Infographic: 2018 Alternative Payment Model Trends

November 8th, 2019 by Melanie Matthews

In 2018, 35.8 percent of United States’ healthcare payments, representing approximately 226.5 million Americans and 77 percent of the covered population, flowed through alternative payment models, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic examines the types of models and their market share.

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: Key Strategies for Developing Successful Consumer-Driven Ambulatory Businesses

November 6th, 2019 by Melanie Matthews

To build a successful consumer-driven ambulatory care business in a value-based market, health systems must retool their ambulatory approach by investing time and resources in six key business strategies, according to a new infographic by BDC Advisors.

The infographic examines these six strategies.

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: Five Fast Facts on Healthcare Industry Trends

November 4th, 2019 by Melanie Matthews

Key healthcare markets are seeing limited quality available medical office building inventory, historically low vacancies and continued increasing demand for outpatient care, according to a new infographic by Cushman & Wakefield.

The infographic examines the top 2019 medical office trends.

Innovative Community Health Partnerships: Clinical Alliances to Reduce Health Disparities in Underserved PopulationsAs one of the poorest urban congressional districts in the country, the Bronx, a New York City borough, was also rated as the last county (#62) in New York for health outcomes and health factors by the Robert Wood Johnson Foundation. In reaction, the Bronx Health REACH initiative formed the “#Not62,” campaign to transform the health of the community.

Innovative Community Health Partnerships: Clinical Alliances to Reduce Health Disparities in Underserved Populations highlights the models of change and key initiatives developed through Bronx Health REACH’s community health transformation project.

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Infographic: Staying Ahead of Rising Costs of Quality Patient Care

November 1st, 2019 by Melanie Matthews

Health systems, healthcare providers, and patients are all feeling the sting of skyrocketing healthcare costs, according to a new infographic by Medefis, Inc.

The infographic examines why costs are rising, how much they are rising and how healthcare systems can reduce expenses and the cost of quality patient care.

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: Medicare Advantage Beneficiaries Could Be More Connected to Electronic Medical Records

October 30th, 2019 by Melanie Matthews

Medicare Advantage (MA) beneficiaries are mostly unsure, or cannot digitally access, their electronic medical records, according to a survey by HealthMine, which is highlighted in a new infographic.

The infographic examines Medicare beneficiaries’ perceptions of patient portals.

Patient Portal Roll-Out Strategy: Activating and Engaging Patients in Self-Care and Population HealthIncreasing patient portal usage is one of several key attributes that contribute to better performing physician practices, according to new research from the Medical Group Management Association. Lehigh Valley Health Network (LVHN)’s patient portal launch in 2015 and its continued growth in portal users has earned it the distinction of being the fastest growing patient portal on the Epic platform. Since that time, LVHN continues to promote the portal through targeted communications and add new features to increase activation and engagement.

During Patient Portal Roll-Out Strategy: Activating and Engaging Patients in Self-Care and Population Health, a 45-minute webinar on November 15th, now available for replay, Lindsay Altimare, director of operations, Lehigh Valley Physician Group at LVHN and Dr. Michael Sheinberg, medical director, medical informatics, Epic transformation, LVHN, share the initial portal roll-out strategy as well as the key details on how portal engagement and functionality have evolved since its launch.

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Infographic: Digital Healthcare Solutions

October 28th, 2019 by Melanie Matthews

Healthcare providers, payers, manufacturers and distributors are leveraging emerging technology solutions to transform healthcare experiences, according to a new infographic by Gateway Digital.

The infographic examines these technology trends in healthcare.

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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Infographic: Staying Ahead of Rising Costs of Quality Patient Care

October 25th, 2019 by Melanie Matthews

Health systems, healthcare providers and patients are all feeling the sting of skyrocketing healthcare costs, according to a new infographic by ShiftWise, Inc.

The infographic examines why costs are rising, how fast they are rising and how health systems can reduce expenses while retaining care quality.

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: Healthcare Cybersecurity in 2019 and Beyond

October 23rd, 2019 by Melanie Matthews

A robust cybersecurity program can lead to increased business performance as well as a better security posture, according to a new infographic by Bitdefender.

The infographic explores the key threats to organizations in this sector—both external and internal, and explains the domino effect of attacks in the ecosystem.

Real-time remote management of high-risk populations curbed hospitalizations, hospital readmissions and ER visits for more than 80 percent of respondents and boosted self-management levels for nearly all remotely monitored patients, according to 2014 market data from the Healthcare Intelligence Network (HIN).

Remote Monitoring of High-Risk Patients: Telehealth Protocols for Chronic Care Management profiles a successful eight-year initiative by New York City Health and Hospitals Corporation’s (NYCHHC) House Calls Telehealth Program that significantly lowered patients’ A1C blood glucose levels.

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Infographic: 5 Recommendations for Improving Patient Experience

October 21st, 2019 by Melanie Matthews

Healthcare organizations are working diligently to improve patient satisfaction and the patient experience of care. After all, patient experience of care is a critical quality domain used to evaluate hospital performance under the 2016 CMS Hospital Value-Based Purchasing (VBP) Program (accounts for 25 percent of a hospital’s VBP score)—and comes with the potential for a penalty or bonus, according to a new infographic by Health Catalyst.

The infographic provides five key recommendations for improving the patient 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 webinar, 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: Overcoming Today’s Healthcare Data Protection Challenges

October 18th, 2019 by Melanie Matthews

By protecting patient data and ensuring it’s available to everyone who needs it, healthcare organizations are helping to safeguard patient care, according to a new infographic by Arcserve (USA) LLC.

The infographic examines healthcare data storage challenges, the financial consequences of not protecting data properly and the biggest barriers to IT transformation.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results Between Medicare’s aggressive migration to value-based payment models and MACRA’s 2017 Quality Payment Program rollout, healthcare providers must accept the inevitability of participation in fee-for-quality reimbursement design—as well as cultivating a grounding in health data analytics to enhance success.

As an early adopter of the Medicare Shared Savings Program (MSSP) and the largest sponsor of MSSP accountable care organizations (ACOs), Collaborative Health Systems (CHS) is uniquely positioned to advise providers on the benefits of data analytics and technology, which CHS views as a major driver in its achievements in the MSSP arena. In performance year 2014, nine of CHS’s 24 MSSP ACOs generated savings and received payments of almost $27 million.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results documents the accomplishments of CHS’s 24 ACOs under the MSSP program, the crucial role of data analytics in CHS operations, and the many lessons learned as an early trailblazer in value-based care delivery.

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