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At UPMC, Turbo-Charging Quality Improvement Efforts through Data Analytics

December 11, 2018  |  Mark Hagland, Editor-in-Chief
article
At UPMC in Pittsburgh, Dr. Oscar Marroquin is leading a team of data analysts whose work is facilitating efforts to improve outcomes around readmissions and other important areas

NCQA Moves Into the Population Health Sphere With Two New Programs

December 10, 2018  |  Mark Hagland, Editor-in-Chief
news
The NCQA, known primarily for decades as a nationwide evaluator of managed health plan quality, announced on Monday that it was expanding its reach to encompass the measurement of population health management programs

Medicaid Transformation Project Expands to 24 Health Systems

December 6, 2018  |  Heather Landi, Associate Editor
news
Seven new health systems have joined the Medicaid Transformation Project, a national effort to transform healthcare and related social needs for the nearly 75 million Americans who rely on Medicaid.

Recent Humana Report Points to Encouraging Progress in the Shift to Value-Based Care

November 26, 2018  |  Heather Landi, Associate Editor
article
A recent study from Humana reports ongoing progress in improving health outcomes and lowering costs among patients treated by physicians in Humana Medicare Advantage value-based agreements.

At the D.C. Department of Health Care Finance, Digging into Data Issues to Collaborate Across Healthcare

November 22, 2018  |  Mark Hagland, Editor-in-Chief
article
Kerda DeHaan and her colleagues at the D.C. Department of Health Care Finance are tackling granular data management issues to expand their collaboration with health plans and providers

How Virtual Care is Improving Access and Affordability of Healthcare

November 20, 2018  |  Lee Horner, CEO of Synzi, Industry Voice
article
Recent CMS developments to expand virtual care access and reimbursement will help chronic care patients remain at home as they participate in the ongoing care needed to manage their conditions.

Olympic Marathons: Performance Improvement Initiatives Help to Power the Long Race

November 14, 2018  |  Mark Hagland, Editor-in-Chief
article
At a time when providers are being pushed to rework patient care delivery to deliver value, formal performance improvement initiatives are helping to achieve clinical and operational transformation.

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

The Key to Clinical and Financial Success? Atrius Health President Gives Out His Recipe

November 8, 2018  |  Rajiv Leventhal, Managing Editor
article
Atrius Health’s president and CEO, Steven Strongwater, M.D., discusses the organization’s population health initiatives that have led to strong clinical and financial performances.

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

Dr. Sanjay Gupta’s Heartening Speech at CHIME18 Should Inspire U.S. Healthcare Leaders

November 6, 2018  |  Rajiv Leventhal, Managing Editor
commentary
Perhaps we can use the story of the Tsimane tribe to push ourselves to develop a greater understanding of why we spend so much money on healthcare and don’t have the results to show for it.

Behind Providence St. Joseph’s Daring Push Into Digital Consumer Engagement

November 5, 2018  |  Mark Hagland, Editor-in-Chief
article
At the HIT Summit in Seattle, Aaron Martin shared insights on how—and why—Providence St. Joseph Health has successfully pushed ahead in its digital consumer engagement strategy

Improving the Communication Infrastructure: Healthcare’s Next Big Wave?

October 31, 2018  |  Rajiv Leventhal, Managing Editor
article
With access to patient health information now commonplace among providers, the next core investment could be in communication channels with patients, according to CHIME’s 2018 HealthCare’s Most Wired survey.

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

Social Determinants Data Project Wins Indiana Tech Challenge

October 12, 2018  |  David Raths, Contributing Editor
news
A project involving social determinants of health data from Regenstrief Institute and the Indiana University Richard M. Fairbanks School of Public Health at IUPUI took home the top prize in the inaugural Indiana Inject Tech Challenge from BioCrossroads.

DOJ Approves CVS-Aetna $69B Merger, On Condition Aetna Divest Part D Business

October 10, 2018  |  Heather Landi, Associate Editor
article
The Justice Department has approved a $69 billion merger between mega-pharmacy retailer CVS Health and health insurer Aetna, on condition that Aetna divest is Medicare Part D prescription drug plan business.

A Data-Driven Effort to Tackle Indiana’s COPD Problem

October 9, 2018  |  Rajiv Leventhal, Managing Editor
article
Although reduction in avoidable readmissions after COPD-related hospitalizations is a national objective, in one Indiana community it’s moved its way up to the very top of the healthcare priority list.

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 Raleigh HIT Summit, Mission Health’s CQO Shares About the Quality Journey

October 2, 2018  |  Mark Hagland
article
At the Health IT Summit in Raleigh, Mission Health CQO Chris DeRienzo, M.D. discussed the challenges—and the accomplishments—in his organization’s continuous performance improvement journey

In Texas, Healthcare Leaders Take a Tech-Enabled Approach to Combat the Opioid Crisis

September 28, 2018  |  Heather Landi, Associate Editor
article
Healthcare leaders in Texas are taking steps to provide ED care teams at hospitals across the state with technology tools to combat opioid abuse and addiction and provide better patient care.

Climbing Up the Risk Ladder: How National ACO Has Built a Winning Value-Based Care Infrastructure

September 27, 2018  |  Rajiv Leventhal, Managing Editor
article
National ACO—headquartered in Beverly Hills, Calif., but with providers in multiple states—has progressed through the federal ACO ranks in a way that could set the path for others

With $6.3M PCORI Contract, UPMC Health Plan to Study Tech-Based Approach to Chronic Disease

September 25, 2018  |  Heather Landi, Associate Editor
news
The UPMC Center for High-Value Health Care was recently awarded a $6.3 million contract from the Patient-Centered Outcomes Research Institute (PCORI) to study different care delivery models to improve outcomes for patients with chronic disease and a co-existing...

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

Humana’s CMO Speaks of the “Bold Goal” Embedded in the Company's Population Health Work

September 14, 2018  |  Heather Landi, Associate Editor
article
Roy Beveridge, M.D., Humana’s chief medical officer, shares his perspectives on the drive to value-based care, population health and addressing social determinants of health.

In South Los Angeles, a High-Tech Hospital Delivers Healthcare to an Underserved Community

September 11, 2018  |  Heather Landi, Associate Editor
article
Executive leaders at Martin Luther King, Jr. Community Hospital discuss the organization's journey to achieve HIMSS Analytics Stage 7 and meeting the healthcare needs of an underserved community.

Putting Social Determinants of Health Data into Action

September 10, 2018  |  Heather Landi, Associate Editor
article
Leading hospitals, medical groups, and health systems, as well as ACOs and health insurers are moving forward to address social factors impacting health with a number of different approaches.

In the Emerging World of Risk-Based Contracting, Data Analytics Is a Foundational Necessity

September 7, 2018  |  Mark Hagland, Editor-in-Chief
article
With the emergence of more risk-based contracting, including two-sided risk, data analytics has now become fundamental to patient care organizations’ operational and financial success.

Top Ten Tech Trends 2018: Markets and Medicine—Where Do Physicians Land, in the Emerging World of U.S. Healthcare?

September 5, 2018  |  Mark Hagland, Editor-in-Chief
article
Even as the purchasers and payers of healthcare push hard on physicians to embrace value-based care delivery and payment, doctors remain conflicted and ambivalent about the new healthcare.

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