Posts Tagged ‘Population Health Management’

Infographic: Four Challenges in Modern Healthcare

October 8th, 2018 by Melanie Matthews

Healthcare is a central part of modern society and its world is changing like never before, from how care is delivered to how research is gathered and how it’s all financed, according to a new infographic by IBM.

The infographic presents the four biggest challenges healthcare is facing and how technology can help move the industry forward.

The accountable care organization, or ACO, has become a cornerstone of healthcare delivery system and payment reform by raising the bar on healthcare quality and reducing unnecessary costs. There are now more than 700 ACOs in existence today, by a 2017 SK&A estimate.

2017 Healthcare Benchmarks: Accountable Care Organizations, HIN’s fourth compendium of metrics on ACOs, captures ACO operation in today’s value- and quality-focused healthcare environment. This 50-page report, now in its fourth edition, delivers actionable data from healthcare companies who completed HIN’s fourth comprehensive ACO assessment in May 2017.

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Infographic: Seven Essentials Steps to Effective Care Coordination

April 30th, 2018 by Melanie Matthews

Understanding and removing barriers to health and coordination is the key to successful care coordination, according to a new infographic by Optum.

The infographic examines seven essentials steps to removing these barriers.

Care Coordination in an ACO: Population Health Management from Wellness to End-of-LifeWhen acknowledging its position as a top-ranking Medicare Shared Savings Program (MSSP), Memorial Hermann is quick to credit its own physicians—who in 2007 lobbied for a clinically integrated network that formed the foundation of the current Memorial Hermann accountable care organization (ACO). Now, eight years later, collaboration and integration continue to be the engines driving the ACO’s cost savings, reduced utilization and healthy patient engagement rates associated with Memorial Hermann ACO’s highest-risk population.

Care Coordination in an ACO: Population Health Management from Wellness to End-of-Life details Memorial Hermann’s carefully executed journey to quality and the culmination of the ACO’s community-based care management program.

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Infographic: Unlocking the Power of Population Health

April 16th, 2018 by Melanie Matthews

Population health management is one of the primary strategies for achieving greater value in healthcare, according to a new infographic by leidos.

The infographic examines how healthcare organizations can create effective and sustainable population health programs.

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 Much Is Your Unmanaged Population Costing You?

February 23rd, 2018 by Melanie Matthews

Population health management programs are a key factor in a healthcare organizations’ ability to improve health outcomes and lower healthcare costs, according to a new infographic by Conifer Health Solutions.

The infographic follows the journey of two health plan members for the cost and quality impact of implementing a successful population health management 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: A Deep Dive Into Population Health

February 24th, 2017 by Melanie Matthews

Healthcare stakeholders must understand the non-medical factors that contribute to disease, including behavioral, genetic, social, healthcare delivery and environmental, to help formulate, target and implement effective population health management, according to a new infographic by Transcend Insights.

The infographic illustrates what’s happening within each of these domains.

Capturing the Value of Digital Healthcare Transformation

2016 Healthcare Benchmarks: Population Health ManagementPopulation health management remains a top-ranked healthcare development opportunity, according to 2016 industry trends data from The Healthcare Intelligence Network, with many organizations deriving clinical and financial gains from population health’s data-driven, risk-stratified care management approach.

2016 Healthcare Benchmarks: Population Health Management drills down on the latest population health management (PHM) trends, including the prevalence of PHM initiatives, program components, targeted conditions, PHM care team members, challenges and ROI.

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Infographic: Patient Attribution Guide for Population-based Payment Models

January 2nd, 2017 by Melanie Matthews

Patient Attribution Guide for Population-based Payment Models

Patient attribution is a foundational component of population-based payment (PBP) models, which are based on a simple concept: providers accepting accountability for managing the full continuum of care for their patients, according to a new infographic by the Health Care Payment Learning and Action Network.

The infographic outlines the key steps in patient attribution.

Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based RevenueBeyond providing added revenue, billing via Medicare Chronic Care Management (CCM) CPT codes helps to bridge physician practices to value-based care delivery models like the accountable care organization (ACO) or patient-centered medical home (PCMH). Use of the CCM codes is also an opportunity to launch or enhance a chronic care management program. According to 2015 market data, nearly half of responding healthcare organizations lack a formal chronic care management structure, leaving critical reimbursement dollars on the table.

However, practices poised to bill under CCM codes must contend with vague guidance from CMS in certain areas and conflicting interpretations from outside sources on CCM implementation.

Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenue sets the record straight on CCM reimbursement compliance, offering strategies for navigating obstacles and meeting requirements.

