Archive for the ‘Physician Practices’ Category

Infographic: Should You Outsource Healthcare Billing to Prepare for ICD-10?

April 13th, 2015 by Melanie Matthews

As the deadline to ICD-10 approaches, some physician practices may decide to outsource healthcare billing, according to CureMD.

CureMD has created an infographic to highlight the expected impact of ICD-10 and help physician practices determine if they'll need to outsource their billing for the code changes.

ICD-10-CM/PCS Implementation Action PlanOf all the tapes and books on the market about ICD-10, this important book by an Approved ICD-10 CM-PCS Trainer is a standout. Hospital, physician practice, ambulatory surgery center, freestanding clinics, and long-term care staff who are primary or secondary users of medical coding data will want it as their constant companion as they begin the implementation of ICD-10 at their facility.

ICD-10-CM/PCS Implementation Action Plan goes beyond its comprehensive coverage of ICD-10 CM/PCS to provide you with training tools, as well. This 135-page book also includes an 81-page customizeable document, as well as a customizeable spread sheet log.

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Infographic: Physicians and EHRs

April 6th, 2015 by Melanie Matthews

Electronic Health Records (EHRs) grew out of the computer system that runs a hospital's inner workings. Physicians' needs were an afterthought, according to a new infographic by PatientKeeper. As a result, the typical hospital EHR frequently makes doctors who use it less efficient and productive.

The infographic depicts the way it is today for physician users of EHRs, compared to the way it should (and could) be.

Beyond the EMR: Mining Population Health Analytics to Elevate Accountable CareWhile 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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Are Multi-Specialty Physician Groups ‘Next Generation’ to Transition to ACOs?

March 26th, 2015 by Cheryl Miller

In another step towards advancing models of care that reward value over volume, HHS recently announced the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery, a new initiative designed to move an increasing percentage of Medicare payments into models that support value-based care, and which supports a number of tools including telehealth and post-discharge home services.

With their built-in cadre of healthcare providers, multi-specialty physician groups (referred to here as physician groups), which comprised about a tenth of survey respondents to the Healthcare Intelligence Network's third annual Accountable Care Organization survey administered in 2013, would seem ideally placed to transition to accountable care organizations. Percentage-wise, this sector has the highest rate of existing ACOs (57 percent participating in ACOs versus 34 percent of overall respondents) and twice the rate of participants in the CMS Pioneer ACO program (25 percent versus 13 percent).

Other characteristics of this sector follow.

In other deviations from the norm, twice the number of physician group-reported ACOs favor the hybrid FFS + care coordination + shared savings payment model (75 percent of physician-group ACOs versus 37 percent of overall respondents).

More than half of ACOs in this sector are administered by independent physician associations (IPAs), and most are smaller than the hospital-sized ACOs reported above, with three-quarters reporting a physician staff of less than 100. These ACOs benefit from having specialists on board in greater numbers to help with care coordination of the chronically ill (100 percent include specialists, versus 71 percent overall).

They also unanimously include nurse practitioners (versus 90 percent of overall respondents) and with 50 percent including clinical psychologists in the ACO (versus 42 percent overall), are a little further along on the path of integrating behavioral health into the accountable care initiative.

Cognizant of the full care continuum, these IPA-led ACOs are almost twice as likely as overall respondents to include skilled nursing facilities (50 percent versus 29 percent overall) and hospice (75 percent versus 42 percent overall) in their ACOs.

Perhaps because their organizational structure lends itself to the ACO model, the majority of this sector—75 percent—needed less than year to launch its accountable care organization (versus 29 percent of overall respondents, whose comfort level was between 18 months and two years).

These ACOs seem to have all the clinical pieces in place, reporting near-unanimous usage of evidence-based care, case management, care transition management and population health management. They are also unanimous in the review of clinical outcomes as an ACO success measurement, and much more likely than their counterparts to consider provider satisfaction in program evaluation (50 percent of physician group-led ACOs, versus 32 percent of overall respondents).

Technology-wise, however, there’s some catch-up to be done here: only three-fourths of responding physician groups report the use of EHRs and patient portals, versus near-global usage levels reported in other sectors. This could explain why this sector was three times more likely to report technology as a barrier to ACO creation

Source: 2013 Healthcare Benchmarks: Accountable Care Organizations

http://hin.3dcartstores.com/2014-Healthcare-Benchmarks-Embedded-Case-Management-_p_4985.html

2013 Healthcare Benchmarks: Accountable Care Organizations documents the numerous ways in which accountable care is transforming healthcare delivery, particularly in the area of care coordination, where the ACO model has had the greatest impact for this year's respondents.

Infographic: How Many Doctors Are Using EHRs?

March 20th, 2015 by Melanie Matthews

More than half of U.S. physicians had adopted electronic health records (EHRs) by 2013, according to a new survey by The Commonwealth Fund.

An infographic on the study results breaks down the percentage of physicians who were early adopters, new adopters, partial implementers, planners (adopting in the next two years) and persistent non-adopters, as well as some demographic insight into these groups.

Beyond the EMR: Mining Population Health Analytics to Elevate Accountable CareWhile 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: Physician Adoption of Mobile

March 16th, 2015 by Melanie Matthews

Improved quality and continuity of care, along with time efficiency are the top reasons physicians adopt mobile technology, according to a new study by MedData Group, depicted in a new infographic by the market research firm.

The infographic also examines the growth of physician mobile technology use, the top content physicians view on mobile devices and predictions for the most used healthcare app in 2015.

Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination ResultsNine mobile healthcare remote monitoring pilots integrated with a telephonic care management program are helping Humana to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges.

Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results shares details of Humana's telephonic care management program and how these remote monitoring pilots enhance their care coordination efforts.

