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

ACO: Integrated Health Network Exceeds Clinical Quality Goals

by HITC Staff 12/07/2015 Leave a Comment

ACO: Integrated Health Network Exceeds Clinical Quality Goals

  Integrated Health Network of Wisconsin (IHN) exceeded its clinical quality goals in the first year of a three-year accountable care relationship with UnitedHealthcare, due to enhanced care coordination for patients and better sharing of clinical and financial data. The results are based on the experiences of 60,000 employer-sponsored health plan participants who sought care from IHN physicians in 2014. During the first year of the program, more patients received the preventive
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KPMG Survey: Only 11% Consider ICD-10 Transition A Failure

by HITC Staff 12/01/2015 Leave a Comment

Only 11 percent of healthcare organizations described the ICD-10 transition as a "failure to operate in an ICD-10 environment," according to KPMG LLP survey. The survey of 298 attendees of the Nov. 9 Webcast, ICD-10: Just the Beginning, found 80 percent of organizations said the ICD-10 transition has proceeded smoothly. 28 percent stated the ICD-10 transition has been smooth and another 51 percent found "a few technical issues, but overall successful."  "While there seems to be a fairly smooth
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10 ICD-10 Codes Doctors May Need this Thanksgiving

by HITC Staff 11/25/2015 Leave a Comment

10 ICD-10 Codes Doctors May Need this Thanksgiving

The updated ICD-10 coding system has brought clinicians very interesting (and, admittedly, slightly humorous) diagnostics entries. As the weather cools, the last leaves fall off the trees and tables get packed with food and family for Thanksgiving, it’s a good time to take a look at some of those codes that will have doctors and patients prepared (for anything) this year. The following infographic created by PatientKeeper compiles 10 Thanksgiving-themed ICD-10 codes that physicians’ should
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Aetna Inks First Pediatric ACO Collaboration

by Jasmine Pennic 11/23/2015 Leave a Comment

Aetna

Aetna and The Children’s Hospital of Philadelphia (CHOP) have announced a new accountable care organization (ACO) collaboration designed to improve the quality of care and lower health care costs through more coordinated care. This is Aetna’s first pediatric ACO arrangement.  ACO Agreement Details Under the contract, members of Aetna commercial plans (up to age 19) in the five-county Philadelphia area and Burlington County, N.J., and who receive care from CHOP physicians, became part of the
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KLAS: Advisory Board, Premier Top Firms for Value-based Care Consulting

by HITC Staff 11/20/2015 Leave a Comment

KLAS Report Highlights Population Health Management Early Leaders

As healthcare moves from a fee-for-service model to a value-based care (VBC) model, many providers are having to reengineer aspects of their business. "Value-Based Care. Making the Shift: Who Can Help?" is the first report published about this market segment by KLAS. The report found that Advisory Board, Conifer and Evolent scored high with providers in giving them confidence to deal with evolving alternative payment models and preparing for future risk. Top Firms for VBC Consulting/Management
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AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

by HITC Staff 11/16/2015 Leave a Comment

AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA) said new and novel ways to deliver care will rely on dynamic uses of information technology (IT) and other informatics tools, so
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4 C’s of the Quantified Doctor-Patient Relationship

by Margalit Gur-Arie 11/09/2015 Leave a Comment

Doctor-Patient Relationship

So far the doctor-patient relationship escaped rigorous quantification, because “relationship” is largely a nostalgic quantity, and because “communications” was deemed to be a reasonable substitute. There are various tools and instruments for subjective measurement of communications with one’s doctor, with the most common being the ubiquitous patient experience survey. However, if we accept a broader definition of the doctor-patient relationship, such as the 6C’s proposed by Dr. Emanuel, a more
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New Jersey ACO Model Yields Improvements in Quality of Subacute Patient Care

by HITC Staff 11/05/2015 Leave a Comment

ICD-10 Impact on Cash Flow_EHR Implementations

  A collaboration of hospitals, doctors and skilled nursing facilities (SNFs) has resulted in improvements in the quality of subacute patient care, and reductions in costs, length of stay and hospital readmissions. This marks major progress in meeting and exceeding standards of patient care for Medicare beneficiaries in New Jersey, a state that has traditionally ranked low for key performance measures among SNFs. The Atlantic Accountable Care Organization (AACO) and Optimus
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5 Ways Supply Chain is Improving Patient Care Today

by Our Thought Leaders 11/02/2015 Leave a Comment

5 Ways Supply Chain Can Reduce Rising Healthcare Costs

Editor's Note: Scott Kelley is the VP of North American Sales & Marketing at healthcare supply chain provider GHX and is responsible for all commercial activities across the healthcare provider and supplier markets in North America. Kelly has spent more than 20 years focused on the issues facing the healthcare issues, addressing the issues of cost and improved operational efficiency while working at companies such as GE Healthcare and Fuji Fuji Medical Systems. Kelley The modern,
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25 HIM Benchmarking Trends and Insights to Know

by Fred Pennic 10/28/2015 Leave a Comment

HIM Benchmakring Trends and Insights

As the healthcare industry embarks upon a post ICD-10 world, the landscape of health information management (HIM) is evolving. So how are HIM professionals responding to today’s current challenges such as ICD-10, coder productivity, Clinical Documentation Improvement (CDI), Computer Assisted Coding (CAC) and outsourcing? To gather these insights, ADVANCE for Health Information Professionals and himagine solutions, Inc. recently published their inaugural 2015 Benchmark Report: The Landscape of
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