Posts Tagged ‘Healthcare Reform’

Infographic: U.S. Public Opinion on Healthcare Reform

April 7th, 2017 by Melanie Matthews

Both Democrats and Republicans give top priority to lowering out-of-pocket costs for healthcare as a key tenet needed in healthcare reform, according to a new infographic in the Visualizing Health Policy series by the Kaiser Family Foundation and the Journal of the American Medical Association.

The infographic details other health reform priorities by the U.S. population in general and by political affiliation.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

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American Health Care Act Fails to Deliver for U.S. House of Representatives’ Vote

March 27th, 2017 by Melanie Matthews

The American Health Care Act, designed to repeal and replace parts of the Affordable Care Act (ACA), was pulled from a vote by the U.S. House of Representatives on Friday, March 24th, by House Speaker Paul Ryan.

With mounting opposition to the bill from the House Freedom Caucus and Democrats, the bill did not have the votes to pass.

Healthcare industry groups, including the American Medical Association, the American Hospital Association and AHIP had also voiced concern over key aspects of the legislation (see Healthcare Reacts to AHCA: Providers ‘Cannot Support Legislation As Drafted’).

The White House has indicated it will now take a wait and see approach to health reform.

What’s your take on the failure of the American Health Care Act to achieve the support of the U.S. House of Representatives and the Trump Administration’s steps to repeal and replace the ACA? What aspects of the ACA are working? What needs to be fixed? Share your thoughts in our comments section below.

Infographic: Implementing Health Reform – A Study in Contrasts

February 12th, 2014 by Jackie Lyons

Although some states are implementing and enforcing the Affordable Care Act (ACA), participation across the country varies greatly. At least five states have declined to implement the new healthcare reform law, according to a new infographic from The Commonwealth Fund.

This infographic shows which states are implementing the ACA and what they are doing to enforce the health reform law, as well as which states are not participating.

Implementing Health Reform - A Study in Contrasts

You may also be interested in this related resource: Healthcare Innovation in Action: 19 Transformative Trends. What does healthcare reform mean for the participating states? Three years post-ACA, early innovators of care delivery models and mandates emanating from healthcare reform are reporting significant success in terms of health outcomes and cost control. This resource examines a set of pioneering efforts supporting the industry’s seismic shift from a volume-based culture to one rewarding value and patient-centeredness.

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: States to Watch for Medicaid Expansion 2014

February 5th, 2014 by Jackie Lyons

Medicaid enrollment is expanding, and it is affecting the healthcare industry across the nation. Still, some states are not expanding their Medicaid programs in 2014. Therefore, people in these states with limited incomes may have fewer coverage options.

This new infographic from The Pew Charitable Trusts shows which states have decided to expand, which states may expand, and which states will not expand coverage. It also includes details for states that may expand concerning the uninsured, estimated new enrollment and federal funds for expansion through 2022.

States to Watch for Medicaid Expansion 2014

 title=In addition to watching medicaid expansion in 2014, there are many other healthcare trends worth focusing on as well. Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry, HIN’s tenth annual industry forecast, provides both a handle on what’s keeping healthcare CEOs up at night and a dream prescription for sounder program management this year. More than 130 responding healthcare organizations identify the top issues facing them today, predict the impact of 2014 ACA mandates on business, and share the best and worst business decisions of 2013 and lessons learned from both.

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: Physician Use of mHealth Affects Patient Satisfaction, Clinical Outcomes

January 27th, 2014 by Jackie Lyons

In the post-reform healthcare environment, patient experience and satisfaction rank as high priority goals for healthcare organizations, along with improving clinical outcomes and reducing total cost of care. The key to accomplishing these goals is digital health technology, according to a new infographic from Booz & Company.

Physicians are 250 percent more likely to own a tablet than any other consumer, and more than half find it expedites their decision making, according to Booz & Company. This infographic also outlines smartphone adoption, online patient/physician communication, patient use of mobile health (mHealth) technology and more.

M-Health Physician Use of Mobile Technology

 title= You may also be interested in this related resource: 7 Patient-Centered Strategies to Generate Value-Based Reimbursement. With clinical outcomes and cost of care hinging on patient satisfaction, patient-centered strategies are necessary to generate substantial reimbursement. This resource explores these and more of the seven healthcare areas ripest for development in 2014.

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.

Infographic: Employers Planning Range of Changes to Healthcare Benefits

November 5th, 2013 by Jackie Lyons

The healthcare provider landscape is shifting amidst healthcare reform. With a wide range of new opportunities for employers to manage costs and improve employee health, employer-provided benefits will transform.

Only 14 percent of employees surveyed believe that the changes their employers will make as a result of healthcare reform will make them and their families better off. This Towers Watson infographic shows expected changes for employers by 2016, redefined commitments to dependents, private versus public exchanges, medical plans for retirees, and more.

Employers Planning Range of Changes to Healthcare Benefits

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.

You may also be interested in this related resource: Health Insurance Exchanges: Product Design, Promotion and Positioning.

Healthcare Business Week in Review: Healthcare Reform, Medication Adherence, Readmission Rates

October 18th, 2013 by Cheryl Miller

Women are in charge when it comes to choosing their family’s healthcare coverage needs.

