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MACRA, Care Coordination, and Evolving Health Care Reform

December 12th 2016

MACRA, Care Coordination, and Evolving Health Care ReformExternal Link

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.