Infographic: Managing Hemophilia Costs

May 17th, 2019 by Melanie Matthews

Hemophilia treatment costs can vary greatly depending on the severity of disease. Total annual costs up to or more than $1 million per year for individual patients are not uncommon, according to a new infographic by Optum, Inc.

The infographic examines how Optum Inc. is applying consistent management and holistic care coordination for patients with hemophilia.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare UtilizationMedicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare Utilization is a comprehensive analysis by the Healthcare Intelligence Network of how healthcare organizations define and address avoidable healthcare utilization. The report captures key actionable metrics on reducing avoidable healthcare utilization initiatives, challenges, case studies and innovative programming.

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Infographic: The Real Impact of Healthcare Supply Chain Inefficiencies

May 15th, 2019 by Melanie Matthews

Healthcare supply chain inefficiencies have the potential to negatively impact clinician satisfaction, productivity and patient care. However, there are opportunities for healthcare distributors to support positive outcomes in the supply chain process, according to a new infographic by Cardinal Health.

The infographic looks at these impacts as well as how the supply chain can be re-designed with clinicians in mind.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare UtilizationMedicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare Utilization is a comprehensive analysis by the Healthcare Intelligence Network of how healthcare organizations define and address avoidable healthcare utilization. The report captures key actionable metrics on reducing avoidable healthcare utilization initiatives, challenges, case studies and innovative programming.

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Infographic: 10 Steps to Improving Healthcare Revenue Cycle Management

May 13th, 2019 by Melanie Matthews

Taking a holistic approach to healthcare revenue cycle management can accelerate collections, reduce denials, and mitigate audit risk. Integrated data analytics coupled with emerging technologies like predictive analytics and guided analysis can help target denials before they happen, prioritize accounts for follow-up, and identify areas of risk to protect from revenue take-backs, according to a new infographic by MedeAnalytics Inc.

The infographic provides 10 best practices for healthcare organizations to take control of their revenue.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: Destination ROI: The Path To Success in Population Health

May 10th, 2019 by Melanie Matthews

Population health success requires a disciplined focus on delivering the right interventions to the right individuals at the right time, according to a new infographic by Evolent Health, Inc.

The infographic provides details on how healthcare organizations should execute each of these steps to maximize population health return on investment.

2018 Healthcare Benchmarks: Population Health ManagementAs the healthcare industry’s pace from volume-based to value-based healthcare payment models accelerates so does the demand for more effective management of population health. With the growth of these payment models, healthcare organizations are taking on more risk in terms of shared savings and shared risk arrangements and are investing heavily in programs to support population health. These programs are expanding in both scope of services and health conditions and disease states managed. With the help of advanced technologies in healthcare, this growth will only continue.

2018 Healthcare Benchmarks: Population Health Management is the fourth comprehensive analysis of population health management by the Healthcare Intelligence Network, capturing key metrics such as populations, health conditions and health risk levels targeted by population health management programs; risk stratification criteria; prevalence of value-based payment models supporting population health management programs; population health management processes, tools, workflows and forms; and program outcomes and ROI from responding healthcare organizations. Click here for more information.

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Infographic: 2018 Physician On-Call and Telemedicine Compensation Survey

May 8th, 2019 by Melanie Matthews

Some 40 percent of hospitals and healthcare systems have physicians providing telemedicine on-call coverage, according to a new infographic by SullivanCotter.

The infographic examines highlights from SullivanCotter’s Physician On-Call and Telemedicine Compensation Survey, including details on hourly rates for trauma and non-trauma call coverage by specialty group, the average number of physicians on a call panel by specialty, the most difficult specialties in securing physicians to provide call coverage and trends in providing shift differentials for evening, weekend or holiday coverage.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics.

Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space.

