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Outcomes Measures

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

BREAKING: CMS Finalizes “Promoting Interoperability” Rule

August 2, 2018  |  Rajiv Leventhal
article
Just three months after issuing a proposal, the Centers for Medicare & Medicaid Services (CMS) has finalized a rule late this afternoon that will overhaul the meaningful use program with a core emphasis on advancing health data exchange among providers.

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

At BIDCO, a “Pharmacy First” Approach to Population Health is Driving Promising Results

July 31, 2018  |  Heather Landi
article
Leaders at Beth Israel Deaconess Care Organization deployed a unique “pharmacy first” approach specifically to its Rising Risk Management program with the aim of achieving improved health outcomes in months, not years.

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

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?

Study: EHRs Tied with Lower Hospital Mortality, But Only After Systems Have Matured

July 16, 2018  |  Heather Landi
news
Over the past decade, there has been significant national investment in electronic health record (EHR) systems at U.S. hospitals, which was expected to result in improved quality and efficiency of care. However, evidence linking EHR adoption to better care is...

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

Mission Health M.D. Leader on The Power of Technology to Improve Health and Bring Humanity Back to Medical Practice

July 12, 2018  |  Heather Landi
article
At Asheville, North Carolina-based Mission Health, senior leaders have created a culture of continuous improvement grounded in analytics and this is driving significant clinical and operational improvements across the enterprise.

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

At Franciscan Health, an Analytics-Driven Initiative is Improving Patient Care and Reducing Costs

June 11, 2018  |  Heather Landi
article
Franciscan Health is leveraging data and analytics t o help its lower-performing physicians bring their practice in-line with their best-performing colleagues, with the goal of not only improving patient care but also reducing overall costs.

Study: Health Information Exchanges Improve Care, Reduce Costs

June 5, 2018  |  Heather Landi
news
An updated systematic review of recent studies of health information exchanges found evidence the HIEs reduced both the cost of healthcare and its use, according to researchers at Indiana University.

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

In the New Healthcare, Payers and Providers Look to Redefine Quality

May 30, 2018  |  Rajiv Leventhal
article
The pressure is mounting on providers to deliver better outcomes. But moving forward, federal leaders must strike a balance between being able to measure outcomes while not overburdening patient caregivers even more.

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

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

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

Might CMS Move to Implicitly Mandate Health Data Exchange at Discharge, at the Federal Level?

April 26, 2018  |  Mark Hagland
commentary
Embedded in the release of a new proposed rule around what has been known as the meaningful use program, CMS officials have indicated the possibility that they might mandate electronic sharing of discharge data at the point of discharge

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

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

At the HIT Summit in Cleveland, MetroHealth Executives Share their Journey into Value

March 30, 2018  |  Mark Hagland
article
Drs. Nabil Chehade and David Kaelber of Cleveland’s MetroHealth System shared with HIT Summit-Cleveland attendees insights on their organization’s journey into value-based care delivery, including on the vital role of HIT

A Clinically Integrated Network Forges Success in Southeastern New Jersey

March 25, 2018  |  Mark Hagland
article
In New Jersey, Shore Quality Partners is succeeding as a clinically integrated network, through clear strategy and excellent execution—and successful leveraging of data and IT to support clinical transformation

Could the MedPAC Proposal Around MIPS End Up Being the Wrong Answer to the Right Question?

March 20, 2018  |  Mark Hagland
commentary
The Medicare Payment Advisory Commission, or MedPAC, has proposed that Congress eliminate the MIPS program and replace it with a new value-based purchasing program—but does that proposal make sense in the current policy and payment moment?

Healthcare Innovation Leader David B. Nash, M.D. Shares His Perspectives on the Current Moment in Population Health

March 16, 2018  |  Mark Hagland
article
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, shares his perspectives on the current moment in—and future prospects of—the population health management phenomenon

CMS Makes a Big Splash with Verma’s Speech, But What Does It Really Mean?

March 8, 2018  |  Mark Hagland
commentary
CMS Administrator Seema Verma made a huge splash with her speech Tuesday at HIMSS18, and that speech was followed by another significant one that HHS Secretary Alex Azar made at AHIP today; but what will the concrete fruits of those speeches be?

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