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4 Ways Claims Data is Changing Care Delivery




Health Leaders Media


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  November 18, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

4 Ways Claims Data is Changing Care Delivery

Rene Letourneau, Senior Editor for HealthLeaders Media

Fragmented clinical data, which tends to cause disjointed care, can be significantly augmented by data in health plan claims. At Parkland Health & Hospital System in Dallas, physicians are using claims data to increase quality and decrease costs. >>>

 

Editor’s Picks

AMA Urges DOJ to Block Health Plan Mega-mergers

In other recent business developments, Henry Ford Health has signed a letter of intent to acquire Allegiance Health, Tenet Health is exiting the North Carolina market, and the FTC is delaying a hospital deal in West Virginia. >>>

Top 10 Health Technology Hazards in Hospitals

The annual list of health technology hazards from the ECRI Institute identifies the potential sources of danger that warrant the greatest attention for hospitals in the coming year. Eight of the top 10 hazards for 2016 are new to the list. >>>

Warily, ACP Eyes New Primary Care Model

Physicians who practice in concierge and direct primary care models have been put on notice by the American College of Physicians, which warns against creating barriers to care, particularly for low-income and minority patients. DPC physicians say the ACP has it all wrong. >>>

TJC Names Top Performers, Notes ‘Dramatic’ Quality Improvements

Despite some differences based on size, academic medical centers, community hospitals, and for-profit and not-for-profit hospitals have all seen quality improvements since 2002, says the head of The Joint Commission. >>>

CFO Exchange: Financial Imperatives for the Future

Healthcare leaders focused on three big-picture topics while meeting with their peers at the HealthLeaders Media CFO Exchange. >>>

ACP: Consider Low-Income Patients With Direct Pay

Physicians opting for cash-only practices must consider the impact that the practice model will have on their communities and low-income patients struggling with to access care, the American College of Physicians said this week. From Medpage Today. >>>

Intelligence Report Slideshow:
Executive Compensation—Strategies to Align With New Directions

Recasting organizational objectives to address shifts to value-based care has two major effects on executive compensation within hospitals and health systems. Is your health system prepared? >>>

LIVE Webcast

Webcast: Success in the New Age of Social Media—MD Anderson’s Model

Date: December 10, 2015, 1:00–2:00 p.m. ET
In this expert webcast, join Laura Nathan-Garner from MD Anderson as she outlines which social media platforms will work best for your audience, the importance of social media training for your staff, and how to develop the most successful content for your audience.
Register Today >>>


News Headlines

US doctor group calls for ban on drug advertising to consumers

Reuters, November 18, 2015

Nonprofit Blue Shield accused of backing out of $ 140-million charity pledge

Los Angeles Times, November 18, 2015

NJ lawmakers tackle those surprise ‘out of network’ medical bills

NJ.com, November 18, 2015

HealthPartners creating new health plan in IA

Star Tribune, November 18, 2015

Medicare launches major payment shift for hip, knee surgery

ABC News / Associated Press, November 17, 2015

How Kaiser and union leaders finally ended a five-year standoff

Sacramento Business Journal, November 17, 2015

NY hospitals, doctors fear Health Republic meltdown will cost them millions

Syracuse.com, November 17, 2015

How nonprofit hospitals overcharge the (under and) uninsured

The Washington Post, November 16, 2015

US drug benefit managers clamp down on specialty pharmacies

Reuters, November 16, 2015

Morristown settlement could lead to NJ hospitals shelling out millions

NJ.com, November 16, 2015

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Multimedia/Events

HealthLeaders Media LIVE from Sharp Healthcare: The Pod ED

Date: December 16, 2015 | 11:00–2:00PM ET
In this live e-conference, discover how Sharp Healthcare has realigned its staffing structure to increase flexibility and teamwork, resulting in decreased patient wait times and a greatly enhanced patient experience.
Register Today >>>

From HealthLeaders Magazine

Seeking Interoperability in a Sea of Data

While it has been an elusive goal for years, "interoperability is becoming the main act" for healthcare leaders. >>>

 

Unlocking the Value in Unstructured Data

 

Making Total Cost of Care Contracting Work

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