Thought leadership on the use of innovation to solve health care access, quality, and funding issues.
From the category archives:
LOUISVILLE, Ky.–(BUSINESS WIRE)– Humana Inc. (NYSE:HUM – News) and Norton Healthcare, both based in Louisville, Ky., have been working together to launch the region’s first commercial Accountable Care Organization (ACO). The Norton-Humana partnership began in early 2010. An ACO model establishes incentives for health systems to increase quality and efficiency, better coordinate patient care, eliminate [...]
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Most health care experts agree that, despite federal health care reform, a great deal of work remains to be done to improve the nation’s health care system. Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) announced recently it plans to spearhead that work in New Jersey by creating a new company with a [...]
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“Caregivers play a critical support role in the U.S. health care system and often are considered the backbone of our long-term care system,” said Gail Miller, vice president, senior product development, strategy and business planning for Humana.
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Blue Cross Blue Shield of Michigan has designated more than 1,800 physicians in roughly 500 practices across the state as patient-centered medical homes (PCMH), securing the initiative’s position as the largest PCMH effort in the nation. The number of designated physicians grew by roughly 50% over the 1,200 designated PCMH physicians in 2009. In the [...]
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According to a recent study, one in five hospital discharges is complicated by an adverse event within 30 days, often leading to emergency care or re-hospitalization.1 To combat this problem, CIGNA (NYSE:CI) and CareCentrix, Inc., have teamed up to offer the Care Transitions Program to people enrolled in a CIGNA health plan after they’ve been [...]
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“When consumers are engaged in the imaging process, they make more informed decisions about their care, and this improves outcomes, affordability, and consumer satisfaction,” said Tina Blasi.
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The financial impact of behaviors resulting in improved health can be measured in terms of savings on both medical [such as fewer emergency room visits and hospitalizations] and non-medical [such as fewer disability days, less absenteeism and greater worker productivity] spending, Fendrick says.
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We are constantly looking for ways to improve the care delivered to our members. This program is compelling because it is driven by evidence-based pathways that include the guidance of local oncologists who understand the unique needs of those facing health challenges, said Capital BlueCross President and CEO Bill Lehr.
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TriZettos highly integrated information systems permit access to a considerable amount of additional data, enabling us to further enhance population management, conduct predictive modeling and help members by anticipating health issues, said Barbara Downs, senior vice president and chief operating officer, CDPHP.
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For too long our health care system has been built on paying for the volume of procedures rather than the quality of outcomes, said Don Bradley, M.D., BCBSNC senior vice president and chief medical officer.
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