Archive for the ‘Healthcare Costs’ Category

Infographic: The Harms of Overuse in Healthcare

June 19th, 2019 by Melanie Matthews

It is estimated that up to 30 percent of all healthcare offers no clinical value to patients, according to a new infographic by The Commonwealth Fund.

The infographic explores the impact of healthcare overuse on patients, providers and the healthcare system as a whole.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare UtilizationMedicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare Utilization is a comprehensive analysis by the Healthcare Intelligence Network of how healthcare organizations define and address avoidable healthcare utilization. The report captures key actionable metrics on reducing avoidable healthcare utilization initiatives, challenges, case studies and innovative programming.

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Infographic: Top 5 Chronic Health Conditions Impacting Population Health

June 17th, 2019 by Melanie Matthews

Inpatient stays, though sometimes necessary, can be physically and mentally challenging for patients and are expensive for both those seeking treatment and providing care. This can be especially true for patients with chronic conditions that require consistent management and care coordination, oftentimes between multiple facilities and physicians, according to a new infographic by Definitive Healthcare.

The infographic examines the five most common chronic health conditions in the United States as well as their associated costs and comorbidities.

2018 Healthcare Benchmarks: Population Health ManagementAs the healthcare industry’s pace from volume-based to value-based healthcare payment models accelerates so does the demand for more effective management of population health. With the growth of these payment models, healthcare organizations are taking on more risk in terms of shared savings and shared risk arrangements and are investing heavily in programs to support population health. These programs are expanding in both scope of services and health conditions and disease states managed. With the help of advanced technologies in healthcare, this growth will only continue.

2018 Healthcare Benchmarks: Population Health Management is the fourth comprehensive analysis of population health management by the Healthcare Intelligence Network, capturing key metrics such as populations, health conditions and health risk levels targeted by population health management programs; risk stratification criteria; prevalence of value-based payment models supporting population health management programs; population health management processes, tools, workflows and forms; and program outcomes and ROI from responding healthcare organizations. Click here for more information.

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Infographic: 2019 Global Healthcare Outlook

May 24th, 2019 by Melanie Matthews

Global healthcare spending continues to increase dramatically, according to a new Infographic by Deloitte.

The infographic examines factors impacting healthcare costs and how stakeholders will respond.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical OutcomesAs healthcare moves out of the brick-and-mortar traditional setting into patients’ homes and their workplaces, and becomes much more proactive, the University of Pittsburgh Medical Center (UPMC) has been expanding its remote patient monitoring program. The remote patient monitoring program at UPMC has its roots in the heart failure program but has since expanded to additional disease states across the integrated delivery system’s continuum of care.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical Outcomes delves into the evolution of UPMC’s remote patient monitoring program from its initial focus on heart failure to how the program was scaled vertically and horizontally. Click here for more information.

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Infographic: The Real Impact of Healthcare Supply Chain Inefficiencies

May 15th, 2019 by Melanie Matthews

Healthcare supply chain inefficiencies have the potential to negatively impact clinician satisfaction, productivity and patient care. However, there are opportunities for healthcare distributors to support positive outcomes in the supply chain process, according to a new infographic by Cardinal Health.

The infographic looks at these impacts as well as how the supply chain can be re-designed with clinicians in mind.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare UtilizationMedicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare Utilization is a comprehensive analysis by the Healthcare Intelligence Network of how healthcare organizations define and address avoidable healthcare utilization. The report captures key actionable metrics on reducing avoidable healthcare utilization initiatives, challenges, case studies and innovative programming.

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Infographic: 5 Steps to Transform Care Delivery

April 22nd, 2019 by Melanie Matthews

Failures of care delivery accounted for an estimated $102 billion to $154 billion in wasteful spending in 2011, according to a new infographic by Premier.

The infographic provides five steps recommended by Premier to transform care delivery.

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: 7 Healthcare Predictions for 2019

April 5th, 2019 by Melanie Matthews

Big tech, artificial intelligence, cost takeout, the 2020 presidential race, pharma, and tomorrow’s “new front door” are among the trends expected to impact the healthcare industry in 2019, according to a new infographic by Oliver Wyman.

The infographic explores these trends and their expected healthcare industry impact.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical OutcomesAs healthcare moves out of the brick-and-mortar traditional setting into patients’ homes and their workplaces, and becomes much more proactive, the University of Pittsburgh Medical Center (UPMC) has been expanding its remote patient monitoring program. The remote patient monitoring program at UPMC has its roots in the heart failure program but has since expanded to additional disease states across the integrated delivery system’s continuum of care.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical Outcomes delves into the evolution of UPMC’s remote patient monitoring program from its initial focus on heart failure to how the program was scaled vertically and horizontally. Click here for more information.

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Infographic: What are Transport-Related Discharge Delays Really Costing Hospitals?

March 1st, 2019 by Melanie Matthews

Archiac processes and inefficiencies in non-emergency medical transportation (NEMT) are common in the healthcare ecosystem, according to a new infographic by Acuity Link.

The infographic examines why NEMT can be a bottleneck in hospital patient flow.

2018 Healthcare Benchmarks: Post-Acute CareValue-based healthcare payment models, such as clinical integration, shared savings, bundled payments, shared risk and full capitation, as well as the need to coordinate care across the acute and post-acute care (PAC) continuum, are reshaping the PAC landscape. And, with the start of Medicare readmission penalties for skilled nursing facilities starting in October of this year, PAC providers will continue to examine strategies for improving care quality and reducing costs.

2018 Healthcare Benchmarks: Post-Acute Care is the second comprehensive analysis of the PAC market by the Healthcare Intelligence Network, capturing such key metrics as PAC initiatives, strategies, challenges, tools used to manage PAC, results and ROI.

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Infographic: U.S. Prescription Drug Spending Trends

February 1st, 2019 by Melanie Matthews

There was an 18.5 percent increase in drug spending from 2015 to 2017, according to a new infographic by the American Hospital Association.

The infographic examines prescription drug spending and the impact on hospitals and patients.

Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk PopulationsWhen it comes to medication management for Medicare beneficiaries, there are more than 25 different factors that can complicate proper use of prescribed medicines—from affordability issues, even among the insured, to fear of a drug’s side effects to potential dangers from high-risk medications or health conditions.

Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations examines Novant Health’s deployment of pharmacists as part of its five-pronged strategy to deliver healthcare value through medication management services.

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Infographic: Blueprint for Complex Care

January 11th, 2019 by Melanie Matthews

The United States spends more on healthcare than any other industrialized nation, and much of that spending is concentrated on a small percentage of individuals with complex medical, behavioral, and social needs, according to a new infographic by the Center for Health Care Strategies.

The infographic highlights recommendations for advancing the field, based on input from stakeholders across the country.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations Asked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team. Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

The Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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Infographic: Reducing Healthcare Costs in 2019

January 4th, 2019 by Melanie Matthews

There are many factors driving up healthcare costs and many solutions to improve the situation, according to a new infographic by AcheronAnalytics.

The infographic examines four key areas where there are opportunities to reduce healthcare costs.

Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed CareWhen the Wisconsin Medicaid managed care program was expanded to include members who had traditionally opted out of the program, the HMOs that were going to serve these members had to optimize their member engagement strategies. Independent Care Plan (iCare), one of the HMOs selected as a Medicaid plan, identified early member engagement after enrollment as a key to success for the program.

Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed Care outlines how iCare has structured its care coordination team, including both telephonic and boots on the ground staff to find, engage and assess Medicaid members.

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