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Managed Care

David Muntz Looks at Dallas, at Texas, and at Nationwide Healthcare Trends—in Context

November 13, 2017  |  Mark Hagland
article
David Muntz, the former Deputy National Coordinator for Health IT, and a former healthcare CIO for decades prior to that, offers his perspectives on key trends impacting the Dallas and Texas healthcare markets.

Good Signs: NYC Health + Hospitals Corporation Boasts a True ACO Success Story

November 9, 2017  |  Mark Hagland
commentary
New York City Health & Hospitals Corporation’s leaders have been able to boast very impressive results from their organization’s MSSP work--results that offer hope for leaders from all types of patient care organizations

The MACRA QPP 2018 Final Rule: Is It a Glass Half-Empty or a Glass Half-Full?

November 7, 2017  |  Mark Hagland
commentary
What one thinks of the QPP CY 2018 final rule could depend at least partly on a number of factors, including where one “sits” in the healthcare stakeholder constellation—and what one might have to do to respond to it, as a result

Could Providing More Context Reshape Healthcare Consumer Choices? One Survey Says It Could

November 7, 2017  |  Mark Hagland
article
Survey results announced on Nov. 2 by the health technology company Grand Rounds indicate that healthcare consumers will choose perceived physician outcomes quality over appointment convenience—if given information in context

In Dallas, UT Southwestern’s Leaders Push Ahead on their Ambulatory Quality Initiative

November 3, 2017  |  Mark Hagland
article
Things continue to move forward at UT Southwestern, where an extraordinary Ambulatory Quality Outcomes initiative snared its leaders the first-place award in Healthcare Informatics’ 2016 Innovator Awards Program

BREAKING NEWS: CMS Publishes CY 2018 MACRA QPP Final Rule

November 2, 2017  |  Mark Hagland, Rajiv Leventhal, Heather Landi, and David Raths
article
Late in the afternoon on Thursday, Nov. 2, CMS published its calendar-year 2018 Quality Payment Program final rule, under the MACRA law, with important modifications for physicians

Readmissions Readjustment: Time to Think Carefully about Any Impacts on Safety-Net Hospitals

October 24, 2017  |  Mark Hagland
commentary
A new study in The New England Journal of Medicine is shedding light on some of the complexity around Medicare’s readmissions reduction program, and reinforcing the importance of federal officials’ exercising very good discernment going forward

New CMS Data on ACOs: Maybe Not a High-Speed Train, But a Train Nonetheless

October 17, 2017  |  Mark Hagland
commentary
CMS’s release last week of data from the Pioneer and Next Gen ACO programs revealed genuine progress being made among participating ACOs—with lots of opportunity for ongoing improvements, of course

With the Future of CMMI in Dynamic Flux, One Federal Advocacy Leader Shares His Perspectives

October 13, 2017  |  Mark Hagland
article
Like leaders of other healthcare professional associations, Blair Childs of Premier Inc. has been carefully watching what’s been happening with the Center for Medicare and Medicaid Innovation (CMMI), as CMMI’s payment innovation work remains an industry focus

As North Carolina Moves Towards Medicaid Managed Care, Its Leaders Approach the Operational Issues

October 11, 2017  |  Mark Hagland
article
As North Carolina moves to transform its Medicaid program into a managed care one, its operations leaders are tackling the process and IT challenges involved, notes Sam Gibbs, a speaker at the upcoming Health IT Summit in Raleigh

A Health Affairs Study Finds ACOs Moving Forward Quickly—If Unevenly—Into Risk

October 6, 2017  |  Mark Hagland
article
A study published online this week in Health Affairs offers some of the best analysis yet, based on survey data, around the accelerating pace of ACO development—and its numerous implications for healthcare IT leaders

UHIN, Utah’s Statewide HIE, Pushes the Envelope on Interoperability

October 2, 2017  |  Mark Hagland
article
UHIN, the Utah Health Information Network, that Utah’s statewide HIE, is moving forward quickly to connect payers, providers, public health, and patients, across Utah and beyond—with documented results

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