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Patient-Centered Medical Home (PCMH)

Research Finds States Remain Committed to Value-Based Payment Models

November 16, 2017  |  Carolyn Wukitch, Senior Vice President & General Manager, Network & Financial Management, Change Healthcare
article
Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington. That’s according to a new national study commissioned by Change Healthcare which finds over 40 states pursuing...

MACRA Rule Reaction: CMS Gets Serious in 2018

November 7, 2017  |  Rajiv Leventhal
article
Despite the fact that many Medicare clinicians will be exempt from MIPS in 2018, for those that are participating, the stakes have been raised

Unnecessary Care: It’s Not Necessary

November 2, 2017  |  Suresh Yarlagadda, Medical Director, Clinical Strategy, Change Healthcare
article
Unnecessary care is unnecessarily in the news these days. We say “unnecessarily” because such care—as well as the associated costs it incurs and risks it poses for patients—can be mitigated. Kaiser Health News just published a report, “So Much Care It Hurts...

In New Mexico, a Medical Home Model Created Outside the Hospital

October 12, 2017  |  Rajiv Leventhal
article
Barbara McAneny, M.D., an oncologist/hematologist, was the leader behind the Community Oncology Medical Home, a model built around keeping patients out of the hospital.

The Dawn of Consumerism: Key trends and strategies for healthcare consumerism

October 6, 2017  |  David V. Gallegos, SVP, Consulting Services, Change Healthcare Consulting
article
Reducing costs and improving quality are the two prevailing objectives behind most healthcare initiatives. However, one leg of the proverbial stool that doesn’t get much attention are the efforts to improve the patient experience. Healthcare in the United...

Research: Interoperability Focus Needs to Shift from Moving Data to Information Usability

October 3, 2017  |  Heather Landi
news
Hospitals’ progress toward interoperability is slow and that progress has mainly been focused on moving information between hospitals, such as sending and receiving data, and not on ensuring the usability of information in clinical decisions, according to...

Chronic Care Management: A Strategic Step to Improve Quality of Care in the Value-based Reimbursement Era

September 15, 2017  |  Bill Sillar, National Director of Clinical Call Services, Change Healthcare
article
Quality of care through optimized performance is today’s mantra in healthcare. It underpins our industry’s pursuit of the Triple Aim: to improve the experience of care, improve the health of populations and reduce per capita costs of healthcare.1 Achieving...

The Road Ahead: The Future of Value-based Care in Today's Climate

August 29, 2017  |  Norberto Correo, Senior Director of Consulting Services, Change Healthcare
article
The U.S. healthcare industry is in a unique situation — organizations are faced with tough decisions as they move forward in today’s turbulent regulatory environment. In fact, many industry experts struggle to provide concrete guidance around value-based care.

Reinventing Claims Management for the Value-Based Era

August 8, 2017  |  Carmen Deguzman Sessoms, FHFMA, AVP, Product Management, Change Healthcare
article
Provider claims management can no longer exist as a silo. With the rapid transformation from fee-for-service to value-based models, denial rates remain high despite advances in technology and automation. For providers to be effective, the revenue cycle...

Getting Ready for MACRA: At World Health Care Congress, an Insightful Look into What Physicians Need to do Next

May 2, 2017  |  Rajiv Leventhal
article
On the first day of the World Health Care Congress, two physician leaders reflected on their organizations' push into APMs while expert panelists gave advice to those who are not yet ready for MACRA.

HIMSS Preview: How R.I. HIE Expanded Real-Time Notifications

February 17, 2017  |  David Raths
article
The Rhode Island Quality Institute (RIQI) is expanding the statewide HIE's capacity to deliver real-time notifications for care transitions from and to emergency departments and hospitals for providers' attributed patients.

ACOs Looking to Expand Population Health Management Capabilities, Report Finds

October 27, 2016  |  Rajiv Leventhal
article
As ACOs continue to progress, they are seeking to expand population health management capabilities, including their relationships with community organizations and patients, according to new research from Charlotte, N.C.-based Premier, Inc.

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