Care management for Medicare patients drives more than 50% of savings
Care management for Medicare patients accounted for more than half of the shared savings in a study of three accountable care organizations.
Joint venture removes provider, patient and payer barriers
A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.
Coordinated care reduces hospitalizations
Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians. “As an example,…
Dental center prevents ED visits, provides hospital referrals
St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.
CMMI chief: Administration’s value push will continue if ACA struck down
The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.
How hospitals saved $1,000 per case in a mandatory bundle
Several hospital approaches were key to obtaining savings of nearly $1,000 per episode in Medicare’s first mandatory bundled payment model.
How one hospital improved patient access, specialty referrals and completed-appointment rates
Texas Children’s Hospital achieved financial and operational improvements after streamlining referral and scheduling processes to better accommodate providers and patients.
Focus on care transitions brings substantial new LOS-reduction opportunities
Hospitals can derive multiple operating and financial benefits from focusing care improvement efforts on reducing patients' length of stay in acute care.
Recommendations for improving utilization review and denial management to reduce LOS
The utilization review and denials management functions play an important role at each transition phase in the acute care process in helping hospitals reduce patients' length of stay in acute care.
Where the future in healthcare already exists
Providers may be able to learn from providers and health plans already implementing many of the innovations that leaders say are needed to lower costs and improve care.