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Health Plan Data Unlocks Population Health Improvements




Health Leaders Media


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  January 27, 2016 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Health Plan Data Unlocks Population Health Improvements

Rene Letourneau, Senior Editor for HealthLeaders Media

By analyzing claims data, Milwaukee-based Children’s Hospital has measurably increased immunization rates and boosted care delivery and outcomes for some of the city’s most vulnerable citizens. >>>

 

Editor’s Picks

3 Ways Telemedicine is Changing Healthcare

From increasing access to influencing better patient outcomes, health systems are recognizing the benefits of virtual patient visits and remote monitoring—and finding ways to mitigate the costs. >>>

Population Health Really Does Work

At self-insured Houston Methodist, a population health pilot designed for staff members saw 50% of high-risk participants move into the low-risk pool within the first six months. >>>

Workarounds in Hospitals Raise Ethical Questions

A disconnect between how an organization imagines work is happening and what staff feel they must do puts healthcare workers on potentially ethically shaky ground. >>>

Postacute Strategies Vary Widely, Lack Standards

Two studies point to the need for a more thoughtful approach to postacute care strategies because readmission rates are simply not improving for some patients. >>>

How Public / Private Accelerators are Fostering eHealth Innovation

It is no surprise that a growing number of healthcare institutions are seeking partnerships to fund and nourish innovative startups. Massachusetts and New York are at the forefront of fostering such relationships. >>>

Readmission-reducing RED Protocol Adoption Lagging

The creators of the 12-step Re-Engineered Discharge protocol say it saves money, but hasn’t yet been widely or fully adopted. Follow-up studies have shown that problems arise when RED is diluted. >>>

Bringing the Healthcare Quality Message to the Masses

A documentary film honoring the AHRQ and the late John Eisenberg, a health systems research pioneer, also aims to promote health policy and patient safety, says his son, the filmmaker. From MedPage Today. >>>

Intelligence Report

Intelligence Report: The Outpatient Opportunity—Expanding Access, Relationships, and Revenue

In this HealthLeaders Media research report, the reasons behind ambulatory and outpatient care expansion may originate from different strategic points of view, but the tactics and objectives have much in common.
Order Today >>>


News Headlines

Trump calls for Medicare to negotiate drug prices

The Hill, January 27, 2016

Has Obamacare’s Medicaid expansion reached a tipping point?

CNBC, January 27, 2016

Medica, Blue Cross notch big growth in public insurance

Star Tribune, January 27, 2016

Health insurer Centene missing data drives with client information

Reuters, January 26, 2016

CBO lowers estimated Obamacare sign-ups by 40%

The Hill, January 26, 2016

Fidelity moves deeper into healthcare space with new exchange

Boston Business Journal, January 26, 2016

Deficiencies found at Theranos lab

The Wall Street Journal, January 25, 2016

Drug shortages in American ERs have increased more than 400%

Chicago Tribune, January 25, 2016

Law keeps ID health insurance CEO’s salaries secret

SFGate.com / Associated Press, January 25, 2016

Broward Health CEO kills himself, sheriff’s office says

Sun Sentinel, January 25, 2016

Stay Connected to HealthLeaders

Don’t Miss the News You Want.

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Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

Webcast: Building Reputation, Managing Risk—ProMedica’s Model

Date: February 9, 2016, 1:00–2:00 p.m. ET
In this expert webcast, learn how establishing a proactive program to build reputation capital, manage reputational risk, and create a collaborative connection will better prepare providers for dealing with crises in the future.
Register Today >>>

From HealthLeaders Magazine

Big Ideas

What big ideas have you enacted? What big opportunities await your organization? >>>

 

Ups and Downs of High Volume

 

Remaking the Board

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©2016 HealthLeaders Media

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HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
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Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

Payer, Providers to Launch Population Health Engine in NH




Health Leaders Media


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  October 21, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Payer, Providers to Launch Population Health Engine in NH

Rene Letourneau, Senior Editor for HealthLeaders Media

Harvard Pilgrim Health Care, Dartmouth-Hitchcock, Elliot Health System, and Frisbie Memorial Hospital announced this month that they will be joint partners in Benevera Health, which will work toward the triple aim of improving patient outcomes, lowering the cost of care, and enhancing the patient experience. >>>

 

