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Healthcare News Spotlight: April 22

Surfing the patient tidal wave

The national uninsured rate continues to drop in 2016 and provider organizations must prepare for a significant influx of patients. Movement toward the value-based care model presents them with the considerable challenge of taking on these new patients without sacrificing care quality and keeping costs at bay. An article published by HIT Leaders & News discusses strategies for providers can use to manage their practice and maintain quality standards.

 

How To Manage A Patient's Experience To Maximize Reimbursement

Patients expect high quality service regardless of the contact method. Health systems and providers must update their infrastructure to effectively engage patients using multiple channels, such as phone, email, chat, mobile, etc. Patient engagement and stratification with service is at the crux of improved outcomes and lower costs. Read more on this subject in Health IT Outcomes for strategies providers can use to have success with the value-based care model.

 

5 Lessons From Patient-Centered Diabetes Care

Five main themes of the future of healthcare unfolded at the 4th annual Patient Centered Diabetes Care conference, presented by The American Journal of Managed Care and Joslin Diabetes Center.Discussion centered around diabetes prevention efforts, health data solutions, the call for revised reimbursement policies, the stigma of obesity and its harm to patients and payers, and health consumer demand for alternative more-convenient care locations, such as retail clinics.

 

Health 2.0: Connecting The Dots Between Technology, Care Providers And Patients

According to the 2016 HIMSS Connected Health Survey more than 50 percent of hospitals now use three or more connected health technologies such as patient portals, patient education/engagement apps, remote patient monitoring and others. The potential of digital health solutions is more than promising, but the healthcare industry must develop strategies that will enable engagement with high-risk patients with chronic conditions and tie health data back to care delivery. Learn moreinsight from The Next Silicon Valley.

 

To Identify Patients For Care Management Interventions, Look Beyond Big Data

Clinical and financial data has been successful in predicting which patients will be the most high-cost. However, current models that primarily utilize claims-data have limitations in identifying patients who may benefit from health interventions. Health outcomes can be determined by other factors not captured in claims, such as social factors and financial barriers to care. Health Affairs recently discussed the benefits of capturing additional types of patient data, such as provider insights and patient reported data.

 

ACA Exchanges: 3 Keys to Sustainability

Today payers participating in the ACA exchanges are facing sustainability challenges. To lower costs organizations must adapt their network design, enhance patient engagement strategies, and establish P&L-based value management to be successful moving forward. HIT Consultant Mediapublished a run-down of this three pronged strategy for long-term sustainability industry leaders are using.

 

Ten Years, Forty Decision Aids, And Thousands Of Patient Uses: Shared Decision Making At Massachusetts General Hospital

Health Affairs recently published an article about a shared decision making indicative at Mass General. The program intergration involved developing a culture supportive of shared decision making, training clinical staff in its principles, and using decision aids to better inform and engage patients. The program has helped create more strategic doctor-patient conversations and stimulate high-value care. Read the article.

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