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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.

Top Ten Tech Trends 2018: A Social Determinants of Health Technology Market is Slowly Emerging

September 4, 2018  |  Heather Landi, Associate Editor
article
The IT market for social determinants of health data is currently a nascent field with many providers using homegrown solutions, but adoption of SDoH technology is expected to grow quickly.

Connecting Expectant Moms and Others with Trusted Content—and Gaining Patient Engagement

August 31, 2018  |  Mark Hagland
article
Can the implementation of mobile health applications improve patient outcomes and enhance patient engagement? The leaders at South Shore Health System in Massachusetts say that it can

The First 3 Things ACOs Should Do with Their Data

August 28, 2018  |  Aaron Elias, Industry Voice
article
New ACOs are inundated with many activities, from strategic decisions to technical requirements, but managing and using data should also rank highly on one's list of priorities.

Alameda County to Launch Ambitious Social Health Information Exchange

August 25, 2018  |  David Raths, Contributing Editor
article
Next year, Alameda County, Calif., will launch a social health information exchange (SHIE) and community health record (CHR), focused initially on high utilizers of medical, behavioral, housing and emergency services.

At Wake Forest Baptist Health, What the Mechanics of Clinical Transformation Look Like

August 24, 2018  |  Mark Hagland
article
Chi Huang, M.D., executive medical director of general medicine, is helping to advance clinical transformation processes at Wake Forest Baptist Health in Winston-Salem, North Carolina

Partnership to Fine-Tune Care Model for High-Needs Patients

August 21, 2018  |  David Raths, Contributing Editor
news
A new partnership has formed to accelerate adoption of the Advanced Preventive Care model to improve care and lower costs for high-need patients.

Connecting Medical Care and Social Service Needs: Chicago Health Leaders Take Charge

August 21, 2018  |  Rajiv Leventhal, Managing Editor
article
In Chicago, a group of healthcare leaders have been working on creating a seamless and purposeful link for sharing data between social services agencies and patient-centered medical homes.

Fitbit, Blue Cross Blue Shield Launch Mobile Health Partnership

August 13, 2018  |  Heather Landi
news
San Francisco-based fitness wearable maker Fitbit continues its push into the health plan market with a new digital health deal to incorporate its fitness tracker into health and wellness programs.

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

August 13, 2018  |  Mark Hagland, Editor-in-Chief
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

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.

A Leading CHIO Discusses the VA’s Progress on Health IT Innovation

July 23, 2018  |  Heather Landi
article
Francine Sandrow, M.D., chief health information officer at the Corporal Michael J. Crescenz Veteran's Affairs Medical Center, details how the VHA is leveraging health IT to change the way patients experience medical care and to improve health outcomes.

Nemours Children’s Health: Deploying Technology to Meet Consumers Where They Are

July 21, 2018  |  Mark Hagland
article
At the Health IT Summit in Denver on July 13, Gina Altieri of the Nemours Children’s Health System delivered a presentation on her organization’s bold journey around leveraging technology to meet healthcare consumers where they are

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