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Infographic: Revenue Cycle Management

March 11th, 2015 by Melanie Matthews

Some 76 percent of physician practices handle their billing function in-house, according to a new survey by NextGen Healthcare.

An infographic by NextGen highlights the survey findings, including key billing metrics, best practices for handling denials and overall physician practice performance as it relates to revenue cycle management.


The Business of Medical Practice: Transformational Health 2.0 Skills for Doctors, Third EditionWritten in plain language using nontechnical jargon, The Business of Medical Practice presents a progressive discussion of management and operation strategies. It incorporates prose, news reports, and regulatory and academic perspectives with Health 2.0 examples, and blog and internet links, as well as charts, tables, diagrams, and Web site references, resulting in an all-encompassing resource.

The Business of Medical Practice: Transformational Health 2.0 Skills for Doctors, Third Edition integrates various medical practice business disciplines-from finance and economics to marketing to the strategic management sciences-to improve patient outcomes and achieve best practices in the healthcare administration field.

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Infographic: Social Media Sites Outrank Physician and Hospital Websites in Search Results

February 6th, 2015 by Melanie Matthews

As Americans enroll in healthcare through the Affordable Care Act for the second year in a row, a new study reveals how physicians are being evaluated by prospective patients. The study released by Mercury360®, which helps companies manage their online reputation, found that for over half of physicians observed the first link on a search engine results page (SERP) is a social media site and the percentage is even higher for physicians practicing in several medical specialties. The study has implications for how physicians manage their reputation, communicate with their patients, and how patients come to learn about their doctor.

An infographic by Mercury360® looks at the importance of patient reviews and SERPs by physician specialty.

Establishing, Managing and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical PracticesOnline health information combined with social media channels like Twitter and Facebook has created a new generation of patients. They are empowered. They have a voice in their own care that they never had before, and more are using social media and physician review sites to choose their doctor or medical practice. Given these stakes, you can't afford to leave your online reputation to chance.

Kick off your social media efforts today with Establishing, Managing and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices, a comprehensive resource. In addition to unique insights from practicing physician and social media pioneer Kevin Pho, MD, this book offers doctors a step-by-step guide on how to use social media to manage an online reputation. It also provides insider tips on how to respond to online ratings and a guide to work with all of the major physician review sites.

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Infographic: 10 Things You Should Know About PQRS for 2015

January 21st, 2015 by Melanie Matthews

CMS’ Physician Compare website has begun listing physician participation in its Physician Quality Reporting System (PQRS), which could potentially mean a loss of new patients based on nonparticipation in the program, according to a new infographic by HealthFusion.

The infographic lists 10 key features of the PQRS program.

Physician Value-Based Reimbursement: Quality Rewards for Population Health With more than a quarter-century of experience with value-based reimbursement models, Humana is ideally positioned to help physician practices navigate the transition from fee for service to fee for value. The payor's multi-level Accountable Care Continuum rewards physician practices for care coordination of Medicare beneficiaries along the population health spectrum.

Physician Value-Based Reimbursement: Quality Rewards for Population Health describes the four tiers of Humana's Physician Quality Rewards program as well as the support, training, technologies and outcomes associated with these pay-for-value relationships.

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Infographic: Physician Quality Transparency

January 12th, 2015 by Melanie Matthews

Independent and objective public quality data are only available for 16 percent of U.S. physicians, and in some states no data is available, according to the second annual State Report Card on Transparency of Physician Quality Information report from the non-profit Health Care Incentives Improvement Institute (HCI3).

HCI3 has released an infographic on the study results that details the importance of transparency as the growth of high-deductible health plans for healthcare consumers continues, along with details on the availability of quality information.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry From 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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Incentives Advance PCP-Specialist Communications in Value-Based Health System

January 6th, 2015 by Cheryl Miller

In a value-based reimbursement model, primary care physicians need to be quarterbacks for their patients, taking an additional interest in their care and following them to the end zone, or to other specialists providing care, says Chip Howard, Humana’s vice president of payment innovation in the provider development center of excellence. This will foster communication between physicians and specialists, a fundamental problem of the classic fee-for-service model.

Question: How can you manage and reward the complex interactions between primary care physicians (PCPs) and sub-specialists?

Response: (Chip Howard) That’s a pretty common question in the industry these days. If you think back to the old model, the classic fee-for-service model, the PCP potentially loses track of the member as they go to a specialist. The volume-based model is very fragmented. You don’t have communication, a fundamental problem of the model. But I think we’re on a discovery to potentially address that. Some thoughts that come to mind are putting incentives in place that will promote communication between PCP and specialists.

At the end of the day in a primary care model, we’re encouraging the PCPs to be the quarterback of the member’s care, to take that additional interest and follow the member through the path to other specialists that are providing care. There are also obligations on the specialist’s part that you would have to engage because it’s a two-way street.

Some other thoughts: we are starting to explore specialist engagement programs, whether it’s looking at bundled payments or at other sorts of programs that incentivize the specialist to achieve the Triple Aim: higher quality, lower cost, best outcomes. Then, putting data and analytics into the hands of PCPs that will enable them to potentially steer those members to specialists that are proving that they can work to achieve the Triple Aim on behalf of the patient.

There are also some ideas about how to promote interactions between PCPs and sub-specialists and start the ball rolling. That is a lot easier in an integrated system-type environment where there is one system that owns the continuum of care for the most part from PCP to specialist, to outpatient, inpatient, etc.

value-based reimbursement
Chip Howard is vice president, payment innovation in the Provider Development Center of Excellence, Humana. He is responsible for advancing Humana’s Accountable Care Continuum, expanding its Provider Reward Programs, innovative payment models and programs that enable providers to become successful risk-taking population health managers.

Source: Physician Value-Based Reimbursement: Quality Rewards for Population Health