Care Process Redesign

Keeping an eye on Massachusetts

Several payer-provider collaborations launched in Massachusetts seek to better manage Medicaid risk by including behavioral health resources, among other services.

HFMA August 12, 2019

Why behavioral health should be part of a holistic healthcare approach

The dual risk of physician and mental health conditions often compound the cost of care. In fact, people with a combination of medical and behavioral issues have medical costs that are two times higher than the general population.

Jeremiah Reuter August 12, 2019

Avera Health facilitates dialogue to strengthen care delivery across the organization

Avera Health has managed to seamlessly integrate clinical and operational processes across its system by focusing on collaboration and enhanced communication.

Elizabeth Barker August 2, 2019

Innovation in action: The genesis of the geriatric ED

An innovative idea sparked the concept of the geriatric ED, which now has its own accreditation process and is becoming a staple of hospitals around the country.

Lola Butcher August 2, 2019

How design thinking in healthcare can improve customer service

Healthcare organizations should use the concept of design thinking as an approach to problem solving, placing innovations in a larger, multidimensional context.

Krithika Srivats August 2, 2019

CareMore Health: Addressing loneliness leads to lower rates of ED, hospital use

Through a holistic program that addresses senior patients’ psychological, social and physical health, a provider is successfully treating loneliness and improving outcomes.

Robin Caruso, LCSW July 26, 2019

Geriatric EDs improve care, reduce utilization

Main article: Innovation in action: The genesis of the geriatric ED Adults ages 65 and older account for about 18% of total emergency department (ED) visits, according to the American College of Emergency Physicians (ACEP). That percentage has increased steadily in the past decade and will do so for the foreseeable future. There were 43…

Lola Butcher July 25, 2019

Joint venture removes provider, patient and payer barriers

A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.

Ed Avis July 14, 2019

Coordinated care reduces hospitalizations

Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians.  “As an example,…

HFMA July 14, 2019

Dental center prevents ED visits, provides hospital referrals

St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.

Ed Avis July 14, 2019
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