MACRAs Impact on Patient Engagement and Care Coordination
November 21st 2016Download PDF
The Center for Medicare and Medicaid Services (CMS) recently released its final rule for the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). MACRA represents the biggest change in how Medicare pays providers for services in decades. It will fast-track the CMS and healthcare industrys drive toward value-based payments - in essence, paying health care providers based on the quality of care they provide, not just the volume of services. MACRA legislation includes a number of requirements that will impact different areas of the healthcare delivery system, including patient engagement and care coordination.
Health Homes Require More Than EHRs
September 5th 2016Download PDF
Electronic Health Records have shown limited capacity to support integrated health care for individuals with behavioral health conditions.Challenges have been noted for the coordination of care among multiple providers (primary, specialty, and behavioral health) across different settings and over time. This includes supporting integrated care teams developing and working from shared care plans, and adequate documentation from providers of multiple clinical disciplines.
Information Technology Needs for Certified Community Behavioral Health Clinics and Other Value-Based Reimbursement Systems
June 21st 2016Download PDF
As CCBHCs take on the challenges of establishing operations that comply with grant and program criteria - including the scope, availability, accessibility and coordination of care services - these organizations must also implement health information technology systems (HIT) to meet the reporting and data sharing and analysis requirements of the program. These include quality and outcomes improvement and tracking, population health management, care coordination and integration, and cross-system interoperability and communications. HIT systems must also support the ability to administer and adjudicate new prospective and value-based payment models.
Connecting Care Teams with Smart Technology - The Health Home Model
June 1st 2016Download PDF
The coordination of care for individuals with complex or multiple chronic illnesses is key to improving population health outcomes. This can be successfully achieved through integrated technology solutions that are accessible by all providers and stakeholders involved in the care of the individual.
Population Health Management Tools and Strategies to Support Care Coordination
April 25th 2016Download PDF
Recent efforts to reform the American health care system focus on improving the health of designated communities or populations, and purchasing health care services based on value and improved outcomes. New service delivery models are expanding and include Health Homes, Accountable Care Organizations, Federally Qualified Health Centers, and Certified Community Behavioral Health Centers, among others. Effective population health management requires tools and resources that support the identification and prioritization of individuals who are at-risk for poor health outcomes.
Closing Health Care Gaps Through Care Coordination
March 22nd 2016Download PDF
The quality and cost of health care services are currently impaired by the gaps that exist between providers and clinical systems of care. Recent efforts in system design and technology resources have strived to bridge these gaps with variable success. A new approach is needed that recognizes gaps in care as medical errors. New approaches for system redesign and technology resources must be adopted to close these gaps. This is achieved through population based approaches to care that are supported by technology that fosters care coordination among providers, and new value based reimbursement models.
Using Information Technology Solutions to Chart the Pathway to Value-Based Contracting and Population Health Management
March 1st 2016Download PDF
The landscape for the reimbursement of healthcare services is rapidly evolving from payments for services that are based on the volume of care provided, to value-based contracting that recognizes the importance of population health management and outcomes. New provider systems including Health Homes, Accountable Care Organizations (ACO), Certified Community Behavioral Health Clinics (CCBHC) and others, are increasingly contracting to provide care for designated populations and reimbursed based on their ability to produce effective and efficient health outcomes. This shift poses a number of important challenges to traditional providers and health systems that are not prepared to meet the requirements for population health management.
Why Electronic Health Records are Ill Suited for Population Health Management
January 26th 2016Download PDF
Many studies have demonstrated that cost of care for patients with chronic illnesses is excessive and avoidable. Frequently, these patients have multiple chronic conditions and multiple providers across health care systems. Electronic Health Records have shown limited capacity to support the necessary care management and coordination of care for these patients. Population health management requires technology tools and resources that allow integrated care teams to actively collaborate and communicate in the development and implementation of patient centered care. The InfoMC white paper: Why Electronic Health Records are Ill Suited for Population Health Management, outlines the tools and resources that must be in place to support effective care coordination and the management of population health outcomes. Download the free whitepaper here!