Editor’s Picks

NFPs Beat For-profit Insurers in Medicare Advantage Star Ratings, Again

Not-for-profit insurers are dominating the MA star ratings because they are able to focus more directly on their communities rather than on their shareholders, says the CEO of one highly rated NFP. >>>

Medical Loss Ratios Tighten Under PPACA

Carriers didn’t anticipate the volume of claims they saw after the implementation of the Patient Protection and Affordable Care Act. >>>

3 Facts Employers Should Know About the PPACA

The healthcare reform law is a source of confusion around insuring diverse populations of hospital employees, making compliance complicated—unless you understand three things. >>>

Meaningful Use Rules Give CIOs Wiggle Room

Meeting the new federal meaningful use standards will require much heavy lifting. And health IT leaders should already be preparing for what comes next. >>>

NJ Bundled Payment Approach Better for Physicians than Mandatory Federal Program

New Jersey’s Blue Cross Blue Shield affiliate is taking a cooperative approach to episodes-of-care contracting with orthopedic surgeons and other medical service lines, generating care benefits for patients and sustainable financing for healthcare providers. >>>

Value-based Purchasing Program has Minor Effect on Medicare Payments

The GAO finds that incentives and penalties amounted to less than 0.5% of applicable Medicare payments at the approximately 3,000 eligible hospitals. The percentages having been rising, however, since the program began. >>>

HLM Live: The Care Management ACO

Leaders at Memorial Hermann have developed an accountable care organization that combines care coordination and physician alignment to drive savings. >>>

News Headlines

Veterans still facing major medical delays at VA hospitals

CNN, October 21, 2015

FL Gov. invites examples of hospital price-gouging

The Palm Beach Post, October 21, 2015

Collective Health, insurance services start-up focused on employers, raises $ 81 million

The New York Times, October 21, 2015

TeamHealth to AmSurg: Leave us alone (and take your puny $ 7.8B offer with you)

Nashville Business Journal, October 21, 2015

Aetna shareholders OK $ 37 billion Humana deal

The Courier-Journal, October 20, 2015

Visits to the doctor cost more as hospitals buy practices

The Boston Globe, October 20, 2015

Outpatient medical care prices are rising, study shows

The Wall Street Journal, October 20, 2015

‘HIPAA not helping’: Healthcare’s software security lagging

InformationWeek, October 20, 2015

Employers offer cash to rein in healthcare costs

Longview News-Journal, October 19, 2015

Insurance start-up Oscar seeks to shake up healthcare through its app

Los Angeles Times, October 19, 2015

Stay Connected to HealthLeaders

Don’t Miss the News You Want.

Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your daily and/or weekly industry coverage. Add our address — [email protected] — to your address book or e-mail whitelist to keep the news you need in your inbox.

Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media LIVE from Mercy: Telemedicine; Healthcare’s Nerve Center

Date: October 22, 2015 | 11:00–2:00PM ET
Discover how telemedicine has enabled Mercy to improve outcomes, reduce costs, provide its clinicians better work/life balance, and how it has made Mercy increasingly attractive to payers.
Register Today >>>

HealthLeaders Media LIVE from Memorial Hermann: A Care Management ACO

Date: November 11, 2015 | 11:00–2:00PM ET
In this live e-conference, Memorial Hermann shares details of its multi-pronged approach to its successful accountable care organization, including how physician alignment, patient engagement methodologies, and a focus on community health have propelled it to the top.
Register Today >>>

From HealthLeaders Magazine

Rural Healthcare and the Challenge of Population Health

The issues facing rural providers are significant, but leaders are creating ways to survive in the changing healthcare environment. >>>

 

Leveraging Resources Through Clinical Affiliations

 

HCAHPS: Making a Difference While There’s Still Time

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  MAGAZINE | NEWS | TERMS OF SERVICE | PRIVACY POLICY | ADVERTISE Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

©2015 HealthLeaders Media

If you prefer not to receive this email newsletter, let us know.
HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
HEALTHLEADERS MEDIA
100 Winners Circle, Brentwood, TN 37027
Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

Population Health Management: An Interview with Brian Morrissey

Population health management (PHM) may be defined in a number of ways, but always has a primary goal of improved healthcare outcomes for individuals. PHM relies heavily on aggregate data to “paint a picture” of individual patients and their healthcare needs. In this way, patients and potential health vulnerabilities may be identified and addressed before […]
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