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Welcome To The Lightbeam
Education Center
All of our vast educational resources at your fingertips
Industry Article
What ACOs should do now that CMS won’t extend the Next Gen ACO model through 2022
Accountable care organizations (ACOs) were understandably disappointed in mid-May when the Centers for Medicare and Medicaid Services (CMS) announced that its Next Generation ACO Model would not be extended into 2022.
Industry Article
Tackling Common Care Management Risks
When organizations launch care management programs with an investment of time, staffing and technology, they often see some quick wins.
Industry Article
Key Medicare Advantage plan changes practices need to be aware of
Good news on telehealth coding, but lifting of EFRD restrictions will present financial challenges.
White Paper
WHITE PAPER – OVERCOMING THE CHALLENGES OF MODERN HEALTH INTEROPERABILITY
Our latest whitepaper detailing the difficulties many healthcare organizations face when trying to get their interoperability strategies off the ground.
Patient Impact Story
COMPASSIONATE CARE MANAGEMENT IN A MOMENT OF NEED
Fairfield Community Health Partners, LLC (FCHP) is the Accountable Care Organization (ACO) of Fairfield Medical Center, an extensive health system that serves patients across 27 care venues in Central Ohio.
Ebook
EBOOK – MEDICARE ADVANTAGE
For years, Medicare Advantage (MA) plans have been managed by what is visible and actionable, leaving behind many opportunities to transform organizations, payers, and other MA contract holders from the inside out.
Industry Article
How to simplify and improve physician referrals with data
There’s nothing wrong with traditional referral methods but decision support technology can help simplify the referral process for both physicians and patients.
Webinar
CARE MANAGEMENT 101 – THE FUNDAMENTALS
Join us on May 5th as Lightbeam’s Clinical Engagement Manager, Shelley Davis, MSN, RNC, CCM, discusses how to build a strong foundation for care management programs.
Podcast
POP HEALTH PODCAST – WORLD HEALTH DAY | SOCIAL DETERMINANTS OF HEALTH
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, and Clinical Engagement Manager, Shelley Davis, MSN, RNC, CCM, join Lightbeam Marketing & Event Coordinator, Laurel Derr, on the Population Health Podcast discussing this month’s topic: social determinants of health (SDOH).
Industry Article
Time and Goals Should Drive Your Post-COVID-19 Care Management Strategy
COVID-19 forced many health systems to reassess and reconfigure their care management processes and staffing models so that clinicians could better manage more of their acute, complex, and otherwise healthy patients remotely to limit in-person care.
Industry Article
How to Put Some Science Behind the Art of Physician Referrals
Medicine is both an art and a science. Some physicians would contend that science—specifically data science—has overtaken medicine and limited their ability to make decisions based on informed intuition and personal experience.
Industry Article
MGMA/Humana Report Underscores Impact of Deferred Care During Pandemic
There’s an urgent need for providers to understand where care gaps are growing as COVID-19 cases have resurged, according to the report's authors.
Podcast
POP HEALTH PODCAST – REFERRAL MANAGEMENT
Lightbeam Clinical Transformation Advisor, Alexis Edwards, BSN, RN, and Referral Management Operations Director, Matt Cheatham, join Laurel Derr on the Population Health Podcast discussing this month’s topic: referral management.
Case Study
VANGUARD MEDICAL GROUP REDUCES LEAKAGE BY 75% WITH DATA-DRIVEN REFERRAL MANAGEMENT
Vanguard Medical Group (VMG) is made of 10 primary and specialty care practices serving over 50,000 patients in the state of New Jersey. Like many medical groups today, VMG knew they had a problem with referrals going out-of-network and had no process to close the loop or measure the clinical and financial impacts.
Podcast
POP HEALTH PODCAST – PREVENTATIVE CARE
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, and Clinical Engagement Manager, Shelley Davis, MSN, RNC, CCM, join Laurel Derr on the Population Health Podcast discussing this month’s topic: preventative care.
