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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score

by Fred Pennic 01/16/2020 Leave a Comment

Next Generation Accountable Care Organization (ACO),

- Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.- Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System).Trinity Health ACO, a Next
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Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members

by Jasmine Pennic 11/27/2019 Leave a Comment

Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members

- Humana and Epione Health team up to offer a patient-centered experience for Humana Medicare Advantage members in Oklahoma. - Humana Medicare Advantage HMO and PPO plan patients will benefit from this relationship as the support offered by Humana enables Epione’s doctors to focus on patient care.Humana Inc., today announced it has collaborated with Epione Health of Oklahoma, LLC on a value-based care agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare
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4 Common Misconceptions About Health Savings Accounts (HSAs)

by Jasmine Pennic 10/29/2019 Leave a Comment

4 Common Misconceptions About Health Savings Accounts (HSAs)

- Alegeus report uses participant data to debunk four common misconceptions about health savings accounts (HSAs) that consumers have about HSAs. Alegeus, a provider of consumer-directed healthcare (CDH) solutions unveiled part two of its research series on health savings account (HSA) participants, the 2019 Alegeus HSA Participant Profile. For the report, Alegeus conducted a survey of more than 1,400 U.S. healthcare consumers in order to: • Measure the general understanding of HSAs among
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N.J. Physician Group ACO Generates $6.4M in Medicare Savings

by Jasmine Pennic 10/10/2019 Leave a Comment

N.J. Physician Group ACO Generates $6.4M in Medicare Savings

- Partners In Care ACO generated $6.4M in savings and is among top 3 performers statewide under Medicare Shared Savings Program in New Jersey. - While providing high-quality care for patients, Medicare is sharing a portion of these savings with the providers in return.Partners In Care Accountable Care Organization (ACO) generated $6.4 million in savings – an average of $546 per Medicare patient – in 2018. The savings are tracked by the Centers for Medicare and Medicaid Services (CMS), under the
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Ochsner Accountable Care Network Saves $12.9M for Medicare Beneficiaries

by Jasmine Pennic 10/09/2019 Leave a Comment

Ochsner Accountable Care Network Saves $12.9M for Medicare Beneficiaries

- The Ochsner Accountable Care Network reduces the cost of care by $12.87M for over 24,000 Medicare beneficiaries, representing 81% increase in savings per beneficiary and a 12% increase in total savings in 2018. - Development of Outpatient Complex Case Management and MedVantage Clinics was one of the efforts that contributed to the savings.The Ochsner Accountable Care Network, LLC (OACN) is pleased to report its 2018 savings results, which include a reduction in the expected cost of care by
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4 Tips to Increase Patient Engagement Rates in Healthcare Facilities

by Jasmine Pennic 09/30/2019 Leave a Comment

- Patient engagement is a valuable tool for any medical practice but increasing your facility's patient engagement rate can be a small challenge for some firms to overcome. - Medical building construction company, Simone Health, shares four tips for increasing patient engagement rates in healthcare facilities.Engaging patients in their own healthcare has shown to be immensely beneficial to their overall healthcare experience. Having patients play an active role in their medical needs gives them
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Welldoc’s BlueStar Integration with Xealth Improves Patient Engagement by 2.5X

by Jasmine Pennic 09/26/2019 Leave a Comment

Welldoc’s BlueStar Integration with Xealth Improves Patient Engagement by 2.5X

- Welldoc’s BlueStar digital therapeutics improved in terms of activation rates, patient engagement, and ongoing usage when integrated into the EHR using Xealth’s digital health platform. - When providers are connected to their patients, as demonstrated in a Welldoc randomized controlled trial, providers are 2-4x more likely to change an individual’s treatment plan to positively impact health in a more timely manner. Welldoc, announced activation results for Welldoc’s BlueStar digital
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Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

by Jeff Carroll, Senior Vice President, Health Plans, Lumeris 09/16/2019 Leave a Comment

Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

  For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes. One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Innovaccer Launches Patient-Centered Medical Homes (PCMH) Solution

by Fred Pennic 09/13/2019 Leave a Comment

Innovaccer Launches Patient-Centered Medical Homes (PCMH) Solution

- Innovaccer launches Patient-Centered Medical Homes (PCMH) solution aimed at assisting organizations as they embark on the journey of delivering patient-centric, cost-effective care by transitioning into a PCMH and advancing primary care. - With PCMH Pre-validation from the NCQA, Innovaccer provides over 40% of the total credits needed for certification. - The solution saves providers from the trouble of navigating through EHRs and Excel sheets with automated care delivery support at
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Montana Awarded $19M Grant for Statewide Health Information Exchange

by Jasmine Pennic 09/10/2019 Leave a Comment

Montana Awarded $19M Grant Statewide Health Information Exchange

- CMS awards the state of Montana with a $19M grant to support a statewide health information exchange (HIE). - Montana Governor Steve Bullock names Big Sky Care Connect as the operator of the statewide HIE. - Big Sky Care Connect plans to start sharing healthcare data in 2020. Montana Governor Steve Bullock announced the state has received $19 million from the Centers for Medicare and Medicaid Services (CMS) to support a statewide health information exchange (HIE). The funding
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