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Physician Quality: What is it, How do you Measure it, and Why is it Important?

January 11, 2022Garrett Schmitthealth data, healthcare data, patient data, physicians

What is a “quality” physician? Depending on the stakeholder, there will likely be a different answer. A clinician’s response would vary depending on their specialty, training, and practice setting. At the same time, a patient would place greater value in bedside manner and shared decision making. A payer might tell you it is a clinician…

Waves of Pandemic Incite Soaring Demand for Population Health Technology and Analytics Solutions, Black Book 2022 User Survey

January 7, 2022Garrett SchmittCoronavirus, COVID-19, pandemic, Population Health, population health technology

With strengthened provider data sharing employed to combat the COVID-19 pandemic and new interoperability standards applied, 95% of all survey respondents in Q1 2022 expect an increase in related data expenses for health systems and integration problems with vendors. Less than 4% of all respondents foresee any governmental incentives for providers that actively participate in the information-blocking rule fixes in the next…

EHR Integration Streamlines Clinical Workflows, Care Coordination

January 7, 2022Garrett Schmitt

An EHR integration helped streamline clinical workflows and care coordination at an academic hospital system, according to a study published in Applied Clinical Informatics. Following a user-centered design strategy, researchers built and implemented a novel application to facilitate a good clinical workflow. The research revealed rapid clinician adoption and sustained usage of the EHR integration…

Five Predictions For The Fate Of Value-Based Health Care In 2022

January 6, 2022Garrett SchmittACOs, value-based care, vbc

Only a few days into 2022, it seems obvious that many predicted “trends to watch” floated in late 2021 won’t, in fact, be what will matter most in this critical year for health care. Not that these issues aren’t important, but they are not new (if you’ve been paying attention and, hopefully, planning your strategies)….

How Payers Are Linking Community-Based And Value-Based Care To Strengthen Outcomes And Equity

January 6, 2022Garrett SchmittPayers, value-based care, vbc

Like politics, it’s been said that all healthcare is local. But when it comes to the role of community-based organizations (CBO) in supporting health, payers and other stakeholders haven’t quite known how to include their closest neighbors. Add to this the rising importance of social determinants of health (SDOH), which CBOs may be qualified to…

Integra ACO To Launch Home Care Programs Using Advanced Remote Monitoring Technology

January 6, 2022Garrett Schmittaccountable care, accountable care organizations, ACO, ACOs

Yet another benefit of the pandemic’s telehealth expansion is more hospital-at-home (HAH) and remote patient monitoring (RPM) programs. Integra Community Care Network, the accountable care organization (ACO) for Care New England Health System, is launching both in partnership with tech company Biofourmis. And with the Centers for Medicare & Medicaid Services (CMS) expanding HAH waiver…

Medicare Direct Contracting Demo Garners Critics and Defenders

January 4, 2022Garrett Schmittaccountable care, accountable care organizations, ACOs, direct contracting, Medicare

As the Biden administration continues to move Medicare reimbursement from volume-based payment to payments based on value, officials are expanding those efforts to include providers who care for “traditional” Medicare patients and currently bill under a fee-for-service system. The new Direct Contracting program, a demonstration program that began under the Trump administration, allows “a broad…

What CMMI’s director told us about mandatory payment models, ACOs, and more

January 3, 2022Garrett SchmittACO, ACOs, payment models

The world of health care has changed a lot in the past decade, and the Center for Medicare and Medicaid Innovation (CMMI) at CMS has been behind a lot of that change. Radio Advisory’s Rachel Woods sat down with Liz Fowler, director of CMMI, to talk about what innovations CMMI has worked on in the…

Data Drives Value-Based Healthcare

December 30, 2021Garrett SchmittHIT, SDOH, value based, vbc

Acquiring knowledge through advanced analytics on value-based care is a critical success factor in today’s healthcare market. Value-based care aligns diverse interests, including payers, providers, self-funded employers, third-party administrators, brokers, consultants, and patients—value-based care empowers them to deliver, manage, and drive higher patient outcomes while meaningfully managing and decreasing healthcare costs. A recent study of…

Improving Risk Prediction for Chronic Disease Management

December 28, 2021Garrett SchmittChronic Care Management, chronic disease, chronic disease management, chronic diseases, Risk, risk management

For better chronic disease management, Boston University researchers recommend replacing the term “race” with underlying factors that indicate an increased risk for heart attacks and strokes. “If other factors (instead of race itself) determine the risk differences, then the prediction equations should incorporate those factors that cause the differences in predicted risk between the races, rather than race itself….

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