Webinar
MEDICARE ADVANTAGE: WHAT YOU NEED TO KNOW ABOUT THE 2022 FINAL RULE
In this webinar, Lightbeam Product Manager, Cindy Dyer, reviews important takeaways from the Centers for Medicare and Medicaid Services' (CMS) 2022 Final Rule.
Checklist
PHYSICIAN ENGAGEMENT CHECKLIST
The Physician Engagement Checklist, a collection of Lightbeam’s top solutions to arm physicians with the tools to help them improve their value-based care outcomes.
Industry Article
Knocking Down Data Barriers in Healthcare
Healthcare data is expanding at an exponential rate. Data compiled last year by Dell EMC shows health data grew an astounding 878% from 2016 to 2018, fueled in large part by the increasing use of telemedicine, wearable devices, and medical imaging.
Success Story
IMPROVING PATIENT SAFETY AND EXPERIENCE THROUGH HIE
A Health Information Exchange (HIE) called the Clinical Integration Connection (CIC) was developed by Lightbeam Health Solutions to bring a means of reliable interoperability for a major manufacturing company’s healthcare clinics across the nation.
Industry Article
COVID-19 and Physician Burnout: How Health Systems Can Help Reverse It
After months of being stuck at home, staying socially distant, wearing face coverings, and constantly washing your hands, do you suffer from “coronavirus burnout”?
Podcast
POP HEALTH PODCAST – DIABETES AWARENESS MONTH
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, and special guest Constantine, join Laurel Derr on the Population Health Podcast discussing this month’s topic: diabetes and prediabetes. As November is Diabetes Awareness Month, they discuss the importance of managing patients with prediabetes to prevent them from converting to diabetes.
Webinar
HOW TO MAXIMIZE YOUR CLINICAL STAFFING MODEL
Join Lightbeam’s Vice President of Clinical Transformation and registered nurse, Jessica Scruton, BSN, RN, CCM, as she leads a conversation on the critical topic of maximizing staffing in healthcare organizations.
Webinar
MEDICARE ADVANTAGE: STAYING COMPETITIVE IN 2021 WITH CAHPS® UPDATES
Lightbeam Product Manager, Cindy Dyer, discussed how to improve Medicare Advantage (MA) Star Ratings and keep competitive with the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey.
Podcast
POP HEALTH PODCAST – HEALTH LITERACY MONTH
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, joins Lightbeam Marketing & Event Coordinator, Laurel Derr, on the Population Health Podcast discussing this month’s topic: health literacy. As October is Health Literacy Month, they discuss the upcoming flu season, educating patients, the COVID-19 vaccine, and more.
Webinar
IMPLEMENTING THE 21ST CENTURY CURES ACT: INSIGHTS FROM ONC NATIONAL COORDINATOR DR. DON RUCKER
Lightbeam is hosting a special guest for our next thought leadership webinar. Dr. Don Rucker, the National Coordinator for Health Information Technology from the Office of the National Coordinator for Health IT (ONC)...
Success Story
AMARILLO LEGACY MEDICAL ACO REDUCES SKILLED NURSING FACILITY AND HOME HEALTH UTILIZATION BY OVER 15% IN ONE QUARTER
Skilled nursing facilities (SNFs) and home health agencies (HHAs) have expanded opportunities for providers to treat patients outside of the inpatient care setting. Their efforts to offer more personalized care have resulted in substantial financial savings and quality improvements.
Podcast
POP HEALTH PODCAST – CANCER SCREENING AWARENESS
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, joins Lightbeam Marketing & Event Coordinator, Laurel Derr, on the Population Health Podcast discussing this month's topic: cancer screenings. As September is both National Prostate and Ovarian Cancer Awareness Month, they discuss the importance of getting patients in for preventative cancer screenings.
Webinar
TOOLS TO PREVENT PHYSICIAN BURNOUT
Join VP of Product Management, Celia Whatley, and Director of Integration Services, Brian Russell, as they discuss provider engagement and data quality.
