Reducing risk to drive VBC success for ACOs
As value-base care (VBC) progresses, accountable care organizations (ACOs) face a significant challenge in balancing the quality of care and financial outcomes while taking on increasing financial risk. This task becomes even more difficult without a comprehensive understanding of patient populations and overall performance, making it challenging to sustain value-based care effectively. ACOs typically have … Reducing risk to drive VBC success for ACOs
New MedInsight ebook: Gain a competitive edge with next-level employer group reporting
Advanced Employer Group Insights demonstrate the value of your health plan As healthcare costs rise, health plans need tools that enable them to demonstrate the value of their plans and provide data-backed answers to the questions that keep business owners up at night. How MedInsight Employer Group Insights (EGI) can help Backed by decades of … New MedInsight ebook: Gain a competitive edge with next-level employer group reporting
Why adherence matters in diabetes
Medication adherence is important for pharmaceutical therapy to be effective in patients with chronic diseases, including diabetes. Medication adherence in diabetics is associated with lower risk for hospitalizations, lower healthcare costs, and lower mortality. Various publications have reported positive correlations for patient demographics, such as older age, male sex, higher education level, and higher income, … Why adherence matters in diabetes
Reporting Framework for Value Based Care
As the cost of healthcare continues to rise, both payers and providers continue the “triple aim” of delivering effective quality care while managing their costs. Value based care (VBC), or value based reimbursements, has emerged as an effective mechanism for achieving this goal. In fact, based on estimates developed by National Business Group on Health, … Reporting Framework for Value Based Care
Chronic Condition Analysis: Selecting a Diagnostic Grouper
With over 77,000 codes, ICD10 diagnosis codes provide a much needed level of granularity for clinicians to use in caring for patients, but they are not particularly useful for large scale analytics. As a result, analysts have developed many different diagnostic groupers to group ICD10 codes into meaningful categories for analysis. Several are available within … Chronic Condition Analysis: Selecting a Diagnostic Grouper
Data Confidence for ACOs
Incomplete Provider Data Provider level analysis is extremely important for ACOs. ACOs need to know which providers both within and outside the ACO network are providing services to patients attributed to the ACO. This is important not only to work towards bringing a larger percentage of services in-network (leakage management), but also for quality and … Data Confidence for ACOs
