Helping You Achieve Better Clinical and Financial Health
|
|
- Kelley Lawson
- 8 years ago
- Views:
Transcription
1 McKesson Business Performance Services Accountable Care Services Helping You Achieve Better Clinical and Financial Health 1
2
3 We recognized that fee-for-service would decrease and value-based care would increase so with the help of McKesson, we put the right infrastructure in place to succeed in an accountable care environment. McKesson Business Performance Services is in a unique position to help healthcare leaders determine their response to value-based care. We have extensive experience working with hospitals, health systems and medical groups to build and successfully manage clinically integrated networks nationwide including certified Accountable Care Organizations (ACOs). Our experience includes working with both government and commercial insurance programs to negotiate contracts and manage a range of value-based payment arrangements. These include employersponsored plans, commercial plans, Medicare Advantage, Managed Medicaid, and Medicare Shared Savings Programs. Arnold DoRosario, M.D. Medical Director PriMed Physicians and PriMed ACO Transformation to Value-based Care Our healthcare system is in the midst of a fundamental transformation as the movement from volume- to value-based reimbursement is already reshaping healthcare in America. Although change can bring uncertainty and confusion, change also creates opportunity. We believe that this transformation to value-based care creates a unique opportunity to make a profound impact both on patient health and healthcare costs. 1
4 2 For organizations building a viable value-based delivery model, McKesson offers the most effective path to a sustainable financial future.
5 Accountable Care Services: From Strategic Alignment and Consulting to Full, Turn-key Implementation and Operations Mckesson Business Performance Services (McKesson) offers the strategy, operations and technology needed to build and transform integrated networks into cost-effective, financially successful coordinated care organizations. We do this by providing expert advice along with the people, process and technology required to effectively manage change. Potential Benefits: Increased earnings potential, lower costs and better healthcare outcomes Enable profit diversification through gain- and risk- sharing models Cost-effective development and management of narrow provider networks Increased speed to market Improved physician and network alignment Improved patient access, experience and physician loyalty Enhanced payer relationships, innovative payment models and alignment of incentives Accountable Care Services No matter where you are in your journey to value-based care, we are able to help guide and support you at every stage of development. Our services include transformation consulting, network management and physician alignment and customized solutions. Transformation Consulting Control costs and maximize revenue today while mapping out a clear path to success under value-based care ACO Services Build, integrate, transform and achieve success effectively managing value-based care Value-based Network Management Improve alignment with physicians and other providers to achieve increased financial and clinical performance Customized Solutions Gain the people, resources and technology required to effectively manage the transition from volumeto value-based care 3
6 Transformation Consulting Case Study Snapshot PriMed, Physician-led ACO In 2011, fast-growing PriMed capitalized on its long-standing experience with patient-centered care to pursue certification as an ACO through the Centers for Medicare & Medicaid Services (CMS). Working closely with McKesson, PriMed successfully completed the complex Medicare ACO application and today is one of the largest, physician-led ACOs in Connecticut. In the months since PriMed was certified as an ACO, the group has focused on four areas in pursuit of cost control: Unnecessary admissions Hospital readmissions Congestive heart failure (CHF) admissions/readmissions High-cost imaging A care coordination center was developed to further strengthen the group s patientcentered approach, and expansion of ancillary services helped boost practice revenue by $5 million. Although the move to value-based reimbursement can lead to better clinical outcomes for patients and improved financial performance for providers, success is not guaranteed. The transition to value-based reimbursement can severely disrupt processes and strain cash flow. McKesson Business Performance Services offers a comprehensive, proven transformation path to value-based care. Our goal is to help you create a durable, economic, value-based care model, customized to your needs. Influencing factors are based on your core capabilities, local market conditions, patient share, payer trends and other factors unique to your organization. Starting with an ACO assessment: Leadership interviews and discussions Assessment of competitive and payer trends Validation and assessment of current strategy Assessment of current tactics and resource allocations Quantification of physician engagement Identification of organizational strengths and weaknesses to effectively manage a defined patient population A Key Difference We have the people, resources and technology to back up our recommendations based on the needs of our customers. We offer a full continuum of services and we have proven experience to help you build consensus and drive meaningful change. 4