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Infographic: Is Your Healthcare Organization Data Rich But Insight Poor?

December 16th, 2016 by Melanie Matthews

Is Your Healthcare Organization Data Rich But Insight Poor?Healthcare organizations with access to electronic healthcare record, claims, socio-demographic and administrative data, have to apply that data through all available lenses to act properly on the data to improve health, according to new infographic by Optum.

The infographic details three possible lenses through which healthcare data should be examined, as well as finding opportunities for intervention and measuring intervention success.

The move from fee-for-service to value-based healthcare is driving the need for increased capabilities in population health management, including addressing all of the areas that may impact a person’s health. There is growing recognition that a broad range of social, economic and environmental factors shape an individual’s health, according to the New England Journal of Medicine. In fact, 60 percent of premature deaths are due to either individual behaviors or social and environmental factors. Healthcare providers who adopt value-based reimbursement models have an economic interest in all of the factors that impact a person’s health and providers must develop new skills and data gathering capabilities and forge community partnerships to understand and impact these factors.

During Social Determinants and Population Health: Moving Beyond Clinical Data in a Value-Based Healthcare System, a December 8th webinar, now available for replay, Dr. Randall Williams, chief executive officer, Pharos Innovations, shares his insight on the opportunity available to providers to impact population health beyond traditional clinical factors.

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HINfographic: The Rising Risk: Harvesting Population Health’s Low-Hanging Fruit

October 5th, 2016 by Melanie Matthews

Paramount to population health management success under risk-based contracts is strategic oversight of the ‘rising risk’—individuals with two or more unmanaged health conditions. One quarter of respondents to the 2016 Population Health Management survey by the Healthcare Intelligence Network zero in on their own ‘rising risk’ populations.

A new infographic by HIN examines the health risks served by population health management programs and how population health management services are delivered.

2016 Healthcare Benchmarks: Population Health Management2016 Healthcare Benchmarks: Population Health Management analyzes responses of more than 100 healthcare organizations to HIN’s third comprehensive industry survey on PHM trends administered in spring 2016. It delivers the latest metrics on current and future PHM initiatives, providing actionable data on the most effective PHM tools and workflows, risk identification strategies, communication and engagement tools, program delivery modalities, results and challenges, and much, much more.

2016 Healthcare Benchmarks: Population Health Management is supported with more than 50 graphs and tables and describes many successes respondents have achieved with a PHM approach. Participating organizations also weigh in on the sustainability of a population health management approach. Click here for more information.

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Infographic: Population Health and Children’s Hospitals

June 15th, 2016 by Melanie Matthews

More than two-thirds of children’s hospitals consider population health a top priority, according to a new survey by the Children’s Hospital Association (CHA).

A new infographic by CHA examines the defined populations for which hospitals have aligned payment models for population health management, funding sources for population health programs, the percent of organizations with risk-based contracts and the need for reliable data for population health management.

2016 Healthcare Benchmarks: Population Health ManagementPopulation health management remains a top-ranked healthcare development opportunity, according to 2016 industry trends data from The Healthcare Intelligence Network, with many organizations deriving clinical and financial gains from population health’s data-driven, risk-stratified care management approach.

2016 Healthcare Benchmarks: Population Health Management drills down on the latest population health management (PHM) trends, including the prevalence of PHM initiatives, program components, targeted conditions, PHM care team members, challenges and ROI.

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Infographic: How EMS Can Help Reduce Gaps in Care

May 18th, 2016 by Melanie Matthews

Emergency management services (EMS) can fill gaps in the care continuum with 24/7 medical resources that improve the patient care experience, improve population health, and reduces costs, according to the National Association of Emergency Medical Technicians (NAEMT). EMS is uniquely positioned to support healthcare transformation by assessing and navigating patients to the right care, in the right place, at the right time.

NAEMT created an infographic to explain the EMS role in healthcare transformation and how EMS can expand its services to fulfill this new role.

Yale New Haven Health System (YNHHS) takes an on-site, embedded face-to-face approach to coordinating care for its highest-risk, highest-cost patients—whether identified within its own employee population, inside a patient-centered medical home (PCMH), or among the geriatric homebound. The Connecticut-based health system believes this vision of care management is the most direct path to success in a value-based healthcare industry.

In 3 Embedded Care Coordination Models to Manage Diverse High-Risk, High-Cost Patients across the Continuum examines YNHHS’s three models of embedded care coordination that deliver value while managing care across time, across people, and across the entire continuum of care.

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