Genesys PHO: Optimizing patient risk stratification and clinical outreach
Genesys PHO, a Michigan-based physician hospital organization and partnership between primary care physicians and investors Ascension and Henry Ford, serves about 120,000 patients. Recently, the organization began working to improve outcomes using risk stratification to improve provider performance. Working with analysts and leveraging the risk stratification tools in the Milliman MedInsight VBC platform, nurses embedded … Genesys PHO: Optimizing patient risk stratification and clinical outreach
Independent Health: Next-generation employer group reporting
Key sections: Action Results Looking ahead Download the story From its roots in a University of Buffalo graduate school project to its unique preventive care model, Independent Health Inc. has always taken an innovative approach to its role as a provider of health plans to approximately 380,000 residents of western New York. With a mission … Independent Health: Next-generation employer group reporting
SEHP: Maximizing the power of integrated data with the MedInsight Data Science Portal
Southeastern Health Partners (SEHP) – a clinically integrated network consisting of four healthcare systems, including 13 hospitals and 3,600 providers – sets its continuous improvement goals high. The Greenville, South Carolina-based organization is already recognized by the Centers for Medicare & Medicaid Services for consistently ranking among the most efficient Accountable Care Organizations. Even so, … SEHP: Maximizing the power of integrated data with the MedInsight Data Science Portal
CFIN: Scaling value-based care with a proven data and analytics platform
With a population of over 250,000 lives spanning eight hospitals and nearly two dozen counties, a Northwest-based clinically and financially integrated network (CFIN) wanted to take the next step in its evolution as a pioneering driver of value-based care (VBC). With a business model incorporating partnerships with both commercial and public health plans and a … CFIN: Scaling value-based care with a proven data and analytics platform
Advanced Health: Holistic population health improvement integrating claims and clinical data
Oregon-based Advanced Health is a coordinated care organization (CCO) – the state’s version of an accountable care organization (ACO) – that takes an innovative approach to the care of its 26,000 members. Serving two counties where 14-17% of residents live in poverty, according to U.S. Census data, Advanced Health manages a population with complex medical … Advanced Health: Holistic population health improvement integrating claims and clinical data
Nonprofit health system: Improve patient outcomes by “looking outside the silo”
When one of the South’s largest not-for-profit healthcare systems recently searched for a new healthcare data analytics solution, a key goal was establishing a consistent methodology for identifying and solving problem areas. A previous attempt with another data aggregator and vendor had stalled: a messy implementation process had dragged on for years, and even worse, … Nonprofit health system: Improve patient outcomes by “looking outside the silo”
DVACO: The power of data organization and standardization
The Delaware Valley Accountable Care Organization (DVACO) aims to deliver better healthcare at a lower cost to around 250,000 members in the Greater Philadelphia region. DVACO is currently the region’s largest ACO, with more than 2,000 primary care physicians and 250,000 attributed patients. DVACO participates in the Medicare MSSP program, and six additional risk-based contracts … DVACO: The power of data organization and standardization
Virginia Health: Measuring waste to improve care
The challenge The Choosing Wisely® campaign’s success has renewed interest towards reducing low-value healthcare services, classified as “unnecessary care” in the healthcare industry. The Virginia Center for Health Innovation and Virginia Health Information were looking to translate the Choosing Wisely campaign into quantifiable results for their insured population. They partnered with Milliman’s healthcare analytics software … Virginia Health: Measuring waste to improve care
ATRIO: From insight to impact
ATRIO Health Plans is an organization owned by several providers in and around Salem, Oregon. It has almost 30,000 members, and 90% are Medicare enrollees. The challenge As with every health plan, ATRIO is constantly looking for ways to improve patient care and the bottom line. The approach When ATRIO made the strategic decision to … ATRIO: From insight to impact