That’s the bottom line from a new survey from Cigna, which says that, regardless of where they live or who their insurer is, women are the CFOs and CMOs of their households.

Among their top concerns about healthcare coverage, in light of new reforms, are whether they can afford insurance, and care for their elderly parents. The extensive survey covers everything from how many women understand reform (1 in 10) to what steps they’re taking to manage costs (94 percent are using lower cost prescriptions).

A lack of family and social support is one of the seven chief barriers to medication adherence, says Thom Stambaugh, chief pharmacy officer and vice president of clinical programs and specialty pharmacy at CIGNA® Pharmacy Management. If a patient has no friends or family to discuss their health and required medications with, they are more likely to skip them, which is why it’s important to understand which barrier applies to a particular individual when trying to resolve medication compliance issues, and then find a solution around it.

Breast cancer screening, cervical cancer screening, and weight assessment and nutrition counseling for children were among the areas Kaiser Permanente received top marks in, according to the NCQA’s Quality Compass® data, which ranked the company number one in 13 out of 43 effectiveness of care measures. Out of nearly 500 commercial health plans in the nation, no other health plan received more than five No.1 rankings, according to Kaiser officials.

Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations (ACOs), according to a new RAND Corporation study.

Other factors associated with the formation of ACOs include a greater occurrence of payment risk sharing at hospitals, larger integrated hospital systems and primary care physicians practicing in large groups.

A region’s average household income, per capita Medicare spending, enrollment in Medicare Advantage Plans and physician density were not associated with formation of accountable care organizations.

Same-hospital readmission rates are an unreliable predictor for all-hospital readmissions rates, but that rate is what CMS penalizes hospitals for, according to research from the University of Michigan (U-M) Health System, presented at the 2013 Clinical Congress of the American College of Surgeons.

By tracking readmission rates solely within their own facility, instead of looking at rates at other hospitals, officials aren’t getting enough information to effectively target areas for quality improvement, researchers say.

And lastly, sophisticated analytics behind today’s health risk assessments or health risk appraisals (HRAs) provide employers, payors and providers an aggregate view of population health and the raw material for the development of prevention and lifestyle change programs. Tell us how your organization uses HRAs to improve population health in our online survey by October 15, 2013 and get a FREE executive summary of the compiled results.

Healthcare Business Week in Review: Insurance Deadline Extension; Specialty Pharmacies; Care Transitions

July 9th, 2013 by Cheryl Miller

Employers will have more time to comply with the ACA mandate on insurance coverage, according to a White House blog posted by Valerie Jarrett, senior advisor and assistant to the president for Intergovernmental Affairs and Public Engagement.

In response to concern from employers with more than 50 employees working more than 30 hours a week that they would not have enough time to comply with the ruling by 2014, the administration has extended it by a year, and will simplify the reporting process. Plans to open health insurance exchanges on October 1 are still going forward, the administration says. More details can be found inside.

Kidney transplant patients who use specialty pharmacies as opposed to retail pharmacies report lower healthcare costs, according to a study published in the Journal of Managed Care Pharmacy.

The one-year study conducted by Optum found that those transplant patients using individualized services provided by the pharmacies, including adherence and clinical management programs, member education, and counseling services provided by pharmacists trained in transplant pharmacology, showed 30 percent lower post-transplant-related medical costs and 13 percent lower overall healthcare costs.

Medication adherence is one area of transplant medicine that needs improvement, researchers state. While the rate of non-adherence is highest at one to three years post-transplant, it may happen at any point during lifelong therapy.

Personal time and contact with patients during care transitions — before and after their hospital discharge — significantly reduces readmission rates, according to a study conducted by the Bronx Collaborative, a group of hospitals and health insurers in the Bronx, N.Y.

Among 500 patients who received two or more of four interventions by nurse care transition managers in a special program to manage the transition between hospital and home, only 17.6 percent were readmitted to the hospital within 60 days of discharge versus 26.3 percent among a comparison group of 190 patients who received the current standard of care, the data showed.

Another 85 patients who received only one intervention for a variety of reasons had an overall readmission rate of 22.8 percent. More inside on the four interventions.

And, if you have the time, please take our latest 10 question survey on Managing the Dually Eligible. Tell us how you’re managing this population, which constitutes about 9 million individuals who are eligible for both Medicaid and Medicare in the United States, and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.

Meet Health Coach Tiffini Holmes: Corporate Wellness Programs Key to Healthy Workforce

July 3rd, 2013 by Cheryl Miller

This month’s inside look at a health coach, the choices she made on the road to success, and the challenges ahead.

Tiffini Holmes, B.A., MBA, CHC, Owner, Health Coach at Total Transformation Wellness Coaching

HIN: What was your first job out of college and how did you get into health coaching?

(Tiffini Holmes): My first job out of college was as a human resource (HR) assistant for an insurance company. While there I worked my way up to HR manager and began career and personal development coaching.

Have you received any health coaching certifications? If so, please list these certifications.

Yes, I am an American Council on Exercise (ACE) certified health coach.