7 Proven Approach to ACO Success Through our work with multiple ACOs and clinically integrated networks, McKesson has developed a four-pillar approach to build, integrate, transform and achieve clinical and financial success in step with the transformation to value-based care. Equally important is the ability to provide data management, analytics and reporting tools that collect data and turn it into actionable insights. We offer advanced population health software tools to help organizations quickly identify high-risk populations, establish care guidelines and meet quality reporting requirements. Our customized platform tracks claims, utilization, and near real-time electronic health record data to generate dashboard and drill down reports that help manage cost and care. And when it comes to technology, our team is completely vendor agnostic being equally comfortable working on the client s information technology platform or on ours. FOUR PILLARS BUILD INTEGRATE TRANSFORM ACHIEVE Strategic Management and Analytics Build the administrative and operational infrastructure required to navigate the local landscape of providers, facilities and payers, and develop a clear path to success Network Development Integrate and develop a network of primary care and specialty physicians along with high-quality, low-cost facilities to actively participate in a streamlined care delivery model Practice Transformation Transform patient flow and care delivery practices needed to thrive in valuebased reimbursement environments Care Coordination Achieve clinical success by tracking and communicating patient care, protocols and progress across the care continuum 5
8 Your Customized ACO Playbook for Better Financial and Clinical Performance Working with McKesson, our clients take advantage of the combined experience and expertise of partners who have honed a step-by-step playbook to help guide the ramp-up and effective management of an ACO. Your customized ACO Playbook by McKesson is available only to McKesson clients. Combined with our expert support, the ACO Playbook helps clients gain the knowledge and expertise needed to engage physicians, control costs, improve care quality, minimize risks and achieve successful financial and clinical outcomes. The interactive Playbook is used by the McKesson operations team to build and guide the client s ACO. It provides base templates that are customized to the client-specific information, including contracts, agreements, organizational charts, policies and procedures, and financial models, all of which can be adjusted dynamically as the client s situation evolves. Customized Solutions from One Trusted Partner No two organizations are alike in their needs, expectations and readiness for value-based care, which is why we tailor our approach for every client situation. Depending on your needs, we offer customized solutions for new and existing integrated networks and accountable care organizations. We provide resources where you need the most support, from administrative and clinical to information technology We allow you to grow and manage your own integrated network or risk arrangements quickly and cost effectively We help facilitate adoption of tested best practice methodologies We enable instant-on bandwidth and expertise so you can take advantage of market opportunities Now you have one partner you can turn to for an integrated ACO solution of people, managed services and technology. 6
9 Value-based Network Management Builds Alignment and Physician Engagement In addition to building integrated networks, we have a track record of successfully facilitating the creation, improvement and redesign of physician organizations including aligning physicians with the organization s ACO strategy. Our core services include: Strategic planning and governance structure Payer negotiations and development of innovative payment models Compensation design and benchmarking Utilization management Case management Quality improvement Financial analytics and reporting Claims adjudication and payment processing Case Study Snapshot St. Louis PCP Network For more than 10 years, this St. Louis physician network has achieved results with support from McKesson. Its members include up to 50 primary care physicians with an average of 5,600 patients each year. McKesson supports the organization with services that include: Payer contract negotiations and administration Physician engagement and relations RN case management Pay-for-performance administration Claims data review Data warehousing Performance report generation and distribution St. Louis PCP Network has successfully managed a range of contracts including a risk-based agreement with a major insurance company, equivalent to about $500 million in Centers for Medicare and Medicaid (CMS) premium dollars. 7
10 For Better Financial and Clinical Health Select McKesson No matter where you are on your journey to valuebased reimbursement, McKesson can help you: Build a financially solid path to value-based care Enhance profit through risk-sharing arrangements Build a durable economic model that is well positioned for rapid fee-for-service declines Coordinate and manage care quality for improved outcomes Engage physicians with defined clinical and financial arrangements Our experience includes: Management of over 2,000 physicians nationwide More than 200,000 commercial, Medicare and Medicaid managed care patients Experience with Medicare Advantage, Commercial, Medicare Shared Savings Plan (ACO), and Managed Medicaid 15+ years successfully managing capitation Established partnerships with provider networks nationwide McKesson has a proven track record for establishing provider networks and managing healthcare services while helping physicians and healthcare providers realize increased earnings. 8
11 You can improve outcomes, boost financial performance and build a sustainable future. ACOServices@mckesson.com or call for an initial consultation. 119
12 About McKesson Corporation McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. For more information, visit McKesson Business Performance Services McKesson 5995 Windward Parkway Alpharetta, GA ACOServices@mckesson.com Copyright 2015 McKesson Corporation and/or one of its subsidiaries. All product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. 01/2015 -MBPS 12
