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Effective Care Coordination Addresses All Determinants of Health


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There are three principal factors that influence health outcomes.  These include the physical, behavioral, and social determinants of health.  Healthcare systems have traditionally focused on the physical and behavioral aspects… Read More

Using Health Data and Analytics to Improve Health Outcomes


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Attention to data and analytics is rapidly proliferating across health care delivery services and population management systems. There is a thirst for more information, while many healthcare executives will simultaneously… Read More

Achieving Medicaid Efficiency


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Evolving shifts in the health reform agenda and funding processes are drawing greater attention to the challenges that states face in their Medicaid programs. A recent review in The Hill… Read More

Practical Solutions for Population Health Analytics


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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… Read More

Care Management Tools for Transitioning to Value Based Care


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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… Read More

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


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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… Read More

MACRA, Care Coordination, and Evolving Health Care Reform


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Several recent reports suggest that approximately one-third of seniors rely on family members to help them coordinate their health care needs. Strikingly, another third report that no one helps them… Read More

MACRAs Impact on Patient Engagement and Care Coordination


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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… Read More

Why Electronic Health Records are Ill Suited for Care Coordination and Population Health


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Electronic Health Records have shown limited capacity to support integrated health care for individuals with chronic health conditions.Challenges have been noted for the coordination of care among multiple providers (primary,… Read More