Has there been a defining moment in your career? Perhaps when you knew you were on the right road?

My defining moment was when my first health coaching client hit their first target goal. I don’t know who was more excited — me or the client. But to be a part of that moment when someone who thought they would never be able to lose weight experienced their first of many victories and to know that in some way I helped them achieve that confirmed that there is nothing else I would rather do with the rest of my life.

In brief, describe your organization.

Total Transformation Wellness Coaching (TTWC) provides individual or group coaching that promotes mental, physical, and emotional wellness. Our organization believes that optimal physical fitness is not enough if the mental or emotional fitness is not in alignment as well. We work with our clients to achieve balance of the mind, body and spirit.

What are two or three important concepts or rules that you follow in health coaching?

  • My number one rule is: No gimmicks! We do not subscribe to quick fixes. We believe in making lifestyle changes that are sustainable.
  • Another rule is we don’t judge at TTWC. We assess where you are on your journey and where would like to be and help you get there. That’s it, that’s all. We don’t judge the why, the how, etc. We just work to fix it.
  • Finally, we have a collaboration rule. Health coaching is a partnership. Goals are set together and a supportive environment is nurtured to further ensure success.

What is the single-most successful thing that your company is doing now?

The single most successful thing we are doing is partnering with The Fitness Representative Personal Training to conduct interactive educational workshops for schools and youth groups to provide vital wellness information and create a fun workout environment to assist them in creating healthy mental, physical, and emotional habits early.

What is the single most effective workflow, process, tool or form that you are using in coaching today?

The most effective tool I am using is a readiness for change questionnaire. The clients take the quiz themselves and score it afterwards to see for themselves if they are really ready to make changes. It is a great discussion tool to get clients up open up about their barriers to change and how we can help them overcome those barriers.

Do you see a trend or path that you have to lock onto for 2013?

Corporate wellness is a trend that TTWC would like to lock into in the coming years. With healthcare reform, the increased costs of healthcare, and employers recognizing the importance of a healthy workforce, corporate wellness programs are becoming more popular. We would like to begin assisting with organizations in developing or improving existing wellness programs.

What is the most satisfying thing about being a health coach?

For me, it’s helping people to live a healthier life, which leads to more enjoyment. When your mind is clear, your body is in great condition, and your spirit is at peace you can really appreciate the fullness of life. The fact that I get to help people with that is a blessing.

What is the greatest challenge of health coaching, and how are you working to overcome this challenge?

People don’t understand what health coaching is all about and they are reluctant to pay for it. I am working to overcome this by partnering with other healthcare professionals like doctors and chiropractors, to pair services and continue to get the word out about how important health coaching is. Additionally, using as many platforms as possible (social media, blogs, health fairs, etc) to educate people on health coaching and wellness in general.

Where did you grow up?

I was born and raised in Evanston, IL, just north of Chicago, where I still live today. I love it!

What college did you attend? Is there a moment from that time that stands out?

I went to college at Michigan State University where I met some of my closest friends! However, I graduated college from DePaul University with a B.S. in management. I also received an MBA from University of Illinois at Chicago and a M.A. of Psychology from National-Louis University.

Are you married? Do you have children?

No husband or kids yet but both are coming soon, I hope. I do have a fabulous niece, though, and I love her to pieces.

What is your favorite hobby and how did it develop in your life?

My favorite hobby is traveling. I am not sure how or when it developed but it’s a very big world out there and I want to see as much of it as possible.

Is there a book you recently read or movie you saw that you would recommend?

I recently read and highly recommend, The Wealth Choice, by Dennis Kimbro. It is a book of success secrets of African American millionaires. Not only does it give you keys to financial wealth but the same principles can be applied to many other areas of life, including health. My favorite quote in the book says, “Others are quick to point out what you should be, but you’re the only person who can decide what you will be.”

Infographic: ACO Activity Assessment Tracks Launch of Accountable Care Organizations

August 17th, 2012 by Patricia Donovan

Click image for ACO metrics and benchmarks.

Check out this new HIN infographic depicting the rapid evolution of the ACO as a bona fide healthcare delivery model.

We’ve discovered infographics, a creative and visual way of conveying the latest healthcare benchmarks we’ve identified. Our e-mailboxes seem to be full of infographics lately, and we have to admit they’re a fun alternative to plain old pie charts and bar graphs. So we are creating a few ourselves, based on data from our healthcare benchmark surveys, and you’ll be seeing them here.

If you’re as new to infographics as we are, there’s one thing you should know: infographics can be LONG. So you usually have to click on it to display the entire image. For example, click on the colorful red image above to enlarge it, and learn about ACO challenges, benefits and locations, metrics to measure ACO success and time needed for ACO implementation.

Scroll down this detailed image to find out who’s running the ACOs, what the industry has to say about accountable care, whether your ACO should be wired with an EHR, and prognostications about the future of ACOs.

If this infographic piques your interest and you’d like to review all of the data that went into the making of it, check out 2012 Healthcare Benchmarks: Accountable Care Organizations

Like the infographic? Then share a comment, and while you’re at it, let us know of any healthcare infographics that catch your eye. We’ll share the best ones here.

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