Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.
Population Health Management Support Services
A captive health plan’s programs and services can be supported by a broad range of services that can be delivered by partner organizations, including case management, claim recovery, and patient advocacy.
The Critical Role of Health Systems in the Nation’s Response to the Opioid Crisis
Although state and federal programs dedicated to the opioid crisis are helpful, communities—specifically hospitals and health systems—must be dedicated to making improvements.
Optimizing Physician Referrals: A Key to Successful Population Health Management
Providers should focus on improving quality, reducing costs, and delivering a positive patient experience to stage a high-functioning physician referral network.
To Succeed at Managing Population Health, Adopt a Health Plan Mindset
To be successful with population health management, healthcare provider organizations should take a lesson from the strategies health plans use to improve the quality of population-level outcomes and performance around costs.
Revolutionary Medicine: Can Less Sometimes Be More?
The Cuban health system, although challenged by economic issues, has some important lessons to offer the United States when it comes to population health management.
A Population Health ‘A-Ha’ Moment: Focusing Care Coordination on the Right Patients
Predictive data models can point to who will be hospitalized next year with accuracy that frequently surprises health practitioners.
YEAH! Childhood Obesity Is a Preventable Problem
Jean Mutchie and Amy Walters write about a program at St. Luke’s Children’s that addresses the underlying issues in the fight against childhood obesity.
Urgent Care Moves to Homes, Offices, Hotels
Offering urgent care and primary care house calls will pay off in the long run through lower total costs, more efficient care delivery, and improved patient satisfaction, say two provider organizations that are taking the lead in implementing such programs.
House Calls for Frail, Elderly Patients Enhance Value
House calls for frail, elderly patients have not gained traction under fee for service but could be a vital component of value-based care.