June 2016
The Hidden Value of Behavioral Health
June 21st 2016Carolinas HealthCare System created a behavioral health service line to drive transformation in value-based healthcare. Four projects are described, which demonstrate that modest investment in behavioral health pays dividends in reduced cost and increased quality and experience.
Launching a Payer Venture and Innovation Group: Options and Trade-Offs
June 21st 2016Spurred by the migration to new payment methodologies and a rapidly evolving competitive landscape, many managed care companies have launched venture and innovation programs. This article provides a high-level evaluation of the universe of model options accessible to payers who are interested in such programs.
The Ingredients of Success in a Medicare Accountable Care Organization
For 2 successive years, the Hackensack Alliance Accountable Care Organization achieved cost savings and maintained quality by using physicians with patient-centered medical homes and nurse care coordinators focused on high-risk patients.
The Pediatric Medical Home: What Do Evidence-Based Models Look Like?
This study presents practice relevant information and actionable results that can help to operationalize evidence-based patient-centered medical home models in pediatric clinics.
A Novel Nursing-Driven Standardized Diabetes Education Process in Primary Care
A new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.
This study demonstrates that the implementation of a discharge navigation program led to earlier writing of discharge orders and patient release from the hospital.
What Performance Measures Do Consumers Find Useful When Selecting Marketplace Health Plans?
Marketplace consumers desire more health plan measures on how well plans support long-term patient—physician relationships. Consumers are skeptical of measures about rewarding providers for high quality.