Helping Physicians Drive Better Practice Health
McKesson Business Performance Services Revenue Cycle Management Services Helping Physicians Drive Better Practice Health McKesson Business Performance Services Our staff of 7,000+ includes 500+ certified
More informationPhysician Discovery Services Provide a Full Range of Physician Practice Solutions
Physician Discovery Services OUR SOLUTION Truven Health Physician Discovery Services experts provide insights into a hospital or health system s physician enterprise. With experience in physician assessment,
More informationThe 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration
The 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration Written by Daniel J. Marino, President & CEO, Health Directions November 14, 2012 Originally published by Becker
More informationAccountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
More informationNew Business and Investment Opportunities Emerging from Population Health Management (PHM)
Stax s Perspective on Changes Driven by PHM New Business and Investment Opportunities Emerging from Population Health Management (PHM) By Natalie De Fazio, Director, Stax Inc. November 2014 New Business
More informationEnhancing Physician Productivity in Physician Group Model
Physicians McKesson Business Performance Services Enhancing Physician Productivity in Physician Group Model A report by Keith Chew, CMPE, Senior Consultant The physician group model is undergoing radical
More informationValue-based reimbursement models call for innovative payment administration
Value-based reimbursement models call for innovative payment administration Expert presenters Mark Anderson, Vice President, General Manager, Value Based Care s health care transitions away from traditional
More information3M s unique solution for value-based health care
A quick guide to 3M s unique solution for value-based health care Volume-based health care Part 1: Helping your organization navigate the journey from volume- to value-based health care. Value-based health
More informationThe Business Case for Using Big Data in Healthcare
SAP Thought Leadership Paper Healthcare and Big Data The Business Case for Using Big Data in Healthcare Exploring How Big Data and Analytics Can Help You Achieve Quality, Value-Based Care Table of Contents
More informationCare Transformation and the Journey to Population Health Management
Care Transformation and the Journey to Population Health Management Richard A Bankowitz, MD MBA FACP Chief Medical Officer, Premier healthcare alliance AMGA Institute for Quality September 26, 2013 Premier:
More informationThe Cornerstones of Accountable Care ACO
The Cornerstones of Accountable Care Clinical Integration Care Coordination ACO Information Technology Financial Management The Accountable Care Organization is emerging as an important care delivery and
More informationThe Changing Face of Healthcare: Challenges & Solutions. Mark Stauder, President/COO
The Changing Face of Healthcare: Challenges & Solutions Mark Stauder, President/COO Disclosure of Relevant Financial Relationship with Commercial Companies/Organizations Mark Stauder has disclosed financial
More informationACOs: Six Things Specialty Practices Should Know
ACOs: Six Things Specialty Practices Should Know =TOS Newsletter, July/August 2014= Authors: John P. Schmitt, Ph.D. and J. Garrett Schmitt, MBA, PCMH CCE INTRODUCTION Do you remember the analogy of four
More informationMaking the Transition into Risk-Based Payment Why Children s Hospitals Need to Accept Value-Based Care Strategies
Making the Transition into Risk-Based Payment Why Children s Hospitals Need to Accept Value-Based Care Strategies Substantial changes within the Medicaid marketplace are driving U.S. children s hospitals
More informationAccountable Care: Clinical Integration is the Foundation
Solutions for Value-Based Care Accountable Care: Clinical Integration is the Foundation Clinical Integration Care CoordinatioN ACO Information Technology Financial Management The Accountable Care Organization
More informationComprehensive Cost and Margin Improvement
Comprehensive Cost and Margin Identify your organization s most challenging areas and find the biggest opportunities for savings and process improvement. From labor resource and compensation optimization
More informationModels of Value-Based Reimbursement A Valence Health Primer
Models of Value-Based Reimbursement A Valence Health Primer Today s hospitals and other healthcare providers who deliver traditional, fee-for-service medicine are in the midst of navigating significant
More informationHayes Management Consulting Optimizing the Business of Healthcare
Hayes Management Consulting Optimizing the Business of Healthcare Hayes Management Consulting partners with healthcare organizations to deliver tailored solutions that streamline operations, improve revenue,
More informationPractice Partner. Electronic Health Record and Practice Management Solution for Improved Workflow and Enhanced Care Quality
Electronic Health Record and Practice Management Solution for Improved Workflow and Enhanced Care Quality A Better Way to Practice The system s awardwinning, fully-integrated electronic health record (EHR)
More informationAccountability and Innovation in Care Delivery Models
Accountability and Innovation in Care Delivery Models Lisa McDonnel Senior Vice President, Network Strategy & Innovation, United Healthcare November 6, 2015 Today s discussion topics Vision Our strategic
More informationPopulation health management:
3M Health Information Systems Population health management: A bridge between fee for service and value-based care Balancing multiple payment models Although 85 percent of healthcare reimbursement is currently
More information10/7/2015. Orthopedics in the Value-Based Environment. Financiers of Health Care are Becoming More Active. ACOs and Beyond.
