetration of account-based plans, consumer proficiency in these plans and account perceptions and enrollment barriers.

2014 Consumer and Employer Healthcare Benefits Survey

As health plan operators last year were preparing to offer plans on the state-run and federally facilitated health insurance exchanges, they could only guess at the age and health of the population that would enroll, and they had no information about how their competitors would price their plans. Now that open enrollment is over, Public Exchanges Data: Premium Analysis and Carrier Participation for 2014 takes a look at how it all played out. This report offers a highly detailed overview of where carriers participated, the types of products they offered and how their prices stacked up against their competitors.

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