Editor's Note: Carol Clayton, Ph.D. is a Translational Neuroscientist for Relias Learning. Prior to joining Relias, she served as President of Care Management Technologies.Considerable attention has been given to the large proportion of healthcare spending concentrated among a small proportion of patients. This five to 10 percent of the population has been the driving force behind many value-based purchasing models, e.g., chronic health condition management for the high cost, high utilizers, and
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3 Roadblocks to Achieving Interoperability In A Value-based Care System
Editor’s Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care.I am sure I am not the only one who has lost count of the times I’ve been asked “Why can’t the systems talk to each other?” or, in more technical terms, “Why don’t we have interoperability?”The numerous health IT solutions that we have around us today were meant to improve
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Einstein, Humana Enter Value-based Care Agreement to Offer Better Patient Experience
Einstein Healthcare Network and Humana Inc. have entered into a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members achieve their best health. The value-based care agreement, in turn, teams Humana with Einstein Healthcare Network’s Accountable Care Organization, Einstein Care Partners, toward enhancing both the patient experience and patient outcomes in the Philadelphia area.Einstein Healthcare Network is a leading
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Study: More Than 40 States Have Invested In Value-Based Payment Models
A recent national study of state government programs finds more than 40 states strategically invested in value-based payment models, 23 with targets or mandates, and just 7 states trailing the trend. The study commissioned by Change Healthcare reveals 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of ACOs or ACO-like entities, and 12 have or are considering episodes of care programs. Just 7 states have little to no
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MACRA: The Yardstick for Quality that Health Systems Need
Editor’s Note: Nancy Pratt is the Chief Operating Officer at AirStrip, a complete, vendor and data source-agnostic, enterprise-wide mobile interoperability platform that advances care collaboration and serves as a catalyst for health system innovation. Prior to AirStrip, she served as Senior Vice President, Chief Quality and Safety Officer at St. Joseph Health. The number of quality initiatives is rapidly rising in the healthcare industry as stakeholders shift their focus toward the value of
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6 Reasons Why Healthcare Needs The Internet of Things (IoT)
Editor’s Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care.Technology can never replace humans because the ultimate decision-making authority always lies with the individual. He or she can, however, in the course of time, opt for technological solutions that simplify their work and bring about efficiency.Convenience. Efficiency.
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Care Intelligence System: The Revolution of Innovations in Value-based Care
Editor’s Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care.Keeping a system of records for storage and backup has always been a must for healthcare organizations all over the U.S. As the method of storing data went from paper to electronic, healthcare became more and more adept at collecting data and archiving it.However, the route
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3 Ways MACRA is Changing Physician Payment in Medicare
Editor’s Note: Saqib Ayaz is the Cofounder at Workflow Management & Optimization, a services firm helping healthcare providers increase their collections and streamline their clinical & business workflow.The entry of the MACRA proposed rule, a little more than a year back, flagged a solid and remarkable consent to move towards esteem-based care, yet up to this point, a hefty portion of the subtle elements encompassing how it would be executed stayed obscure.In any case, a week ago, CMS
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Led by BlueCross BlueShield, Healthify Raises $6.5M for Social Determinants Management Platform
Healthify, a NYC-based community referral and social determinants management platform, closed a $6.5m Series A funding round led by BlueCross BlueShield Venture Partners (BCBSVP). The round also included participation from existing investors Primary Venture Partners (PVP) and Activate Venture Partners (AVP).Healthify will use the funds from the financing to expand its care coordination product suite and grow its network of customers and social service partners. To date, Healthify has raised over
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Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program
Following a slow start, U.S. physician groups have significantly accelerated their adoption of a key federal program aimed at improving the care of Medicare patients with chronic disease, while they remain relatively in the dark about the details of the 2015 law that the program has come to support.Forty-one percent of physician groups have launched a Chronic Care Management (CCM) program that meets the requirements for reimbursement by the Centers for Medicare and Medicaid Management (CMS),
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