Industry Article
Value-Based Conundrum: Balancing Short-Term Financial Recovery with Long-Term Goals
You have undoubtedly seen or even personally experienced the devastating financial effects that COVID has created for primary care providers (PCPs) across the nation.
Podcast
POP HEALTH PODCAST – NATIONAL IMMUNIZATION AWARENESS MONTH
Lightbeam Clinical Transformation Advisor, Christine DiNoia, BSN, RN, joins Lightbeam Marketing & Event Coordinator, Laurel Derr, on the Population Health Podcast discussing this month’s topic: immunizations. As August is National Immunization Awareness Month, they discuss the upcoming flu season, educating patients, the COVID-19 vaccine, and more.
Webinar
LEVERAGING TECHNOLOGY TO ACHIEVE INTEROPERABILITY
Lightbeam Chief Technology Officer, Mike Hoxter, and Manager of HIE Implementations, Carrie Roth, are discussing how the use of technology to share patient information leads to enhanced communication, cooperation, and savings.
Industry Article
Behavioral health management crucial while combating COVID-19
One of the most comprehensive studies to date about hospitalized COVID-19 patients found that 94% had at least one chronic condition, while 88% had two or more.
Webinar
Creating Cohorts For Vulnerable Populations For Covid-19
Our focus since the coronavirus situation evolved is to identify and segment patients known to be the most vulnerable from the virus.
Industry Article
Chronic Care Codes Offer Greater Flexibility and Payment in 2020
When the Centers for Medicare and Medicaid Services (CMS) introduced chronic care management (CCM) services and the associated codes in 2015, the reaction was, to put it mildly, underwhelming.
Podcast
Pop Health Podcast – Start the Year Off Right with Healthy Living Practices
Start the Year Off Right with Healthy Living Practices Jessica Scruton, BSN, RN, CCM, rejoins Lightbeam Marketing & Event Coordinator, Laurel Derr, on the Population Health Podcast discussing this month’s topic of healthy living. As we’re in the peak of our New Year’s resolutions, it’s never a bad idea to learn new ways to improve...
Webinar
Coordinating Care with Skilled Nursing Facilities and Home Health Agencies
Join us as Lightbeam Senior Advisor Maha Salah-Ud-Din discusses how leveraging the right approach with SNFs and HHAs to manage patients in value-based contracts can lead to improvements in patient quality outcomes and reductions in unnecessary utilization and spend.
Industry Article
Kootenai Care’s Advances Around ACO Quality Measure Reporting
The leaders of Kootenai Care Network in Coeur d’Alene, Idaho, have been making major advances in their ACO work, including in optimizing the collection and reporting of quality of care measures.
Webinar
Addressing Behavioral Needs and Social Determinants of Health
Join us as Lightbeam Advisor Kelly Kolepp discusses how leveraging the right approach with the right data will help confront the behavioral needs and social determinants that prevent patients from receiving proper care.
Podcast
POP HEALTH PODCAST – SEASONAL DEPRESSION
Pop Health Podcast – SEASONAL DEPRESSION On this episode of the Population Health Management Podcast, we have Jessica Scruton, BSN, RN, CCM joining us to discuss seasonal depression in light of the colder, grayer weather that comes with winter. According to Johns Hopkins, seasonal depression, or “seasonal affective disorder,” affects approximately 10-20% of the entire...
Podcast
Pop Health Podcast – Diabetes Awareness
Pop Health Podcast – Diabetes Awareness On this episode of the Population Health Management Podcast, we have Jessica Scruton, BSN, RN, CCM joining us to discuss the importance of diabetes management in honor of Diabetes Awareness Month. Did you know that there are four types of diabetes? How about the fact that you can be...
White Paper
White Paper – Data-Driven Solutions Providers and Payers Need for Value-Based Care Alignment
Despite the best efforts of public and private payers, as well as many healthcare organizations, value-based care is stalling. That is the conclusion of a recent survey of primary care physicians and health plan executives. The reason? According to 57% of the insurance executives surveyed, physicians lack the necessary technologies for success in value-based contracts....
