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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

ACO Investment Model Reduced CMS Expenditures by $48M

by Fred Pennic 07/15/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Georgia Hospitals Partner with CarePort to Improve Patient Outcomes

by Jasmine Pennic 07/10/2019 Leave a Comment

Georgia Hospitals Partner with CarePort to Improve Patient Outcomes

Georgia Hospital Health Services, a subsidiary of the Georgia Hospital Association has selected CarePort Health to provide hospitals across the state with a complete suite of solutions to improve care coordination by educating, guiding and monitoring patients moving across the continuum of care.GHHS formally endorses vendors that bring value to their system and understands the importance of transparency throughout care transitions by providing real-time patient data to improve patient outcomes.
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care

by Fred Pennic 07/09/2019 Leave a Comment

Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care

A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care

by Fred Pennic 07/09/2019 Leave a Comment

AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care

Traditionally, providers and health systems have relied on claims-based risk models, such as the CMS-HCC, ACG, and DxCG, which were built to forecast the risk of populations, but not at an individual level. While these models give a fairly good estimation of the risk of the population, they exhibit unsatisfactory estimation if used to predict the risk at an individual level.Innovaccer Inc., a healthcare data activation company, has taken a major step towards revolutionizing the way we identify
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Analysis: Philips’ Evolution to a Pure-play Healthcare Technology Vendor

by Alex Green, Steve Holloway, Simon Harris and Michael Liberty, Signify Research 07/02/2019 Leave a Comment

Analysis: Philips’ Evolution to a Pure-play Healthcare Technology Vendor

 The last two-to-three years we have seen Philips complete its transformation into a pure-play healthcare technology vendor. It has reduced its interest in its remaining non-healthcare business Philips Lighting/Signify (now owning only a 16.5% share), made 16 healthcare technology acquisitions since the start of 2017 and organized its internal business units into three core healthcare technology segments, Personal Health, Diagnosis & Treatment and Connected Care. A few weeks ago, several of
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Children’s Mercy Kansas City Taps Innovaccer to Advance Pediatric Value-Based Care

by Jasmine Pennic 07/02/2019 Leave a Comment

Children’s Mercy Kansas City Taps Innovaccer to Advance Pediatric Value-Based Care

Children’s Mercy Integrated Care Solutions (CMICS), one of the most advanced pediatric health networks in the country and a wholly owned subsidiary of Children’s Mercy Kansas City, partnered with Innovaccer to power its pediatric population health management initiatives for Children’s Mercy’s Pediatric Care Network and Children’s Health Network. CMICS manages nearly 200,000 value-based patients, which is approximately 34% of the pediatric population in the Kansas City area and includes over 60
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Amp Recover CEO Talks The Current State of Digital Health Adoption in Orthopedics, PT, Sports Med

by Fred Pennic 06/26/2019 Leave a Comment

Digitally Inclined or Digitally Behind? - How Does Your SportsMed, Orthopedic, PT Practice Stack Up?

David Nichols is the CEO is of AMP Recover, a health intelligence platform that empowers healthcare organizations with actionable data to improve the patient experience, produce successful outcomes and achieve their business goals. This transition from current workflows to a modern, data-driven approach does not happen overnight. The Atlanta, GA-based company works with providers focused on Injury Prevention, Physical Therapy and Sport,  Performance and have developed a sequence of digital
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program

by Rebecca Marsh, VP of Advisory Solutions, nThrive 06/26/2019 Leave a Comment

Three Methods to Revive your Charge Integrity Program

Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage. According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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Remote Enablement Adoption: The Key to Reshaping Patient Monitoring

by James Caffrey, Leader of Strategic Projects & Ventures, Monitoring & Analytics, Philips 06/25/2019 Leave a Comment

Remote Enablement Adoption: The Key to Reshaping Patient Monitoring

The healthcare industry is facing significant pressures around costs and outcomes as it shifts to a value-based care model. To alleviate these concerns, hospitals are looking to technology to help. Over the years, technology has significantly evolved with more connectivity, advanced algorithms and introduction of machine learning and AI. These advancements have greatly improved efficiencies and outcomes in the healthcare industry, yet, along with these benefits, technology also brings a concern
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Signify Health Launches Social Determinants of Health Solution Signify Community

by Jasmine Pennic 06/25/2019 Leave a Comment

Signify Health Launches Social Determinants of Health Solution Signify Community

Signify Health, a provider of technology-enabled in-home care and complex care management services, has announced the launch of Signify Community, the first and only social determinants of health (SDOH) solution that ties social interventions to quality, satisfaction, and financial outcomes—including 30% reductions in readmissions and 46% reductions in post-acute care spend for high-utilizer safety net populations.Understanding SDoHSocial determinants of health (SDOH) are complex and
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