Orthopedics in the Value-Based Environment ACOs and Beyond October 9, 2015 Accountable Care Solutions from Aetna Aetna Inc. Financiers of Health Care are Becoming More Active 2 Instead of payment that
More information3M s unique solution for value-based health care
A quick guide to 3M s unique solution for value-based health care Part 2: The era of and Current trends industry changes Volume-based health care Value-based health care ICD-9 ICD-10 Inpatient care Outpatient
More informationPopulation Health Management: Advancing Your Position in the Journey to Value-Based Care
Population Health Management: Advancing Your Position in the Journey to Value-Based Care Webcast Session One: An Integrated Approach to Population Health Management 11 August 2015 Welcome & Introductions
More informationACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
More informationPopulation Health Management: Leveraging Data and Analytics to Achieve Value. White Paper. A Special Report
Authors Carol Cassell CTG Health Solutions John Kontor, MD Clinovations Lisa Shah, MD, MAPP Clinovations Contributors Marla Roberts, DrPH, RN CTG Health Solutions Katie Stevenson Clinovations : Leveraging
More informationThe Financial Case for EHR/RCM Integration. White Paper. The Power of Clinically Driven Revenue Cycle Management. Presented by
The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue Cycle Management White Paper Presented by The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue
More informationAccountable Care Organizations New Healthcare Opportunities for Employers
Accountable Care Organizations New Healthcare Opportunities for Employers The ACO and Employer Opportunities Since the passage of the Patient Protection and Affordable Care Act (PPACA) in 2009, the marketplace
More informationHEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS. April 10, 2014
HEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS April 10, 2014 1 MARKETPLACE UPDATE 2 MARKETPLACE - ESSENTIAL HEALTH BENEFITS 3 MARKETPLACE - METAL LEVELS 4 WHAT IS THE HEALTH INSURANCE MARKETPLACE
More informationE. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences
Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University
More informationA Proactive Approach to Capacity Management
Healthcare Organizations ive Capacity ment A Proactive Approach to Capacity ment Capacity Planning Patient Flow Quality Compliance Workforce Optimization Benchmarking ment solutions 6 Faced with unprecedented
More informationCardiology. Cardiology Solutions Improve patient care, workflow efficiency, and your bottom line.
