Posts Tagged ‘value-based healthcare’

Infographic: How Much Do States Spend on Low-Value Care?

February 12th, 2020 by Melanie Matthews

Low-value care is often a major driver of health system inefficiencies, medical errors and wasteful spending, according to a new infographic by The Research Consortium for Health Care Value Assessment.

The infographic examines the estimated cost of low-value care annually, a case study of low-value care in Virginia and the top five costliest healthcare services.

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: 2019 Alternative Payment Models Measurement

January 31st, 2020 by Melanie Matthews

In 2018, 35.8 percent of U.S. healthcare payments, representing approximately 226.5 million Americans and 77 percent of the covered population, flowed through alternative payment models (APM) built on fee-for-service architecture or population-based payments, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic highlights the payer perspective on the future of APM adoption as well as the top three barriers and the top three facilitators of APMs.

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: Snapshot of 2020 MIPS Payment Adjustment

January 27th, 2020 by Melanie Matthews

For the 2018 performance year, 98 percent of eligible clinicians participating in the Merit Based Incentive Payments System (MIPS) will receive a positive payment adjustment in 2020, according to a new infographic by the Centers for Medicare and Medicaid Services.

The infographic highlights MIPS payment adjustment breakouts.

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’s Evolving Payment Landscape

January 20th, 2020 by Melanie Matthews

Value-based healthcare providers still need to persuade doctors that they offer better outcomes than fee-for-service models, according to a new infographic by Bain & Company.

The infographic examines physician perceptions of capitated payments, pay-for-performance and fee-for-service medicine as well as tools to support value-based care.


Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare IndustryGiven the powerful patterns disrupting healthcare, what will it take to succeed as a high-velocity healthcare organization in the coming year?

Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare Industry, HIN’s 16th annual business forecast, is designed to support healthcare C-suite planning as leaders continue to strive to improve healthcare quality and access and reduce costs as the industry continues its move toward a value-based system.

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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: Four Ways To Navigate the Changing Landscape in Value-based Healthcare

September 27th, 2019 by Melanie Matthews

Value-based healthcare is, by all signs, the future of providing, and getting paid, for healthcare. Recent research indicates that hospitals are experiencing success by emphasizing several action areas, with changing mindsets being as important as altering operational models, according to a new infographic by Tork.

The infographic provides four opportunity areas every hospital manager or administrator should consider.

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: Healthcare 2030

July 22nd, 2019 by Melanie Matthews

Ninety percent of incumbents and innovators alike don’t believe healthcare’s status quo will continue. Seventy percent predict value-based care will dominate healthcare by 2030, according to a new infographic by Oliver Wyman.

The infographic examines four possible economic scenarios for healthcare 2030.

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: Value-Based Care Results

July 15th, 2019 by Melanie Matthews

Value-based care has shown promising improvements in quality and total cost of care, according to a new infographic by the Blue Cross Blue Shield Association.

The infographic examines the impact of value-based care on site of care decisions, preventative care sought, chronic care management and the cost trend for Blue Cross and Blue Shield members attributed to Total Care providers.

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: The Financial Impact of Value-Based Healthcare Contracts

April 26th, 2019 by Melanie Matthews

As health systems evaluate their ability to transition from fee-for-service medicine toward value-based care, they must understand the financial impact of their strategy, according to a new infographic by Lumeris.

The infographic examines key decision points and outcomes for a health system.

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.

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.