Infographic: Value-Based Care Results

July 15th, 2019 by Melanie Matthews

Value-based care has shown promising improvements in quality and total cost of care, according to a new infographic by the Blue Cross Blue Shield Association.

The infographic examines the impact of value-based care on site of care decisions, preventative care sought, chronic care management and the cost trend for Blue Cross and Blue Shield members attributed to Total Care providers.

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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Infographic: 8 Steps to Solving Physician Burnout

July 12th, 2019 by Melanie Matthews

Physician burnout is at an all-time high. Taking active measures to increase physician satisfaction is good for the physician, the patient, and the healthcare organization, according to a new infographic by MDsyncNET.

The infographic examines six warning signs of physician burnout, physician burnout trends and eight steps to reducing physician burnout.

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: 10 Facts About Healthcare Interpretation and Patient Safety

July 10th, 2019 by Melanie Matthews

The use of professional medical interpreters positively impacts patient care, according to a new infographic by Telelanguage Inc.

The infographic examines the importance of telephonic interpretation in healthcare.

Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed CareWhen the Wisconsin Medicaid managed care program was expanded to include members who had traditionally opted out of the program, the HMOs that were going to serve these members had to optimize their member engagement strategies. Independent Care Plan (iCare), one of the HMOs selected as a Medicaid plan, identified early member engagement after enrollment as a key to success for the program.

Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed Care outlines how iCare has structured its care coordination team, including both telephonic and boots on the ground staff to find, engage and assess Medicaid members.

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Infographic: 5 Ways Clinical Mobility Can Help Move the Needle on Patient Outcomes

July 8th, 2019 by Melanie Matthews


With a focus on patient-centered care and value-based reimbursement, healthcare providers are searching for solutions that move the needle on patient outcomes and satisfaction, according to a new infographic by Spectralink.

The infographic examines 5 ways in which clinical mobile devices help to improve communication among care team members, accelerate patient response times and provide a more personal connection between clinicians and their patients.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical OutcomesAs healthcare moves out of the brick-and-mortar traditional setting into patients’ homes and their workplaces, and becomes much more proactive, the University of Pittsburgh Medical Center (UPMC) has been expanding its remote patient monitoring program. The remote patient monitoring program at UPMC has its roots in the heart failure program but has since expanded to additional disease states across the integrated delivery system’s continuum of care.

A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical Outcomes delves into the evolution of UPMC’s remote patient monitoring program from its initial focus on heart failure to how the program was scaled vertically and horizontally. Click here for more information.

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Infographic: PACE by the Numbers

July 5th, 2019 by Melanie Matthews

PACE® (Programs of All-Inclusive Care for the Elderly) is growing both in terms of service area and enrollment, according to a new infographic by the National PACE Association.

The infographic examines PACE enrollment growth, demographics for participants, the top five chronic conditions among participants and program results.

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: Prescribing Healthy Food in Medicare/Medicaid

July 3rd, 2019 by Melanie Matthews

Health insurance coverage for healthy food could improve health, reduce healthcare costs and be highly cost-effective after five years, according to a new infographic by Tufts University.

The infographic examines the health and economic effects of healthy food prescriptions in Medicare and Medicaid.

Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community ServicesLeveraging the experience of several physician practices already screening patients for social determinants of health (SDOH), Montefiore Health System recently rolled out a two-tiered assessment program to measure SDOH positivity in its predominantly high-risk, government-insured population.

Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services outlines Montefiore’s approach to identifying SDOH markers such as housing, finances, healthcare access and violence that drive 85 percent of patients” well-being, and then connecting high-need individuals to community-based services. Click here for more information.

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Infographic: Rural Hospitals and Health Systems Ensure Local Access to High-Quality, Affordable Care

July 1st, 2019 by Melanie Matthews

Rural hospitals are essential to the health and economic well-being of the community, according to a new infographic by the American Hospital Association.

The infographic examines challenges facing rural hospitals and communities and recommendations for federal policies and investments in rural communities.

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: How Much Denied Claims Are Costing Providers

June 28th, 2019 by Melanie Matthews

On average, 5 percent to 10 percent of healthcare claims are denied, and 65 percent of these are never resubmitted, according to a new infographic by Change Healthcare.

The infographic illustrates how much denied claims are costing providers, how much providers must spend to get paid, and how artificial intelligence can help predict which claims are at risk for denial prior to submission.

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: How Millennial Physicians Are Transforming Medicine

June 26th, 2019 by Melanie Matthews

The emerging generation of healthcare providers is becoming increasingly diverse and is changing the practice of medicine, according to a new infographic by Visual Capitalist.

The infographic examines how they work and where they work.

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: Where is the Energy Behind the Health Data Graph?

June 24th, 2019 by Melanie Matthews

The idea behind the health data graph is that right place, right time intervention can drive behavior change and that other data sources beyond clinical and claims data are required to understand the consumer well enough to drive behavior change. Clinical and claims data alone don’t drive behavior change, but expose clinical solutions. Consumer data expression is a far larger data set, much more important in providing a longitudinal patient view in areas like engagement preferences, according to a new infographic by Oliver Wyman.

The infographic examines types of health data, its potential impact, along with market dialogue and market activity.

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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