Posts Tagged ‘healthcare price transparency’

Infographic: Strategic Pricing Factors for a Healthcare Provider

January 10th, 2020 by Melanie Matthews

Price is an increasingly important factor as consumers shop for product network benefits and choose healthcare services. Providers need a pricing strategy that is responsive to this new reality, according to a new infographic by BDC Advisors.

The infographic highlights essential factors to consider when determining a pricing strategy.

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: How Payers and Providers Should Approach Price Transparency Changes

January 6th, 2020 by Melanie Matthews

The Centers for Medicare and Medicaid Services (CMS) recently released two rules (one final, one proposed) to advance the Trump administration’s agenda to create a transparent healthcare marketplace. The rules are designed to spur competition that will benefit consumers by making hospital prices and out-of-pocket costs much clearer and to remove the secrecy surrounding contracted prices. If the rules are enacted in a way that’s consistent with the current proposals (which is a big if), the impact to consumers could be wide ranging, but will heavily depend on how payers and providers respond, according to a new infographic by Oliver Wyman.

The infographic outlines considerations for both payers and providers to address these price transparency changes.

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: Healthcare Price Transparency

December 17th, 2018 by Melanie Matthews

As price transparency becomes essential to a patient’s experience, it’s important to understand why it matters to patients, and the impact it can have to a hospital’s bottom line, according to a new infographic by TransUnion LLC.

The infographic examines patients’ perspectives on healthcare price transparency, state healthcare transparency laws and how transparency challenges can be overcome.

Predictive Healthcare Analytics: Four Pillars for SuccessWith an increasing percentage of at-risk healthcare payments, the Allina Health System’s Minneapolis Heart Institute began to drill down on the reasons for clinical variations among its cardiovascular patients. The Heart Institute’s Center for Healthcare Delivery Innovation, charged with analyzing and reducing unnecessary clinical variation, has saved over $155 million by reducing this unnecessary clinical variation through its predictive analytics programs.

During Predictive Healthcare Analytics: Four Pillars for Success, a 45-minute webinar, now available for replay, Pam Rush, cardiovascular clinical service line program director at Allina Health, and Dr. Steven Bradley, cardiologist, Minneapolis Heart Institute (MHI) and associate director, MHI Healthcare Delivery Innovation Center, shared their organization’s four pillars of predictive analytics success…addressing population health issues, reducing clinical variation, testing new processes and leveraging an enterprise data warehouse. Click here for more information.

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