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Practical Solutions for Population Health Analytics

May 22nd 2017

Practical Solutions for Population Health AnalyticsExternal Link

A number of challenges confound the use of administrative health data to identify and prioritize those who are at the greatest risk of poor health outcomes. Central challenges include the timeliness, quality, and utility of claims and other administrative health data. Additionally, many who work with available health data resources report that they are swimming in too much information, and their inability to translate it into useful analysis leads them to a sense of drowning.

Care Management Tools for Transitioning to Value Based Care

March 24th 2017

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There is broad uncertainty about the evolving future of US health care reform initiatives.  Multiple sides are lining up to address the challenges and opportunities presented by the Affordable Care Act (ACA). Some believe that it needs replacement, while others think that it can and should be modified and salvaged. However, regardless of the political affiliations and strategic priorities, most agree that there is a significant need to promote value based care.  This approach recognizes that current health care costs are not sustainable, and new care management approaches must be deployed to contain spending and improve health outcomes.

Understanding the Social, Physical and Behavioral Determinants of Health in the Identification, Stratification, and Analytics of Population Health Management

January 25th 2017

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Although there is increasing uncertainty about the future of the Affordable Care Act and the evolution of health reform, the commitment to improved population health outcomes will prevail regardless of any changes or amendments. With continually escalating costs for health services and the challenges of managing chronic conditions among large populations, quality and cost improvement initiatives will always prevail. A sustained focus on the fundamental aspects of the social, physical, and behavioral determinants of health supports the integration of services and the coordination of care.

MACRA, Care Coordination, and Evolving Health Care Reform

December 12th 2016

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Recent political transitions as a result of the presidential election have led some to question the evolving trajectory of health care reform and system transformation.  However, one certainty across all health care is the fact that poor care coordination results in ineffective health outcomes and higher costs for care.  Therefore, savvy providers and health systems will be wise to focus on the processes of care that result in shifts to value based payment systems that promote improved population health outcomes and reduced care costs.

Health Information Technology and Population Health Management

September 27th 2016

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In order to achieve the goals of better and more affordable health care that leads to improved population health, a strong health information technology ecosystem is required. These systems must support informed patient and provider decision-making, and transform health care systems to enhance access and input from coordinated care teams beyond the traditional confines of clinical providers and hospital facilities. 

While providers may have some limited access to other health system information, they do not have an integrated way to coordinate information and communicate across physical, behavioral, and community based social service providers.

There may be a fundamental flaw in this approach that limits the capacity of health systems to truly engage in population health management.

Hoarding Patient Data

July 7th 2016

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Organizational cultures are uniquely designed to preserve their status quo. These norms inform and direct the human resources of institutions in order to maintain and preserve their standard operations. Language, information, and data bind organizational culture and sustain the values and principles of their missions.

Care Coordination Technology Solutions That Support Medicaids Managed Long Term Services and Supports (MLTSS) Programs

June 6th 2016

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The Open Minds recent market intelligence report LTSS Shift – Finding the Opportunities by Athena Mandros cites 2013 expenditures associated with Medicaids Long term Support and Services (LTSS) reaching an astonishing $282.9 billion – 9.3% of the $2.4 trillion in national health care expenditures for 2013. Additionally, Mandros notes that approximately 41% of the 2013 LTSS spend was for non-residential institutional levels of care like nursing homes, assisted living programs, and continuing retirement communities, compared to 52% in 2008.

InfoMC Healthy Behavior Change E-Guide

May 10th 2016

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This blog post showcases The College for Behavioral Health Leaderships recently launched "Healthy Behavior Change E-Guide." The project, sponsored by InfoMC, is designed to help consumers identify, organize, and mobilize internal and external resources to implement and maintain healthy behaviors.

Effective Technology Solutions for Emerging Healthcare Priorities

February 15th 2016

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This blog post addresses four top priorities for healthcare payers in 2016, with a brief analysis of the underlying problem, and recommendation for the type of technology infrastructure and capacity needed to successfully meet current and future demand.