Is Risk Adjustment Enough in Population Analytics?
Practical Analytic Approaches to Healthcare Challenges Most analysts conducting population health data analysis understand that no two populations are completely the same. Even within a population with similar attributes – people with congestive heart failure, for example – there will be variances in the population subgroups. Many factors contribute to these variances, including age and … Is Risk Adjustment Enough in Population Analytics?
Task Force on Low Value Care: Fall Convening
Practical Analytic Approaches to Healthcare Challenges The excitement in the room was palpable as 28 attendees descended on the Westin’s Earhart Room in Detroit, Michigan. Stakeholders from across the nation gathered on September 13 with a common goal—to reduce wasteful healthcare services in the United States. Our charge for the day was to prioritize 29 … Task Force on Low Value Care: Fall Convening
What a Pain: Wasteful Low Back Pain Treatments Are Identified
Practical Analytic Approaches to Healthcare Challenges Low back pain is a common problem: more than one in four adults surveyed report having had low back pain during the past three months. Though most low back pain resolves on its own, without medical intervention, it remains one of the most common reasons for physician visits. Imaging … What a Pain: Wasteful Low Back Pain Treatments Are Identified
Methodology for Identifying Inpatient Admission Events
Practical Analytic Approaches to Healthcare Challenges Evidence-based measures (EBMs) and many other health insurance data analytics require counts of inpatient admission events and associated costs. There are multiple ways to identify and count inpatient admission events, each of which may produce a different result. As per the California Department of Health Services, the methodologies used … Methodology for Identifying Inpatient Admission Events
MedInsight Chosen to Identify Unnecessary Costs and Procedures in Healthcare Delivery
Practical Analytic Approaches to Healthcare Challenges Milliman announced today that its healthcare tool, the MedInsight® Health Waste Calculator, has been chosen by two state All Payer Claims Databases (APCDs) and a leading Regional Health Improvement Collaborative to aid in their identification of unnecessary costs and procedures in healthcare delivery. The Virginia Center for Health Innovation … MedInsight Chosen to Identify Unnecessary Costs and Procedures in Healthcare Delivery
Covered California: Leveraging Telemedicine for Network and Quality Management
Healthcare purchasers, including state-based marketplaces, are making a push to move healthcare payments from volume to value and to transform the delivery system to promote quality of care. Covered California is seeking to do this through its contracting health plans and the qualified health plan (QHP) solicitation process. The most recent solicitation lays out key … Covered California: Leveraging Telemedicine for Network and Quality Management