Success Story
Penn Medicine Princeton Health Reduces Inpatient Admissions 15% using Care Management
As healthcare reimbursement moves towards value-based models, Princeton has deployed new technology to reduce unnecessary spending and improve patient outcomes. Since implementing Lightbeam’s Population Health Management Platform, Princeton has found success by introducing new workflows that align operational strategies with high quality care.
Webinar
New CMS Primary Care Initiatives
Join us as Dr. Kent Locklear, Chief Medical Officer for Lightbeam Health Solutions, provides an Innovation Center briefing on five payment model options that fall under two new CMS primary care initiatives: Primary Care First and Direct Contracting.
Industry Article
Population Health: Upstream, System Wide, and Community Wide, Across U.S.
Healthcare leaders are moving forward as never before to integrate new elements into their population health initiatives—and they’re showing results.
Success Story
How Healthcare Leaders Are Re-envisioning Data Integration and Care Management
In 2017, Fort Myers, Florida–based Millennium ACO earned more than $29.7 million in shared savings through the Medicare Shared Savings Program (MSSP), making it the No. 1 performing ACO for percentage of shared savings, according to orga- nization leaders. In fact, for five years running, Millennium ACO, which has 56,000 attributed patients, has earned shared...
Webinar
Coordinating Care with Skilled Nursing Facilities and Home Health Agencies
Join us as Lightbeam Senior Advisor Maha Salah-Ud-Din discusses how leveraging the right approach with SNFs and HHAs to manage patients in value-based contracts can lead to improvements in patient quality outcomes and reductions in unnecessary utilization and spend.
Webinar
Engaging and Managing Patients with Complex Care Needs
While physician participation is vital, convincing patients to act on information is the real objective of any campaign.
Success Story
Population Health: How Healthcare Leaders Are Re-envisioning Data Integration and Care Management
Millennium ACO earned more than $29.7 million in shared savings through the Medicare Shared Savings Program (MSSP), making it the No. 1 performing ACO for percentage of shared savings, according to organization leaders.
Podcast
Pop Health Podcast – Gaining Patient Buy-In for Chronic Care Management
Medicare patients who have two or more chronic conditions account for 93% of total Medicare spending.
Webinar
RGVHA’s Commitment to Continuous Quality and Cost Improvements
Learn from Victoria Farias, Program Administrator of RGVHA, on how to plan and optimize new care initiatives that align with value-based reimbursement models such as the MSSP.
Webinar
Top 3 Strategies for Building Your Proven Blueprint for Pathways to Success
Join us as Daniel Marino, MBA, MHA, Managing Partner for Lumina Health Partners, and Maha Salah-Uh-Din, MPH, Senior Advisor for Lightbeam Health Solutions, present the top three strategies for building a proven blueprint for success under CMS’s ACO Pathways to Success program.
Webinar
New CMS Primary Care Initiatives
Join us as Dr. Kent Locklear, Chief Medical Officer for Lightbeam Health Solutions, provides an Innovation Center briefing on five payment model options that fall under two new CMS primary care initiatives: Primary Care First and Direct Contracting.
Success Story
Maury Regional Health: Building a Population Health Program for MSSP Success
Since Maury began its journey in early 2017, the costs of its ACO’s MSSP (and MA) patients have started to decline. In the first year of operation, Maury’s ACO saved Medicare more than $560,000
Webinar
How to Align Clinical Operations with Value-Based Care
Join us as our in-house Clinical Transformation Advisor Jessica Scruton, BSN, RN, CCM, discusses how to implement successful care management programs and report on outcomes effectively.
Webinar
Addressing Behavioral Needs and Social Determinants of Health
Join us as Lightbeam Advisor Kelly Kolepp discusses how leveraging the right approach with the right data will help confront the behavioral needs and social determinants that prevent patients from receiving proper care.
