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At the Beverly Hills HIT Summit, APG’s Crane Offers a Vision of the Future of Medical Care

November 11, 2018  |  Mark Hagland, Editor-in-Chief
article
Don Crane, CEO of APG, a nationwide association of physician groups involved in risk-based contracting, offered HIT Summit attendees a vision of a coordinated care-based future

HIE 2.0: CORHIO’s Leaders Map a Pathway to Advanced Data-Sharing Success in Colorado

November 7, 2018  |  Mark Hagland, Editor-in-Chief
article
The leaders of Colorado’s statewide HIE, CORHIO, have been pushing ahead to advance the next phase of HIE evolution, moving into intensive data normalization work, even as they expand the types of data being shared across the Centennial State

In Northern Virginia, Rethinking ACO Strategies—For PCPs and Specialists

October 30, 2018  |  Mark Hagland, Editor-in-Chief
article
Tricia Nguyen, M.D., a senior executive at the Falls Church, Va.-based Inova Health System shares her perspectives on what she and her colleagues are learning about some of the underlying challenges in ACO work

Nemours Children’s Health’s New CEO: “The Most Exciting Time in Healthcare”

October 12, 2018  |  Mark Hagland
article
R. Lawrence Moss, M.D., who joined Nemours Children’s Health as CEO on Oct. 1, discusses the challenges and opportunities facing children’s hospitals and healthcare in the current environment

Are Disruptive Forces in U.S. Healthcare Accelerating Now? Notes on the Now-Approved CVS-Aetna Deal

October 10, 2018  |  Mark Hagland
commentary
The Department of Justice’s approval Wednesday of the CVS-Aetna merger signals a new phase in the healthcare business world—and it’s time for patient care executives to rethink the meaning of competition—and of market disruption

At the HIT Summit in Raleigh, a Health Plan Executive Points to the Future of Value-Based Care

October 8, 2018  |  Mark Hagland, Editor-in-Chief
article
Speaking at the HIT Summit in Raleigh last month, Humana’s Ben Lunsford offered attendees insights into the future of value-based healthcare, and his health plan’s future intentions

At the HIT Summit in Raleigh, a Probing Discussion of the Value of Data Analytics

September 27, 2018  |  Mark Hagland, Editor-in-Chief
article
At the Health IT Summit in Raleigh on Thursday, a panel of industry leaders considered carefully some of the value-add issues around data analytics—and the implications for healthcare IT leaders nationwide

Premier Inc. Executives: Time to Unpack Some of the Challenges and Opportunities Inherent in the Path Into Risk

September 24, 2018  |  Mark Hagland
article
Shawn Griffin, M.D. and Steve Valentine of Premier Inc. discuss the challenges involved in the path into risk-based contracting, and the potential upending of the landscape by new disruptors

Is the Discourse Over the MSSP Program Teetering Towards Potential Conflict?

September 21, 2018  |  Mark Hagland, Editor-in-Chief
commentary
The joint statement by nine associations challenging CMS Administrator Seema Verma around her plans to insert more rigor into the MSSP program, feels like a teeter-totter moment for CMS

The CEO of a Nationwide Association of MD Groups Sees the Future—and It’s Not in Fee-For-Service

September 18, 2018  |  Mark Hagland
article
Don Crane, CEO of APG, a nationwide association of medical groups working in risk-based contracting, shares his perspectives on the future of medical groups in a shifting landscape

On Staten Island, a Highly Innovative Program That's Redefining What’s Possible Under Medicaid

September 17, 2018  |  Mark Hagland, Editor-in-Chief
article
Healthcare leaders on New York City's Staten Island have been achieving exciting success in population health management in their community’s Medicaid and uninsured populations

Check and Checkmate: Is the Debate Around the MSSP ACO Program About to Get Super-Heated?

September 12, 2018  |  Mark Hagland
commentary
The publication this week in Health Affairs of a study sponsored by NAACOS that implicitly denounces CMS’s method for calculating the success of MSSP ACOs, is a fascinating move in a chess game playing out on multiple policy levels

In Eastern North Carolina, an MD-Run ACO Shows its Success

September 10, 2018  |  Mark Hagland
article
Stephen Nuckolls, CEO of the New Bern, North Carolina-based Coastal Carolina Quality Care, shares his perspectives on why some physician-led ACOs are making huge breakthroughs on quality and cost

Seema Verma’s Big Picture: Tough Love, ACO Acceleration, Interoperability, and Consumer Empowerment?

August 29, 2018  |  Mark Hagland
commentary
Will CMS Administrator Seema Verma’s strategy of pushing hard on providers around ACO development and interoperability help to accelerate the shift to value-based healthcare—or will it backfire?

Assessing CMS’s Risky Move on Risk: Has Seema Verma Pushed MSSP ACOs Into Uncharted Territory?

