Archive for the ‘Healthcare Trends’ Category

Infographic: U.S. Statistics on Surprise Medical Billing

February 21st, 2020 by Melanie Matthews

Out-of-network charges typically expose patients to higher cost-sharing when they use services and may lead to balance billing—in which healthcare providers bill patients directly, often at an unexpectedly higher rate. In the past two years, one in five insured adults had an unexpected medical bill from an out-of-network provider, according to a new infographic by Kaiser Family Foundation.

The infographic examines unexpected and “surprise” medical billing trends across the United States.

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: Shared Healthcare Decision-Making by the Numbers

February 19th, 2020 by Melanie Matthews

When health professionals and patients make decisions together using the best available evidence about the likely benefits and harms of each option, patients can arrive at informed preferences, according to a new infographic by Ebsco.

The infographic examines trends around shared decision-making and the patient impacts.

Proactive Care Management in a Top-Performing ACO: Closing Quality and Care Gaps in High-Risk, High-Utilization PopulationsAs one of 2016’s top 10 performing MSSP accountable care organizations, UT Southwestern Accountable Care Network (UTSACN) generated nearly $17.5 million in shared savings.

Proactive Care Management in a Top-Performing ACO: Closing Quality and Care Gaps in High-Risk, High-Utilization Populations divulges some of the secrets behind UTSACN’s success in the Medicare Shared Savings Program (MSSP) for ACOs. Winning strategies of the UTSACN ACO include a commitment to data analytics to inform programming and improve utilization and quality as well as holding its healthcare providers accountable for clinical and fiscal decisions. Click here for more information.

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Infographic: Why a Mobile Strategy Is Key To Engaging Medicaid Members

February 17th, 2020 by Melanie Matthews

Despite some misconceptions, smartphones are among the most effective channels for delivering health support. Studies show that the Medicaid population is just as likely to own smartphones as the general population, according to a new infographic by Wellframe Inc.

The infographic examines how Medicaid members currently use technology to help manage their health.

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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Infographic: 8 Healthcare Trends for 2020 and Beyond

February 14th, 2020 by Melanie Matthews

Healthcare executives must understand the industry changes impacting them most, according to a new infographic by Definitive Healthcare, LLC.

The infographic reviews eight healthcare industry trends that will be relevant this year.


Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare IndustryGiven the powerful patterns disrupting healthcare, what will it take to succeed as a high-velocity healthcare organization in the coming year?

Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare Industry, HIN’s 16th annual business forecast, is designed to support healthcare C-suite planning as leaders continue to strive to improve healthcare quality and access and reduce costs as the industry continues its move toward a value-based system.

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Infographic: How Much Do States Spend on Low-Value Care?

February 12th, 2020 by Melanie Matthews

Low-value care is often a major driver of health system inefficiencies, medical errors and wasteful spending, according to a new infographic by The Research Consortium for Health Care Value Assessment.

The infographic examines the estimated cost of low-value care annually, a case study of low-value care in Virginia and the top five costliest healthcare services.

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: 5 Immediate Benefits of Clinical Communications

February 10th, 2020 by Melanie Matthews

Healthcare delivery today requires organizations to significantly improve their clinical communications, according to a new infographic by TigerText.

The infographic examines five benefits from improved clinical communications.

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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Infographic: 6 Ways House Calls Improve Patient Care

February 7th, 2020 by Melanie Matthews

House calls can improve patient care in many ways, according to a new infographic by Landmark Health.

The infographic examines six ways in which patients benefit from home visits.

Post-Discharge Home Visits: 5 Pillars to Reduce Readmissions and Engage High-Risk PatientsTimely home visits following patients’ discharge from the hospital offer patients tools and support that promote self-management and reduce the likelihood of readmission to the hospital.

In Post-Discharge Home Visits: 5 Pillars to Reduce Readmissions and Engage High-Risk Patients Danielle Amrine, transitional care business manager at the Council on Aging (COA) Southwestern Ohio, describes her organization’s home visit intervention, which is designed to encourage and empower patients of any age and their caregivers to assert a more active role during their care transition and avoid breakdowns in post-discharge care.

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Infographic: Advancing Health Equity

February 5th, 2020 by Melanie Matthews

Lack of equity is a major deficiency in the U.S. healthcare system, leading to negative health outcomes and excess costs, according to a new infographic by Sutter Health.

The infographic highlights trends in health inequalities, findings from Sutter Health’s Health Equity Index (HEI) and areas in which Sutter Health is focusing following its HEI.

2019 Healthcare Benchmarks: Social Determinants of HealthOne-third of Americans are grappling with stress tied to meeting their basic human needs such as stable housing, adequate food, and reliable transportation, according to the results of a new national survey from Kaiser Permanente. The survey, Social Needs in America, also found that Americans overwhelmingly want healthcare providers to be involved in identifying and addressing these non-medical social needs.

2019 Healthcare Benchmarks: Social Determinants of Health is the second comprehensive analysis by the Healthcare Intelligence Network of programs aimed at addressing social determinants of health (SDOH), including populations prioritized for SDOH screening, preferred screening tools, interventions, results and ROI.

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Infographic: The Healthcare Experience Transformation

February 3rd, 2020 by Melanie Matthews

Creating an exceptional healthcare journey is more difficult today than ever before, according to a new infographic by 8×8, Inc.

The infographic examines what’s driving the transformation and why healthcare organizations need to transform.

2019 Healthcare Benchmarks: Patient EngagementThe perennial challenge for healthcare organizations as they continue to develop and refine programs aimed at improving healthcare quality while reducing costs is engaging patients in these initiatives. Actively engaged patients have been shown to have lower costs and improved outcomes.

In fact, a recent study released by Humana on its wellness rewards program, Go365®, found that high-engaged members had lower healthcare cost increases than members with low or medium engagement. These highly engaged members paid a per member per month average of 22 percent less in healthcare than low-engaged members, had 35 percent fewer emergency room visits and 30 percent fewer hospital admissions than low-engaged members and had 11 percent more preventive doctor’s office visits than low-engaged members.

2019 Healthcare Benchmarks: Patient Engagement is the third comprehensive analysis by the Healthcare Intelligence Network of programs aimed at improving patient engagement, including how patients are identified for patient engagement interventions, populations presenting the most significant challenges, program components and results and ROI, based on responses from over 50 healthcare organizations to the October 2019 patient engagement survey.

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Infographic: 2019 Alternative Payment Models Measurement

January 31st, 2020 by Melanie Matthews

In 2018, 35.8 percent of U.S. healthcare payments, representing approximately 226.5 million Americans and 77 percent of the covered population, flowed through alternative payment models (APM) built on fee-for-service architecture or population-based payments, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic highlights the payer perspective on the future of APM adoption as well as the top three barriers and the top three facilitators of APMs.

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.

Have an infographic you’d like featured on our site? Click here for submission guidelines.