Healthcare is increasingly reliant on data analytics strategies. Population health measures are no exception, as they depend heavily on analytics to monitor metrics for large groups of patients, fill gaps in care, and improve health outcomes. But findings from the latest Insights report revealed that many of these population health efforts are in their infancy….
Health information exchanges (HIEs) advance interoperability and provide clinicians with greater access to patient health data for care coordination, according to an op-ed published in the Journal of AHIMA. Chris Hobson, MD, chief medical officer at Orion Health, and Allen Ausford, MD, FCFP, a clinical professor in the Department of Family Medicine at the University of Alberta,…
The economic fallout related to the COVID-19 pandemic has yet to hit healthcare, but the result is likely to be an amplification of longstanding disparities within the U.S. healthcare system. Factors such as food insecurity, homelessness and access to care can affect a staggering 80% of patient outcomes. There is no single solution, and healthcare providers…
Hospice providers are increasingly turning to data analytics systems to gain an edge against competitors when engaging prospective referral partners, anticipating impacts in value-based care. Data are key to demonstrating the value of hospice to potential referral partners as evolving value-based payment models take effect. The value-based insurance design demonstration project, commonly called the Medicare…
Leigh Williams has a metaphor she likes to use to describe the shift from fee-for-service to value-based care. It’s about fishing, in a boat on a lake. When there’s a storm forming on the horizon when the barometric pressure starts dropping, that’s when the “fish start biting like mad,” said Williams, administrator of business systems…
UnityPoint Health’s participation in the initial rollout of CMS’ Next Generation ACO Model helped them succeed beyond their expectations in their transition to reimbursement risk. In performance year 1 (2016), UnityPoint’s 85,000-member Iowa Health ACO earned more than $10.5 million in shared savings. Like most health systems, UnityPoint still gets more revenue from fee-for-service than…
Accountable care organizations (ACOs) are provider-based networks which utilize data analytics and population health management strategies to increase efficiency, improve patient outcomes, and reduce healthcare costs. Originally established in 2012 as a Medicare payment model, the ACO is now also seen in private payer settings across the healthcare continuum. Full Article