Author: trident500
-
How To Create an ACO Framework Through Clinical Integration with Independent Physicians
Thinking about creating an accountable care organization? The clinical integration of healthcare providers can be the first step, facilitating the coordination of services required for shared accountability and reward. Dr. Mark Shields, senior medical …
-
Health Risk Assessments: Administration, Delivery and Completion Benchmarks
Who’s using health risk assessments (HRAs), and how are they administered? What are the top incentives driving HRA completion, and what are the top three uses for HRA data? What completion rates can be expected? In this month’s healthcare benchmarks podcast, Healthcare Intelligence Network executive VP and COO Melanie Matthews shares the latest market research…
-
The Colorado Accountable Care Collaborative: Practical Lessons from an ACO
To provide immediate feedback to participants in Colorado’s accountable care organization (ACO) for Medicaid beneficiaries, program developers have chosen a handful of performance measures that will focus on program quality and cost containment, explai…
-
Coordinating a Virtual Medical Home in Your Community: Lessons from the Iowa Collaborative Provider Network
To create a virtual medical home — also called a virtual healthcare home — primary care providers partner with community organizations to deliver a full continuum of healthcare services in a manner that is transparent to patients and health plan members. Sarah Dixon-Gale, lead contract manager for the Iowa/Nebraska Primary Care Association, explains how Iowa’s…
-
The Colorado Accountable Care Collaborative Practical Lessons from an ACO
To provide immediate feedback to participants in Colorado’s accountable care organization (ACO) for Medicaid beneficiaries, program developers have chosen a handful of performance measures that will focus on program quality and cost containment,
-
Reducing Avoidable Emergency Room Visits: Approaches to Redirect Patients to Cost-Effective Care Settings
Three key factors influence consumers’ use of the hospital emergency room today, according to Dr. Barsam Kasravi, managing medical director for state-sponsored programs for WellPoint. In this podcast, Dr. Kasravi discusses how WellPoint is trying to close critical care gaps and encourage its members to utilize healthcare services more effectively. Dr. Kasravi and Dr. Karen…
-
Patient-Centered Medical Home Transformation: How Data Sharing Improves Physician and Business Performance
In another excerpt from a conversation with Metcare of Florida chief executives on its continuing medical home pilot with Humana, COO Dr. Jose Guethon describes the mechanics of sharing utilization and financial data with its physicians, and the impact of this practice and friendly competition between physicians has had on workflow, patient access, customer service…
-
Improving Physician Performance and Value-Based Reimbursement Levels Through Meaningful Data Sharing
Along with the transformation to a patient-centered medical home came an acceptance of a model that coordinates care for an entire population, not just the patients showing up each day, notes Dr. Paul Kaye, medical director at Taconic IPA. And even tho…
-
Home Visits in the Patient-Centered Medical Home
Medicaid patients present their own unique set of needs during home visits, explain Dr. Larry Greenblatt, medical director, Chronic Care Program, Durham Community Health Network, Duke University Medical Center, and Jessica Simo, program manager, Durham Community Health Network for the Duke Division of Community Health. The duo explains the two types of patients that benefit…
-
Patient-Centered Medical Home Transformation: 9 Key Hurdles for Physician Practices To Overcome
In the first of several conversations with Metcare of Florida chief executives on its continuing medical home pilot with Humana, CEO Mike Earley and President and COO Dr. Jose Guethon describe Metcare’s longstanding commitment to the management of care transitions for its Medicare patients, how its 10 medical home practices keep a handle on patient…