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

August 13, 2018  |  Mark Hagland
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

Dr. Glenn Steele on the Path Forward Towards Care Delivery Transformation

May 20, 2018  |  Mark Hagland
article
Healthcare Informatics caught up recently with Glenn D. Steele, Jr., M.D., Ph.D., who has been busy spreading the gospel of the Geisinger approach to healthcare delivery innovation, U.S. healthcare system-wide

Are Federal Health Officials Fed Up With Providers’ Unwillingness to Take on Downside Risk?

May 14, 2018  |  Mark Hagland
commentary
A series of tough public statements by senior federal healthcare officials point to an underlying problem: the federal experiment with accountable care isn’t moving the needle fast enough to really bend the overall healthcare cost curve

At HLTH, a Candid Discussion of What the Federal Government Can and Should Do to Promote Healthcare Innovation

May 11, 2018  |  Mark Hagland
article
At the HLTH Conference this week, Rasu Shrestha, M.D. of UPMC sat down with HHS CTO Bruce Greenstein and former United States CTO Aneesh Chopra, to discuss the federal government’s role in facilitating technology innovation

Digital Health Innovators are Setting their Sights on Medicaid—Can the Private Sector Improve Healthcare?

May 11, 2018  |  Heather Landi
commentary
Digital health innovators and entrepreneurs are setting their sights on the Medicaid market. Can private sector-led innovation significantly improve care for vulnerable and complex patients?

At the HLTH Conference, Former CMMI Director Patrick Conway Looks Back, and Forward

May 8, 2018  |  Mark Hagland
article
Patrick Conway, M.D., CEO of Blue Cross and Blue Shield of North Carolina, was interviewed as part of a general session at the HLTH Conference—looking back on his tenure as CMMI Director, and forward into the future

HHS Secretary Alex Azar Gives Industry Leaders a Map of the New Healthcare

May 4, 2018  |  Mark Hagland
commentary
On Wednesday at the World Health Care Congress in Washington, D.C., HHS Secretary Alex Azar offered attendees a conceptual map of the new healthcare, at least from the standpoint of federal healthcare policy

At the World Health Care Congress, HHS Secretary Alex Azar Maps Out His Agency’s Top Priorities for Industry Leaders

May 2, 2018  |  Mark Hagland
article
On Wednesday at the World Health Care Congress, HHS Secretary Alex Azar mapped out for attendees his strategic vision of where the U.S. healthcare system needs to go, and the role he sees for his agency in its transformation

At the World Health Care Congress, a Probing Discussion of the Shift Towards Value

April 30, 2018  |  Mark Hagland
article
The shift towards a value-based healthcare system in U.S. healthcare is going to be rocky, industry leaders agreed, during a panel Monday at the World Health Care Congress

At World Health Care Congress, CMS’s Seema Verma Promotes Patient Choice, Criticizes ACA Provisions

April 30, 2018  |  Mark Hagland
article
In an addresss at the World Health Care Congress, CMS Administrator Seema Verma shared her perspectives on healthcare costs, outlined her approach to regulatory reform, and strongly criticized the ACA

The CEO of The Leapfrog Group Speaks about Value, as the World Health Care Congress Gets Underway

April 29, 2018  |  Mark Hagland
article
As the 15th Annual World Health Care Congress got underway in Washington, D.C. on Sunday evening, the Leapfrog Group’s CEO Leah Binder discussed the current status of the concept of value in healthcare—after receiving a Health Value Award

A New Massachusetts Study Finds Consumers Slow to Make Use of Cost Estimate Tools

April 21, 2018  |  Mark Hagland
news
A new report has found that, even as health insurers in Massachusetts, under pressure to provide cost-estimating tools for their members, are giving them more information, plan members are still largely not taking advantage of new tools

What Nebraska’s Physician Shortage Says About the Emerging Healthcare System Nationwide

April 17, 2018  |  Mark Hagland
commentary
A report issued earlier this month by leaders at the University of Nebraska Medical Center looks at the cornhusker state’s physician shortage—with strong implications for the role of healthcare IT in the emerging healthcare system

Connecting Healthcare with Food and Health: First Attempts Are Showing Real Promise

April 14, 2018  |  Mark Hagland
commentary
With health plans like Kaiser Permanente Colorado, and patient care organizations like Geisinger Health System, beginning to work on the issue of food insecurity, as it relates to diabetes, the possibilities of real convergence are many

A Final Rule Around Medicare Advantage Plans Hints at Potential Future Changes to MIPS Data Reporting

April 2, 2018  |  Mark Hagland
article
Amid the announcement of a final rule around changes to the Medicare Advantage program, CMS Administrator Seema Verma hinted at data measurement changes that could touch on provider measures as well

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