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Patient-Centered Medical Home (PCMH)

Reinventing Utilization Management to Bring Value to the Point of Care

February 21, 2018  |  Nilo Mehrabian Vice President, Product Management, Decision Support, Change Healthcare
article
How an automated exception-based approach can make UM more efficient and effective.

At One Florida Practice, MD Leaders are Leveraging Telehealth to Bridge Gaps in Care for Pediatric ADHD Patients

April 20, 2018  |  Heather Landi
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A leading private pediatric practice in Jacksonville, Florida is seeing success with the use of a telehealth platform targeting a particular population of pediatric patients, children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD).

Housing is Healthcare: How a PCMH is Caring for NYC’s Homeless Population

March 14, 2018  |  Rajiv Leventhal
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A PCMH approach at Care for the Homeless has enabled the organization to improve access to care, increase care coordination, and enhance the quality of care for the city’s homeless population.

Patient Access and Analytics: Perfect Together

February 7, 2018  |  Jason Williams, Vice President, Business Strategy & Analytics, Change Healthcare
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Applying analytics to patient access can radically improve a health system’s ability to understand what’s influencing financial performance, and improve the metrics that matter.

Study: Payers, Providers, Patients Differ on Consumer Engagement Investments, Effectiveness

January 29, 2018  |  Change Healthcare
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Value-based care is driving investments in consumer engagement strategies and technologies, but consumers are not seeing the difference.

Rasu Shrestha, M.D. on Value-Based Imaging: “Radiologists Need to Become Part of the Care Team”

December 20, 2017  |  Heather Landi
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Rasu Shrestha, M.D., chief innovation officer at Pittsburgh-based UPMC, shares his perspectives on what's at stake for the imaging industry in the ongoing evolution of healthcare and the path forward toward value-based imaging.

A Framework for the Future: 3 Steps to Building an Enterprise Architecture

December 18, 2017  |  Bob Hoover, VP of Consulting Services at Change Healthcare
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Successfully delivering value from healthcare IT investments is difficult. That’s a refrain I’ve heard again and again from healthcare leaders, whether in the boardroom, the executive suite, or the data center.

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

December 8, 2017  |  Carol Everhart, RN, MS, IQCI, Senior Clinical Consultant, Decision Support Change Healthcare
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Hospitals everywhere are striving to answer this question: How can we better manage denials? Denials related to medical necessity account for about 5% of denials nationally. But by closing common gaps that lead to medical necessity denials, your...

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
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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
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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
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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.

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