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

Aetna, Mount Sinai To Form Accountable Care Alliance

by HITC Staff 02/16/2016 Leave a Comment

Mount Sinai Health System Launches Telehealth Initiatives_Mount Sinai Launches EHR-Integrated Imaging Research Warehouse

Aetna and Mount Sinai Health Partners – the clinically integrated network that includes the Mount Sinai Health System and a group of voluntary providers are teaming up to form the form an accountable care collaboration designed to enhance coordinated patient care and lower health care costs. Accountable Care Alliance Details Under the three-year agreement, members of Aetna commercial plans who receive care from Mount Sinai physicians will benefit from quality and cost efficiency improvements
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What Is The Financial Impact of Value Based Healthcare for Physicians?

by Margalit Gur-Arie 02/15/2016 Leave a Comment

Value-Based Health Care is Antithetic to Patient-Centered Care_ Value-based Care in Oncology

The Centers for Medicare and Medicaid Services (CMS) is working hard to transition physicians’ payments from volume to value of services. The current Acting Administrator at CMS is a former top executive at United Healthcare, a commercial health insurance corporation. The previous Administrator at CMS is currently the president and CEO of America’s Health Insurance Plans (AHIP), which is the dominant health insurance lobbying group. It may therefore behoove us to rephrase the opening sentence:
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CMS’ Next Generation ACO Model: The True Cost of Healthcare’s Transformation

by Erica Garvin 02/09/2016 Leave a Comment

Business Models In Healthcare

Will providers taking on more risk produce create cost savings and better healthcare for the underserved? Healthcare experts April Wortham Collins and Dutch Dwight weigh in. The ACO. It was hailed as the care delivery and payment model that would cure healthcare’s inefficiency ills and financial woes. While we’ve seen some quality improvement from Medicare’s Shared Savings Program, the U.S government has yet to see actual savings. Now, CMS has unveiled a more enticing model for providers to
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Aetna, Meridian Health Partner to Create Co-Branded ACO

by HITC Staff 02/04/2016 Leave a Comment

Aetna

Aetna and Meridian Health are teaming up to create co-branded, commercial, product-based accountable care organization agreement, which is through Meridian Health Partners, Meridian’s clinically integrated network. It offers employers in Monmouth and Ocean counties a health care model designed to improve quality, efficiency and the patient experience. The ACO includes doctors who are part of Meridian Health Partners, doctors at Meridian hospitals, and affiliated ancillary providers and
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EvergreenHealth Selects Wellpepper as Mobile Patient Engagement Solution

by HITC Staff 01/25/2016 Leave a Comment

EvergreenHealth, an integrated health care system has selected Wellpepper, a clinically validated platform for patient engagement as the mobile engagement solution for all total joint replacement and musculoskeletal care plans. The project was made possible at EvergreenHealth with a generous donation from The Schultz Family Foundation, a private not-for-profit foundation founded by Howard Schultz, CEO of Starbucks Corporation, and his wife Sheri. Patients with musculoskeletal issues that
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Report: 66% of Providers to Focus on Improving RCM in 2016

by Fred Pennic 01/25/2016 Leave a Comment

Providers to Focus on Improving RCM in 2016

With the ICD-10 transition in our rearview, 66% of providers plan to focus on improving their overall revenue cycle management processes in 2016, according to the post-ICD-10 implementation survey from Navicure. Fifteen percent indicated they would be working towards a value-based care model while another nine percent are updating and automating patient collections strategies. Navicure and Porter Research deployed the survey in December 2015 as the final wave of a research study designed to
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5 Healthcare Supply Chain Trends to Watch in 2016

by Fred Pennic 01/14/2016 Leave a Comment

5 Healthcare Supply Chain Trends to Watch in 2016

For the past several years, spurred by regulatory healthcare reform and the overarching need to make the industry more sustainable, the healthcare supply chain has evolved from simply a transaction-driven process into a strategic, data-driven operation. As a result, the healthcare supply chain acts as a backbone for the industry’s drive to reduce costs while simultaneously improving patient care. With the last few years defined by supply chain innovation and exploration in healthcare, Global
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Health Choice Preferred, Cigna Form Accountable Care Collaboration

by HITC Staff 01/13/2016 Leave a Comment

Health Choice Preferred logo

Health Choice Preferred, a division of IASIS Healthcare, and Cigna have announced an accountable care collaboration designed to offer more than 16,000 Cigna commercial customers in Utah a more coordinated, personalized healthcare option. The collaboration ties value-based incentives to performance improvements that support population health management and improve outcomes for Cigna’s customers. Health Choice Preferred’s integrated network of healthcare providers utilize a broad range of
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Report: Value-based Care Driving Remote Patient Monitoring Adoption

by HITC Staff 12/15/2015 Leave a Comment

Remote Patient Management Platforms

The healthcare industry's transition to value-based care and the regulatory penalties associated with readmissions are driving the adoption of remote patient monitoring. According to a recent report from Frost & Sullivan, remote patient monitoring is increasingly becoming a critical tool to support the new value-based care environment. As a result, the remote patient monitoring market is expected to grow at a rate of 13.2 percent through 2020.  Defining Remote Patient Monitoring Remote
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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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