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Industry Article

Ineffective TCM Programs are Keeping Patients in the Hospital

One area that is causing clinical and financial strain on organizations due to limited resources is transitional care management (TCM) programs.

Industry Article

The Keys to CentraCare’s Success as a Medicaid ACO

Rachael Lesch, R.N., M.B.A., executive director of population health and quality at Minnesota-based CentraCare, discussed her team’s approach to value-based care in the Medicaid space

Industry Article

Ineffective TCM Programs are Keeping Patients in the Hospital

Technology and the way people are using it are evolving in an increasingly steady pace.

Industry Article

The Ever Evolving World of Cybersecurity Threats

Technology and the way people are using it are evolving in an increasingly steady pace.

Industry Article

Revolutionising healthcare with data management

Lightbeam Health Solutions’ Kent Locklear reveals how data and analytics can reduce burnout and lead to better staff support

Industry Article

Augmenting a Transitional Care Model With Artificial Intelligence Decreased Readmissions

Evaluate if augmenting a transitions of care delivery model with insights from artificial intelligence (AI) that applied clinical and exogenous social determinants of health data would reduce rehospitalization in older adults.

Industry Article

Reducing Avoidable Emergency Visits and Hospitalizations With Patient Risk-Based Prescriptive Analytics: A Quality Improvement Project at an Oncology Care Model Practice

Cancer-related emergency department (ED) visits and hospitalizations that would have been appropriately managed in the outpatient setting are avoidable and detrimental to patients and health systems.

Industry Article

The Ins and Outs of Remote Patient Monitoring

Divided into the many different avenues we need to be using in order to properly discuss RPM.

Industry Article

Boosting population health with increased patient engagement

How the merger between Lightbeam and CareSignal will help them assist more health systems to improve patient engagement and population health, as told by Jerry Shultz, president of Lightbeam Health Solutions, and Blake Marggraff, CEO of CareSignal.

Industry Article

The Retail Revolution is Changing Modern Medical Care and Healthcare Organizations Need to Act Now

As patients and healthcare providers continue to navigate a post-pandemic world, we have begun to see an overlying trend — especially among the younger generation — that favors convenience and transparency in the way healthcare services are obtained.

Industry Article

The Power of Data: Time to Use and Share It!

Strategic partnerships can help lead the way. As even the casual observer knows, we have a data-driven economy in the U.S. -- and healthcare is no exception.

Industry Article

Where Will the Healthcare Facility of the Future Look Like?

As we look into the future, we’re seeing how what was needed in the past isn’t what the healthcare facility of the future is going to need.

Industry Article

Social Determinants of Health: How to Drive Action From Data

Social determinants of health (SDOH) are entering the healthcare conversation more often these days for a reason.

Industry Article

Lightbeam scoops up Jvion to expand AI, SDOH analytics capabilities

Lightbeam expects the acquisition to further enhance and expand the company's proactive and preventive capabilities, bringing SDoH and health equity offerings to tens of millions of patients.

Industry Article

KLAS: 6 Vendors That Aim to Resolve Payer-Provider Friction

Payer-provider friction can result from a number of challenges, but payers are leaning on certain vendors to help bridge the gap.

Industry Article

Four Ways Healthcare Leaders Can Respond to The Retail Revolution

The healthcare industry is undergoing an evolution towards retail service, driven in large part by the growing influence of consumers in the marketplace.

Industry Article

Avoid the Digital Trap: Care management tools to improve, not impede, patient and provider well-being

Healthcare staffing shortages and burnout are now much more than a media or talking point.

Industry Article

Reducing Clinician Burnout with Better Care Management Tools

For many provider organizations, one way to address burnout begins with making clinicians’ lives easier by giving them the right technology to seamlessly access critical patient data at the point of care.

Industry Article

IT execs talk priorities and predictions for 2022

Patient and provider experiences have to be top-of-mind in the year ahead, with special attention to stressed hospital workers and underserved populations, healthcare vendor leaders say.

Industry Article

2022 Predictions – Final Thoughts

Our industry experts and thought leaders have shared their predictions for 2022 with us over the last few weeks.

Industry Article

2022 Digital Health Predictions

As healthcare continues to emerge and innovate from the disruption of the COVID-19 pandemic, MGMA presents these 22 industy leaders and their insights and predictions on what medical practices should keep their eyes on for digital health in 2022.

Industry Article

Predictions for 2022 from Healthcare Executives

Healthcare executives look ahead to 2022 and the forces and events that will shape the American healthcare landscape.Amendola Communications compiled these comments from a variety of healthcare executives.

Industry Article

Aggregating Patient Data in an Ocean of Healthcare Information

With advances in how data is managed and communication is handled in healthcare, it might seem like the time physicians spend with patients has become more streamlined than ever.

Industry Article

How care management tools can mitigate clinician burnout

Healthcare staffing shortages exacerbated by the COVID-19 pandemic have intensified an already serious problem in healthcare: clinician burnout.

Industry Article

Successful Population Health Management Hinges on Efficiency

The key to efficiency under value-based care models is a strategic approach to risk stratification.

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.

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.

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.

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.

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”?

Industry Article

Cornered by COVID

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.

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.

Industry Article

Why the U.S. must prioritize behavioral health management during the COVID‐19 pandemic

The COVID‐19 pandemic has challenged our society in countless ways — general life disruption, furloughs, economic collapse and the constant fear of exposure to a life‐threatening virus that has no effective treatment or vaccine.

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.

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.

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.

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

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.

Industry Article

THE 2019 INNOVATOR AWARDS 1ST PLACE TEAM: MILLENNIUM PHYSICIAN GROUP

Millennium Physician Group leaders have cracked the code on success in the MSSP program, leveraging data to better care-manage their highest-risk patients.

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.

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.

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.

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.

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