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Payers and Providers

Plunging Ahead: Advanced Physician Organization Leaders Move Forward to Manage Risk

July 19, 2017  |  Mark Hagland
article
For the July/August Healthcare Informatics cover story, advanced medical group leaders share how they are analyzing and using data to feed continuous clinical and operational performance improvement

Report: Small Hospitals Lag Far Behind in Transition to Value-Driven Care

July 14, 2017  |  Heather Landi
news
There is a gap in capabilities and core competencies between large and small hospitals and health systems in the ongoing transition to value-driven care. What’s more, small organizations often lag far behind large ones in key components of the transition, putting...

When It Comes to Assessing the Value of the PCMH Model of Care, the Devil Really Is In the Details

July 8, 2017  |  Mark Hagland
commentary
A recent study published in the New England Journal of Medicine has found some seemingly counter-intuitive results, in the analysis of the adoption of the patient-centered medical home model FQHCs—but counter-intuitive only on the surface

Better Communication Tools Needed to Support Payer-Provider Collaboration, Survey Finds

June 29, 2017  |  Heather Landi
news
Online and multi-payer portals are viewed as promising solutions to improve communications between payers and providers while also mitigating costs, yet these tools are underutilized, a survey finds.

Aledade Continues Expansion, Partners with UnitedHealthcare for Accountable Care

June 19, 2017  |  Rajiv Leventhal
news
Aledade, a Bethesda, Md.-based company focused on physician-led accountable care organizations (ACOs), and UnitedHealthcare are working together in a new accountable care program with the aim to improve the quality of healthcare in Arkansas.

Healthcare Executives Forecast Significant Savings from Use of Predictive Analytics

June 8, 2017  |  Heather Landi
news
More than half of health payer and healthcare provider executives believe that predictive analytics will save their organizations 15 percent or more of their total budget over the next five years, according to survey findings from the Society of Actuaries.

Study: Lack of Tools, Poor Payer-Physician Alignment Slowing VBC Adoption

June 6, 2017  |  Heather Landi
news
While there continues to be progress towards increased adoption of value-based care and payment models, the pace has been slowed by poor alignment between health plans and providers, as well as providers lacking the right tools to close critical gaps in...

Most Interesting Vendors 2017: Optum

June 1, 2017  |  Rajiv Leventhal
article
In a healthcare environment that’s becoming more about demonstrating quality and embarking on accountable care, Optum is setting the pace for how to get better insights into data

Time to Pay Attention to CPC-Plus—And Its Enormous Potential to Reshape Primary Care

May 22, 2017  |  Mark Hagland
commentary
CMS’s announcement of the broadening of the geographic base of the Comprehensive Primary Care Plus program speaks to its potential to reshape primary care—and it will take health IT redesign to achieve success

A Recent Study Confirms It: High Volume Contributes to Better Care for High-Needs Patients

May 10, 2017  |  Mark Hagland
commentary
Medical researchers dig deeply into clinic-based care delivery, confirming what many might already have suspected—that volume of care of high-needs patients can strongly impact both the financial and clinical outcomes for patients

Achieving ROI from Population Health Investments: How Realistic is it?

April 5, 2017  |  Rajiv Leventhal
article
The Advisory Board’s Dennis Weaver, M.D., last year led the development of a population health maturity model. He discusses the biggest learnings from it.

Five Steps Toward Maximizing Your Clinical and Business Intelligence

April 4, 2017  |  Kam Reams, Freed Associates
article
Effectively addressing clinical and business intelligence (C&BI) can drive more accountable and higher quality patient care and improve an organization’s financial performance. Kam Reams of Freed Associates shares five steps for addressing C&BI to help...

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