Cardiology Cardiology Solutions Improve patient care, workflow efficiency, and your bottom line. Our organization is much more efficient since we ve implemented NextGen. With NextGen s integrated solution,
More informationMedicare Value Partners
Medicare Value Partners Medicare Shared Savings ACO Program Frequently Asked Questions (FAQ) Q: What exactly is a Medicare Shared Savings Program ACO? A: Medicare Shared Savings Program accountable care
More informationQuality Accountable Care Population Health: The Journey Continues
Quality Accountable Care Population Health: The Journey Continues Health Insights April 10, 2014 Doug Hastings 2001 Institute of Medicine 2 An Agenda For Crossing The Chasm Between the health care we have
More informationEmbracing Accountable Care: 10 Key Steps
Embracing Accountable Care: 10 Key Steps Sivakumar Nandiwada and Vijay Sylvestine Abstract For quite some time now, the U.S. healthcare market has been grappling with issues of spiraling costs and disparities
More informationModern care management
The care management challenge Health plans and care providers spend billions of dollars annually on care management with the expectation of better utilization management and cost control. That expectation
More informationAccountable Care Solutions
Accountable Care Solutions Transform Today. Thrive Tomorrow. Clinical Transformation Services As your organization faces rapid industry and regulatory change, including evolving reimbursement models, your
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationValue-Based Purchasing Literature Survey August 2012
Value-Based Purchasing Literature Survey August 2012 This document highlights a selection of briefs, reports, and commentaries on value-based purchasing payment reform methods as well as how payment reforms
More informationUsing analytics to get started with population health. The 3M 360 Encompass Health Analytics Suite
Using analytics to get started with population health The 3M 360 Encompass Health Analytics Suite The need for analytics in health care The global healthcare analytics market is expected to reach $21 billion
More informationALTARUM. Modernizing Health Care: Leveraging Our Regional Extension Centers
ALTARUM Modernizing Health Care: Leveraging Our Regional Extension Centers HITECH Portfolio and the REC Infrastructure The Health Information Technology for Economic and Clinical Health (HITECH) Act, which
More informationPremier ACO Collaboratives Driving to a Patient-Centered Health System
Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency
More informationAccountable Care Communities 101. Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014
Accountable Care Communities 101 Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014 Premier is the largest healthcare alliance in the U.S. Our Mission:
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationFinancial and Population Analytics for Accountable Care Organizations SEPTEMBER 20, 2012
Financial and Population Analytics for Accountable Care Organizations Valence Biographies Lori Fox Ward is Senior Vice President of Clinical Integration for Valence Health where her primary role involves
More informationTRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution
TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration
More informationIU Health Quality Partners
FREQUENTLY ASKED QUESTIONS 1) What is IU Health Quality Partners? It is a clinically integrated provider group; it is not a contracted health insurance plan network where physicians receive a set fee for
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationCornerstone Health Care s ACO Playbook. Grace E. Terrell, MD January 17, 2012
Cornerstone Health Care s ACO Playbook Grace E. Terrell, MD January 17, 2012 Mission: To be your medical home Vision: To be the model for physician-led health care in America Values: As a physician owned
More informationWHITE PAPER. How a multi-tiered strategy can reduce readmission rates and significantly enhance patient experience
WHITE PAPER How a multi-tiered strategy can reduce readmission rates and significantly enhance patient experience Vocera Communications, Inc. June, 2014 SUMMARY Hospitals that reduce readmission rates
More informationAccountable Care Organizations
Accountable Care Organizations Myth, Reality, Facts Why =System Failure Low Quality - IOM report High Cost Quality Cost disconnect Low Value Problems Disconnect between Quality and Cost Care is fragmented
More informationProvider-Sponsored Health Plans. November 2013
Provider-Sponsored Health Plans November 2013 Learning Objectives > Understand the reasons why a provider-sponsored plan may make sense for an organization > Understand the key capabilities required to
More informationWHAT WE DO HOW OLIVER WYMAN S HEALTH & LIFE SCIENCES TEAM DRIVES INNOVATION BY IMPLEMENTING TRANSFORMATIVE IDEAS. Oliver Wyman
WHAT WE DO HOW OLIVER WYMAN S HEALTH & LIFE SCIENCES TEAM DRIVES INNOVATION BY IMPLEMENTING TRANSFORMATIVE IDEAS Population Health Management Oliver Wyman helped a large national retail pharmacy chain
More informationMercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care
2015 SAP SE or an SAP affiliate company. All rights reserved. Mercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care To become a best-in-class Accountable Care Organization, Mercy
More informationHFMA Region 9 Webinar Are You on the Right Path to Value?
HFMA Region 9 Webinar Are You on the Right Path to Value? March 21, 2016 P. Todd DeWeese, MBA Vice President The Affordable Care Act s Path to Payment Reform and Corresponding Impact on the Health Care
More informationBanner Health Network Pioneer ACO - Physician Toolkit
& The Banner Health Network, an AIP and Banner Health partnership, present the Banner Health Network Pioneer ACO - Physician Toolkit This BHN Pioneer ACO Physician Toolkit has been developed to provide
More informationPediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization
Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric
More informationDRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I
DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I A firm understanding of the key components and drivers of healthcare reform is increasingly important within the pharmaceutical,
More informationNext Generation EHRs: How To Meet The Demands Of Your Market With Transformational Technology
Next Generation EHRs: How To Meet The Demands Of Your Market With Transformational Technology A White Paper By OPEN MINDS & Core Solutions Published July 2015 Executive Summary With the shifting financing
More informationTRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution
TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration
More informationPopulation Health Management Primer
Population Health Management Primer A White Paper October 2014 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Table of Contents What Is Population
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationThe healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. Who are we?
The healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. COGNIZANT AT A GLANCE In this increasingly dynamic business environment,
More informationTransitional Care Management
Transitional Care Management HE ALTH SOLUTIONS consulting technology innovation A DIVISION OF AVASTONE TECHNOLOGIES, LLC I avastonetech.com/healthsolutions transitional care management I Avastone Health
More informationData: The Steel Thread that Connects Performance and Value
WHITE PAPER Data: The Steel Thread that Connects Performance and Value An Encore Point of View Randy L. Thomas, FHIMSS, Managing Director, Value April 2016 Realization Solutions, David H. Brown, Barbara
More informationMERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D.
MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D. November, 2012 Accountable Care Organization An ACO is a group of health care providers who agree to take on a shared
More informationProviders Perceptions: Accountable Care Organizations
Accountable Care Organizations February 2012 Executive Summary As providers seek out information regarding ACO participation, they are simultaneously assessing their internal healthcare IT strategies.
More informationPROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS
PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS An Availity Research Study April, 2014 TABLE OF CONTENTS 1 Introduction 2 Definitions 3 Key Findings 5 Survey Results 6 Revenue sources and experience
More informationTRUSTED PATIENT EDUCATION FOR BETTER OUTCOMES. MICROMEDEX Patient Connect. Patient Education & Engagement
TRUSTED PATIENT EDUCATION FOR BETTER OUTCOMES MICROMEDEX Patient Connect Patient Education & Engagement Trusted Patient Education for Better Outcomes All your training, experience, tools, and technology
More informationCMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit
More informationHRI s closer look Healthcare s alternative payment landscape
HRI s closer look Healthcare s alternative payment landscape CMS Payment Changes 2015-2018 Medicare s commitment towards quality-based payments grows. 80% 20% 85% 30% 90% 50% All Medicare payments Percentage
More informationHow To Create A Health Analytics Framework
ABSTRACT Paper SAS1900-2015 A Health Analytics Framework Krisa Tailor, Jeremy Racine, SAS Institute Inc. As the big data wave continues to magnify in the healthcare industry, health data available to organizations
More informationMAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT
MAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT H O W T O E F F E C T I V E L Y N E G O T I A T E V A L U E - B A S E D C O N T R A C T S I N T H E N E W R E T A I L M A R K E T P I O N E E R I N
More informationWhat you need to know to realize value-based revenue
The Definitive Guide to Value-Based Care What you need to know to realize value-based revenue 1 Making sense of value-based care 5 How meaningful is Meaningful Use? 2 Why the change to P4P is needed 6
More informationSummary of the Final Medicaid Redesign Team (MRT) Report A Plan to Transform The Empire State s Medicaid Program
Summary of the Final Medicaid Redesign Team (MRT) Report A Plan to Transform The Empire State s Medicaid Program May 2012 This document summarizes the key points contained in the MRT final report, A Plan
More informationHome Health Care Today: Higher Acuity Level of Patients Highly skilled Professionals Costeffective Uses of Technology Innovative Care Techniques
Comprehensive EHR Infrastructure Across the Health Care System The goal of the Administration and the Department of Health and Human Services to achieve an infrastructure for interoperable electronic health
More information6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation
Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving
More informationACHIEVE WHAT MATTERS MOST.