Webinar
Engaging and Managing Patients with Complex Care Needs
While physician participation is vital, convincing patients to act on information is the real objective of any campaign.
Webinar
Coordinating Care with Skilled Nursing Facilities and Home Health Agencies
Join us as Lightbeam Senior Advisor Maha Salah-Ud-Din discusses how leveraging the right approach with SNFs and HHAs to manage patients in value-based contracts can lead to improvements in patient quality outcomes and reductions in unnecessary utilization and spend.
Industry Article
A Holistic View of the Patient Enables Risk-Based ACO Success
Implementing an enterprise data warehouse enabled Millennium Physician Group to give providers a holistic view of their patients, resulting in ACO success and shared savings.
Industry Article
Why a Holistic View of Patient Data is Crucial in Pop Health
Population health management is a core competency of an accountable care organization or a clinically integrated network that aims to succeed under value-based reimbursement.
Industry Article
Why Analytics is Key to Success in Population Health Management
Healthcare organizations involved in value-based care are trying to bend the cost curve by aggressively managing high-cost, high-need patients while eliminating waste and inefficiency without sacrificing quality.
Success Story
Patient-Centered ACO Saves $8.6M Leveraging Lightbeam’s Platform
As RGVHA began their ACO journey, they understood the importance of putting the patient at the center of care.
Webinar
Proven Strategies and Models for Succeeding with Downside Risk
Learn from Millennium Physician Group, a top-performing ACO, who has extensive experience across the risk spectrum managing Track 1 and 3 MSSP ACOs.
Success Story
Breast Cancer Early Detection
Mohawk leverages Lightbeam’s Population Health Management Platform to manage their employee population and identify patients that may benefit from care management and preventative services.
Success Story
Building a Population Health Infrastructure from Scratch
To thrive in a world of value-based reimbursement, healthcare systems must learn how to manage population health–a very challenging undertaking for most organizations.
Industry Article
Why a Holistic View of Patient Data is Crucial in Pop Health
Population health management is a core competency of an accountable care organization or a clinically integrated network that aims to succeed under value-based reimbursement.
Industry Article
AI and Blockchain Will Help Hospitals Adapt to Value-Based Care
Healthcare is in the midst of a financial shift: Value-based care is rising to the fore and hospitals simply have to share more of the financial risk. That means financial information systems must adapt to the new environment.
Industry Article
A Holistic View of the Patient Enables Risk-Based ACO Success
Implementing an enterprise data warehouse enabled Millennium Physician Group to give providers a holistic view of their patients, resulting in ACO success and shared savings.
Podcast
Voices In Value-Based Care: Mark Kirschbaum On Implementing Analytic
Voices in Value-Based Care: Mark Kirschbaum on Implementing Analytic Tools Host Beth Houck talks to Mark Kirschbaum from Maury Regional Hospital on implementing analytic tools and lessons learned. Want to stream our station live? Visit www.HealthcareNOWRadio.com. Want to listen on your iPhone? Say “Hey Siri, search for HealthcareNOW Radio” and please be sure to rate...
Industry Article
Leaders Leverage IT to Support a Groundbreaking Mental Health Population Health Model
The clinician leaders at Partners in Recovery, a behavioral healthcare services agency serving Medicaid and Medicare patients in the Phoenix area, are leveraging IT to help create major breakthroughs in patient outcomes.
Industry Article
Lightbeam Health Solutions Debuts New Pop Health Platform
The latest version of the platform aims to help with end-to-end management for high-risk and high-cost patients, said a company executive.
Industry Article
Reducing Inpatient Admissions 15% Using Care Management
A case study about how tech helped Princeton reduce inpatient utilization by 5 percent and decrease expenditures in post-acute care by 12 percent since it began with the MSSP program.
eBook
eBook – 6 Strategies to Thrive in VBC
If providers want to thrive in the new era of healthcare reimbursement, they must understand the concept of value-based care. One thing we all know is that where there are new challenges, there are opportunities to thrive.