Posts Tagged ‘maternity care’

Infographic: Maternity Episodes of Care

January 16th, 2017 by Melanie Matthews

Maternity Episodes of CareThe cost of maternity care varies significantly by payer (commercial or Medicaid), by type of birth (vaginal or cesarean section), and by setting (hospital or birth center). Too often, women are not experiencing optimal outcomes in maternity care despite the significant resources spent, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic examines how an episode of care could be applied to maternity care—from an episode timeline for prenatal through postpartum care; episode parameters; operational considerations; and maternity care design elements.

Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) has awarded $3 million to 51 specialty medical practices as part of a shared savings arrangement through the company’s Episodes of Care (EOC) program. The doctors, in five different specialty areas, earned the payments by achieving quality, cost efficiency and patient satisfaction goals in 2014 while treating more than 8,000 Horizon BCBSNJ members. As the largest commercial payor of Episodes of Care in the United States, Horizon BCBSNJ recently reported far lower hospital readmission rates and improved clinical outcomes for members in its EOC practices versus non-EOC practices in 2014.

During Episodes of Care: Improving Clinical Outcomes and Reducing Total Cost of Care Through a Collaborative Payor-Provider Relationship, a March 31, 2016 webinar, available for replay, Lili Brillstein, director of the Horizon EOC program, shares the details behind the health plan’s EOC program, from the episodes they have bundled to the goals and results from the program.

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Infographic: Variations in Maternity Care Quality Measures

December 10th, 2014 by Melanie Matthews

Hospital performance on four measures of maternity care — low-risk C-section rates, episiotomy rates, rates of exclusive breastfeeding before discharge, and VBAC (vaginal birth after C-section) rates — varied widely by hospital in California, according to an analysis by the California Hospital Assessment and Reporting Taskforce.

This infographic illustrates how two first-time expectant mothers, each with a low-risk pregnancy, can have very different delivery experiences depending on the hospital.

6 Value-Based Physician Reimbursement Models: Action Plans for Alignment, Analytics and ProfitabilityIn today’s value-based healthcare sphere, providers must not only shoulder more responsibility for healthcare outcomes, cost and quality but also align with emerging compensation models rewarding these efforts—models that often seem confusing or contradictory. The challenges for payors and partners in creating a common value-based vision are sizing the reimbursement model to the provider organization and engaging physicians’ skills, knowledge and behaviors to foster program success.

6 Value-Based Physician Reimbursement Models: Action Plans for Alignment, Analytics and Profitability examines a set of provider compensation models across the collaboration continuum, advising adopters on potential pitfalls and suggesting strategies to survive implementation bumps.

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Infographic: Health Reform and Women

October 21st, 2013 by Jackie Lyons

The January 1, 2014 ACA individual mandate deadline is approaching. Many women will reap the benefits of this legislation, according to a new infographic from Geisinger Health Plan.

The law prohibits health insurance companies who sell individual and small group health policies from charging women higher rates than men for coverage, which 92 percent of health plans currently do. This infographic also outlines the benefits the ACA will provide women regarding extended coverage, pre-existing conditions, preventive care, Medicare, maternity coverage and more.

Health Reform and Women

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You may also be interested in this related resource: Accountable Care: Bridging the Health Information Divide, First Edition.