Care Coordination Archives - Page 5 of 8 - BHM Healthcare Solutions

One Factor Influencing Opioid Prescription Habits?

2017-08-17T16:55:59-04:00By Eric Duchinsky|Care Coordination, Clinical Analysis, Clinical Operations Improvement|

For payers, identifying doctors who write more opioid prescriptions can be key for any successful opioid management program. Using the one factor influencing opioid prescription habits, payers can target education improving the overall provider network performance. Physicians trained at the United States’ lowest-ranked medical schools write more opioid prescriptions than physicians trained at the highest-ranked schools, according to a study by Princeton University.

Why Behavioral Health Claims Skyrocket: Opioid Use Lead Cause

2017-09-18T17:24:38-04:00By Eric Duchinsky|Care Coordination, Clinical Analysis, Clinical Operations Improvement|

Behavioral health claims skyrocket for any number and combination of factors. Behavioral health care will increase in cost and utilization with a number of factors driving this, including the:

Challenges of Developing Workers Compensation Treatment Guidelines

2017-05-23T19:52:08-04:00By Eric Duchinsky|Care Coordination, Trends, Utilization Management|

Workers compensation treatment guidelines can help prevent unnecessary medical procedures and the prescribing of potentially harmful medications. However, they are not all the same, nor are they without challenges. Understanding a jurisdiction's strengths/weaknesses, taking a strategic approach to developing guidelines, and using common sense can lead to better outcomes for injured workers—and, ultimately, lower costs for payers.

Update: Payer Efforts Against Opioid Epidemic

2017-05-23T18:07:00-04:00By Eric Duchinsky|Care Coordination, Clinical Analysis, Clinical Operations Improvement|

According to the CDC, drug overdoses are the leading cause of accidental death in the United States. Of the overdose deaths that occurred in 2015, 63 percent involved an opioid. Payer options for managing efforts against opioid overuse range from monitoring population data to working with provider networks.

New Study Reviews Payer Performance

2023-10-09T11:51:52-04:00By BHM Marketing|Care Coordination, Clinical Analysis, Health Insurance|

Athena Health recently published the 2016 edition of Payer View, a in-depth review of the biggest payers in their network. Athena Health identifies the shift to value based care and healthcare reform as the biggest challenges to everyone for payers to providers.

Over Half of Hospitals Hit with CMS Penalty For Readmissions

2023-09-08T15:16:09-04:00By Eric Duchinsky|Care Coordination, Clinical Analysis|

Hospital Readmissions penalties run high as the government plans to penalize more than half of the nation’s hospitals. Over the next year Medicare plans to withhold more than a half a billion dollars in payments, reports Kaiser Health news. In 2015 alone hospital readmissions penalties hit a total of $420 million¹.

Trend: Insurers and Providers Partner-Up with Jointly Owned Health Plans

2024-06-14T09:30:23-04:00By Eric Duchinsky|Accountable Care Organizations, Care Coordination|

Aetna is setting a new standard for healthcare partnerships as it joins forces with a north Texas health system in hopes of focusing on improving quality care, affordability and overall patient care. Partnerships are no stranger in the healthcare world, but insurers and providers partnering up to provide better care and better coordinate care, is a trend we expect to see grow in 2016.

Study: More Collaboration Aids Health Care For At-Risk Populations

2023-08-07T15:29:13-04:00By BHM Marketing|Care Coordination, Health Care Reform, Organizational Analysis|

By teaming with community organizations, doctors and hospitals can deliver high-quality care at good value to disadvantaged people at risk for poor health, according to a new report from a panel of experts. The report released Thursday by the National Academies of Sciences, Engineering and Medicine was produced to aid Medicare officials studying how to fairly pay hospitals that disproportionately serve patients with social risk factors for health problems. Those factors include low income, social isolation, disadvantaged neighborhoods and limited health literacy.

One Month – Four Exciting Healthcare Web Events: Take Your Organization to the Next Level

2017-04-02T13:28:09-04:00By BHM Marketing|Accreditation, Care Coordination, Compliance, Financial, Financial Analysis, NCQA Accreditation, PCHCH Accreditation, Physician Advisor/Peer Review, Specialty Pharmacy Accreditation, Uncategorized, URAC Accreditation|

End of the Year Healthcare Web Events You Won’t Want to Miss!

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3 Trends to Watch in Healthcare Information Management

2023-10-07T09:23:49-04:00By BHM Marketing|Big Data, Care Coordination, Clinical Operations Improvement, Operational Analysis, Strategic Planning, Telehealth and Telemedicine|

The healthcare industry is rapidly growing: With innovations in medical tools and new successful procedures performed annually, there is no shortage of change. Just as vital to the industry are solutions that help manage the information of the millions of patients who visit each year. To keep up with the demand and to facilitate the process, adjusting healthcare information management practices is a necessity. Here are three trends that are being implemented.

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