By Brian Book – Interoperability of health records is certainly the buzz these days. Although there are a number of consortiums, including EHR vendors and provider organizations, diligently trying to solve this problem, there are few implemented models that achieve the goal pragmatically.
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Largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices.
National Healthcare Decisions Day, April 16, has been established to inspire, educate, and empower healthcare providers and the public about the importance of advance care planning.
By Patrick Conway – The launch of the Comprehensive Care for Joint Replacement Model (CJR) on April 1 is a major step toward transforming care delivery in Medicare. Why? Because this model looks to improve care and quality for the most common procedures that Medicare beneficiaries have, hip and knee replacements.
By Johanna Legaspi – Hierarchical Condition Categories were mandated in 1997 by CMS and have been the basis for reimbursement for Medicare Advantage plans since 2004. HCCs use data to prospectively estimate predicted costs for enrolled members during the next year of coverage.
By Matt Patterson MD – There is broad agreement that the U.S. healthcare system must focus on improving overall care quality and cost efficiency. The pressures imposed on the system by the Affordable Care Act make this need abundantly clear.
By Sarianne Gruber – At the start of this month, Robert Wood Johnson Health System and Barnabas Health publicly announced its merger – one that will cover 5 million people or more than half of the state’s population spanning from Ocean County in the south to Hudson County in the north and Somerset in west.
By Seth Pazinski & Talisha Searcy – We are asking for your input on ways to measure the progress toward a future where health information is flowing between providers and patients to support a health system that provides better care, smarter spending, and healthier people.
Ten common conditions represent more than 2 million annual visits to hospital emergency rooms statewide at an estimated cost of about $1.3 billion, and nine out of 10 of them could have been avoided or treated elsewhere, according to research issued by Excellus BlueCross BlueShield.