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Infographic: 8 Must Haves for Modern Clinical Data Integration

May 6th, 2019 by Melanie Matthews

The shift from volume-based to value-based payment models in healthcare has intensified the need for more and accurate clinical data. A clinical data integration platform that enables payers to improve patient outcomes, reduce costs and increase revenue is crucial, according to a new infographic by CitiusTech Inc.

The infographic examines eight critical elements for a clinical data integration system.

Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data AnalyticsHealthcare organizations employ a variety of tools and analytics to identify high-risk, high-cost patients for targeted population health interventions.

Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics presents a range of risk stratification practices to determine candidates for health coaching, case management, home visits, remote monitoring and other initiatives designed to engage individuals with chronic illness, improve health outcomes and reduce healthcare spend.

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Infographic: Physician Supply and Demand Through 2032

May 3rd, 2019 by Melanie Matthews

The United States will see a shortage of up to nearly 122,000 physicians by 2032 as demand for physicians continues to grow faster than supply, according to a new infographic by the Association of American Medical Colleges (AAMC).

The infographic examines the expected physician shortfall and the factors contributing to it.

A 2015 adopter of Medicare’s Chronic Care Management (CCM) reimbursement program, The Center for Primary Care (CPC) quickly expanded its CCM initiative to qualifying Medicare beneficiaries at its nine locations. Today, with a detailed profile of its CCM population and the health improvements and revenue that resulted, the CPC is leveraging this Chronic Care Management experience for participation in MACRA.

Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA describes how early adoption of Medicare’s CCM Reimbursement program enhanced the Center’s MACRA-readiness, laying the foundation for success under the Merit-based Incentive Payment System (MIPS) path.

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Infographic: Unlocking Data-Driven Excellence in Healthcare

May 1st, 2019 by Melanie Matthews

Despite the growth of data and analytics to improve patient outcomes and optimize revenue, the majority of hospitals have work to do in democratizing analytics, according to a new infographic by Alteryx, Inc.

The infographic examines three top data analytics priorities, the number of data sources needed to create meaningful analytics and data analytics obstacles.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results Between Medicare’s aggressive migration to value-based payment models and MACRA’s 2017 Quality Payment Program rollout, healthcare providers must accept the inevitability of participation in fee-for-quality reimbursement design—as well as cultivating a grounding in health data analytics to enhance success.

As an early adopter of the Medicare Shared Savings Program (MSSP) and the largest sponsor of MSSP accountable care organizations (ACOs), Collaborative Health Systems (CHS) is uniquely positioned to advise providers on the benefits of data analytics and technology, which CHS views as a major driver in its achievements in the MSSP arena. In performance year 2014, nine of CHS’s 24 MSSP ACOs generated savings and received payments of almost $27 million.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results documents the accomplishments of CHS’s 24 ACOs under the MSSP program, the crucial role of data analytics in CHS operations, and the many lessons learned as an early trailblazer in value-based care delivery.

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Infographic: Is Your Practice Collecting All of Its Earned Revenue?

April 29th, 2019 by Melanie Matthews

U.S. physician practices lose $125 billion every year due to poor billing practices, according to a new infographic by AllMeds. Unfortunately, many healthcare providers aren’t even aware that they’re leaving money on the table or of the steps they can take to maximize collections.

The infographic provides two key steps to improve revenue cycle management.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM RevenueSince the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare’s existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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Infographic: The Financial Impact of Value-Based Healthcare Contracts

April 26th, 2019 by Melanie Matthews

As health systems evaluate their ability to transition from fee-for-service medicine toward value-based care, they must understand the financial impact of their strategy, according to a new infographic by Lumeris.

The infographic examines key decision points and outcomes for a health system.

11 Profitable Value-Based Reimbursement Models: Lessons from Early AdoptersCMS’s ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate. Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs). Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare’s per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours’ building of a business case for its multidisciplinary care team to the John C. Lincoln ACO’s deep dive into data analytics to identify and manage the care of high-risk, high-cost ‘VIP’ patients to ‘beat the benchmark’ to WellPoint’s engagement of specialists in care coordination.

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