ACHIEVE WHAT MATTERS MOST. What matters most is PEOPLE. Difficult challenges are faced every single day by you the people who deliver and support care. We know why you do it. It s why we do it, too. In
More informationEarly Lessons learned from strong revenue cycle performers
Healthcare Informatics June 2012 Accountable Care Organizations Early Lessons learned from strong revenue cycle performers Healthcare Informatics Accountable Care Organizations Early Lessons learned from
More informationHow Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
More information3M Health Information Systems Solutions Overview. Navigating change... across the continuum of care
3M Health Information Systems Solutions Overview Navigating change... across the continuum of care Integrated, enterprise-wide solutions Most people know us for our market-leading coding and grouping products,
More informationThe Need to Embrace Profit Cycle Management in Healthcare
GE Healthcare The Need to Embrace Profit Cycle Management in Healthcare Justin Steinman General Manager GE Healthcare IT Top 5 Takeaways 1. Healthcare leaders need to start analyzing and controlling costs
More informationPractice Partner. Electronic Health Record and Practice Management Solution for Improved Workflow and Enhanced Care Quality
Practice Partner Electronic Health Record and Practice Management Solution for Improved Workflow and Enhanced Care Quality A Better Way to Practice Productivity and Quality Hillside Avenue Family and Community
More informationPerformance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
Performance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS Mind the Gap: Improving Quality Measures in Accountable Care Systems October
More informationIs Your System Ready for Population Health Management? By Dale J. Block, MD, CPE
Population Health Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE In this article Health care organizations will need to migrate to population health management sooner
More informationAccountable Care Organizations: An old idea with new potential. Stephen E. Whitney, MD, MBA Testimony to Senate State Affairs September 22, 2010
Accountable Care Organizations: An old idea with new potential Stephen E. Whitney, MD, MBA Testimony to Senate State Affairs September 22, 2010 Impetus for ACO Formation Increased health care cost From
More informationPhysical Therapy. Physical Therapy. Improve patient care, workflow efficiency, and your bottom line. Solutions
Physical Therapy Physical Therapy Solutions Improve patient care, workflow efficiency, and your bottom line. NextGen Healthcare is a market leader with thousands of practicing physical therapists using
More informationCLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE
CLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE Patient CARE Financial Integrity HEALTHCARE S New REALITIES A host of critical imperatives from Meaningful Use and ACOs, to ICD-10,
More informationBuilding the Healthcare System of the Future ORACLE WHITE PAPER DECEMBER 2014
Building the Healthcare System of the Future ORACLE WHITE PAPER DECEMBER 2014 Introduction The future of healthcare in the United States is changing rapidly. Health insurers are learning to adapt to a
More informationThe Accountable Care Organization: An Introduction
January 2011 The Accountable Care Organization: An Introduction The healthcare reform discussion introduced new terms and ideas and reintroduced many concepts explored in the past: value-based healthcare,
More informationClinical Integration Concepts for Successful Population Health
Annual Conference November 12, 2015 Presented by: Jane Jerzak, RN, CPA, Partner Clinical Integration Concepts for Agenda Population Health and the Movement Toward Clinical Integration Consumerism Patient
More informationProven Practice Management and EHR Solutions
Proven Practice Management and EHR Solutions The Smart Choice to Enhance Office Productivity, Profitability and Care Quality Your small practice faces big challenges. Finding time and resources to prepare
More informationINTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN
INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)
More informationAccountable Care and Workers Compensation: Are They Compatible?
By Jacob Lazarovic, MD, FAAFP Senior Vice President and Chief Medical Officer Broadspire Accountable Care and Workers Compensation: Are They Compatible? First let s review the acronym glossary. Accountable
More informationBusiness Development. MarketDiscovery A Complete Healthcare Business Development Solution
Business Development MarketDiscovery A Complete Healthcare Business Development Solution Helping You Focus on Profitable Growth Business development plays a key role in healthcare organizations, and like
More informationCare Coordination and Contracting Entities: The CHC Perspective on IPAs and ACOs. Today s Discussion
Care Coordination and Contracting Entities: The CHC Perspective on IPAs and ACOs Ohio Association of Community Health Centers June 2014 Contact Us Andrew Principe PO Box 410221, Cambridge, MA 02141 P.
More informationThe Progressive Journey Toward Population Health Management
The Progressive Journey Toward Population Health Management Lee B. Sacks, MD CEO Advocate Physician Partners, Executive Vice President and Chief Medical Officer, Advocate Health Care Michael Udwin, MD
More informationRealizing ACO Success with ICW Solutions
Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.
More informationProgram Description and FAQ s 2016 Medicare Shared Savings Program Year
and FAQ s 2016 Medicare Shared Savings Program Year Who is the National Rural ACO? The National Rural ACO was formed in 2013 to pool knowledge, patients, and resources so that independent community health
More informationPOPULATION HEALTH COLLABORATIVES. 2015 Agenda Based on Evolving Trends
POPULATION HEALTH COLLABORATIVES 2015 Agenda Based on Evolving Trends ABOUT THE ACADEMY HURON INSTITUTE Innovation and time to market define success for today s Top-100 healthcare organizations. To accelerate
More information