Blog Posts

Assessing Your Population Health Plan: Start With a Simple Framework

Carollann Engler Carollann Engler
Consulting Principal

Most healthcare organizations embrace the general concept of population health management. After all, using technology and data to improve clinical and financial outcomes aligns nicely with the ongoing transformation from volume-based to value-based care. But deciding where to start on the path to population health — and defining what success ultimately looks like — varies

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Winding down from Liberation 2017, gearing up for transformative year

Tamara Cull Tamara Cull
Vice President, Market Development

As we wind down from a successful week at Liberation 2017, we want to thank you all for attending. From educational keynotes to networking to our interactive MedCAP sessions, there was an unprecedented level of energy. Your skin is clearly in the healthcare game. After reflecting on the week, a few things stand out to

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What’s your skin in the healthcare game?

Tamara Cull Tamara Cull
Vice President, Market Development

We had an inspiring first day of Liberation 2017—what did you think of the sessions you attended and the population health pioneers you met? One key theme you probably noticed throughout the event is concept of getting your skin in the game. This is incredibly important, as healthcare is at a major tipping point in

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CMS Delays Bundled Payment Expansion. What does it mean for you?

Tamara Cull Tamara Cull
Vice President, Market Development

Did you see the news? This week, CMS announced that it’s delaying expansion of the Comprehensive Care for Joint Replacement (CJR) program. It’s also postponing the start of the new Episode Payment Model, which includes the Acute Myocardial Infarction (AMI) Model, the Coronary Artery Bypass Graft (CABG) Model, the Surgical Hip and Femur Fracture Treatment (SHFFT)

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The early bird gets the bundled payment program worm

Tamara Cull Tamara Cull
Vice President, Market Development

How can providers turn bundled payment program requirements into growth opportunities within value-based care? Get in early. The largest financial returns are realized in the first years of a bundled payment program, like CMS’ Bundled Payments for Care Improvement (BCPI). With an upcoming window to apply for the next BCPI program by April 30th, now

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Are you already on your way to success with bundled payments?

Tamara Cull Tamara Cull
Vice President, Market Development

Despite recent political shifts, bundled payment programs are likely here to stay as a practical step toward value-based care. Currently CMS is planning to implement an expansion July 1st of the mandatory CJR bundled payment model that launched in January. This will soon include additional joint surgery types under the CJR model and the new

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Optimizing Medicaid Population Management

Augusta Kairys Augusta Kairys
SVP, Market Development, Health Plans

One bit of news we were happy to share recently had to do with the announcement that Optum is incorporating Medecision’s Aerial™ platform and applications into its newly unveiled Optum™ Medicaid Management Services (OMMS) solution. With OMMS, States looking for a Medicaid Management Information System (MMIS) are now free to concentrate on more effective Medicaid

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