August 13, 2018  |  Mark Hagland, Editor-in-Chief
commentary
Will Seema Verma’s August 9 announcement of CMS’s new “Pathways to Success” proposal light a fire under the MSSP ACOs, or will it cause provider organizations to flee? CMS officials are taking a risky gamble—with no clear outcome

At the Health IT Summit in Boston, One ACO’s Data-Facilitated Journey Into Value

August 7, 2018  |  Mark Hagland
article
What does it mean for an organization to pursue a data-facilitated journey into value-based care? Bill Gillis, CIO of the Beth Israel Deaconess Care Organization, shared his learnings and perspectives on that subject, at the Health IT Summit in Boston

Can Blue Cross of North Carolina Help to Reshape Its State’s Healthcare Landscape?

July 31, 2018  |  Mark Hagland
commentary
Remarks made by Patrick Conway, M.D. this spring point to some of the opportunities—and profound challenges—facing the shift towards a value-based healthcare system in North Carolina—and the challenges facing health insurers attempting to stimulate that change

Glancing at the Boston Healthcare Provider Market: Consolidation and Physicians

July 28, 2018  |  Mark Hagland
article
Barbara Spivak, M.D., CEO of MACIPA, an area IPA, shares her perspectives on the prospects and context of a proposed mega-merger of Boston-area hospitals—and the impact of ongoing consolidation on physicians

Pondering the Psychology of Incentives in Bundled-Payment Contracts

July 27, 2018  |  Mark Hagland
commentary
Healthcare policy researchers, in an op-ed piece in the Health Affairs Blog, ponder the differences between prospectively and retrospectively based bundled payment incentives to providers—at a moment of early experimentation

HSX, Food Alliance Partnership Extends Data-Sharing to Food, Nutrition

July 24, 2018  |  Heather Landi
news
The Philadelphia-based Metropolitan Area Neighborhood Nutrition Alliance (MANNA) has become a participating member of HealthShare Exchange (HSX), which enables the food alliance to receive important medical updates from HSX on its clients.

Could Last Week’s Proposed-Rule Release Represent an Inflection Point for CMS and for Value-Based Federal Payment?

July 18, 2018  |  Mark Hagland
commentary
CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?

Aligning Incentives in the Forward Evolution Around Value-Based Payment: Major Obstacles Cited

July 16, 2018  |  Mark Hagland
commentary
The implications of a recent HFMA-sponsored analysis of value-based healthcare are many—and challenging, for the pioneers of VBP in new payment models in U.S. healthcare

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018  |  Mark Hagland
commentary
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success

Can We Get to the Next Level When It Comes to Quality Measures for the Care of Patients with Complex Needs?

June 27, 2018  |  Mark Hagland
commentary
A commentary posted online on Tuesday on the Health Affairs website makes important points about the landscape around the measurement of quality in the context of care for patients with complex needs

Geisinger CEO Will Not Join Amazon/Berkshire/JP Morgan Chase Healthcare Initiative

June 12, 2018  |  Mark Hagland
news
Despite initial discussions about his possibly joining the new Amazon/Berkshire Hathaway/JP Morgan Chase healthcare venture, David Feinberg, M.D. stated definitively on Jan. 30 that he will remain CEO of Geisinger Health System

The Strategic and Strategic-IT Challenges Around Risk: Premier Execs Share Their Thoughts

June 11, 2018  |  Mark Hagland
article
Joe Damore, Shawn Griffin, M.D., and Mark Hiller, senior executives at Premier Inc., share their perspectives on the strategic-organizational and strategic-IT challenges involved, as patient care organizations begin to move into risk-based contracting

Leveraging Technology to Support Behavioral Healthcare Management in Michigan

June 8, 2018  |  Mark Hagland
article
At the Community Mental Health Center of Ottawa County in Holland, Michigan, leaders are making progress in leveraging information technology to move forward in care management, in order to integrate and improve care management processes

Rethinking Observation Stays and Readmissions: Experts Study the Issue

May 31, 2018  |  Mark Hagland
commentary
As medical researchers writing in The New England Journal of Medicine are documenting, shifting some patients from normal inpatient stays to observation stays, is turning out to be a far more complicated proposition than meets the eye

Study: Addressing Patients’ Social Barriers Reduces Healthcare Spending

May 30, 2018  | 
news
A recent study conducted by researchers at the University of South Florida (USF) College of Public Health, Tampa, reports that healthcare spending is substantially reduced when people are successfully connected to social services that address social barriers.

Is It Time to Totally Rethink the Concept of Patient Engagement?

May 30, 2018  |  Mark Hagland
commentary
It was fascinating to listen to Dr. Katherine Schneider’s keynote presentation in Philadelphia, “Patient Engagement Is Not an App”—and to ponder the implicit challenge she posed to her audience

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