How Medicare Advantage, Medicaid Managed Care Plans Can Improve Quality Reporting
Integration of risk, quality, and care programs is among the steps that can help health plans in the government-sponsored healthcare space lower the burden of accurately documenting and reporting quality metrics.
Q&A: Value-Based Payment Models Require New Workforce Approaches
Newer models provide an opportunity to use staffing strategies to fill in care gaps in a way that enhances healthcare quality, leaders say.
Value-Based Care Requires More Versatile Talent
As the lines between health plans and providers blur in today’s integrated healthcare organizations, leaders recognize the benefits of sharing and developing talent across traditional organizational and industry boundaries.
Using dashboards to improve productivity
Whether implementing dashboard software or developing dashboards manually, organizational culture, audience size, and customization are critical to success.
Another Innovative Strategy: Create Your Own Drug Company
The primary goal of Intermountain Healthcare’s not-for-profit generic drug company is to help patients by eliminating drug shortages.
Level of Costing Detail in Aurora’s System
Aurora Health Care developed detailed categories for its cost accounting initiative by considering the future and estimating how health system leaders would want to use the data in the future.
Top 5 Factors Essential for Pharmacy Revenue Integrity
Maintaining pharmacy revenue integrity requires accurate, longitudinal data; physicians who understand how their prescribing decisions affect revenue integrity; and real-time data. With that information, finance leaders can determine the ROI of various drugs.
How Innovation Can Start with Value Analysis … But Often Doesn’t
Value analysis committee ROI calculations must look beyond the immediate economic costs of payment, cost-per-procedure, and cost of labor to consider overall value to hospitals. For example, questions to ask include, “How does a new product help to reduce the overall cost of care?” and “Are there complications and readmissions that typically arise beyond 30 days that the new product aims to minimize?”
Overcoming Missed Opportunities with Forward-Thinking VACs
VACs can be influential forces in infusing greater quality and cost controls over departmental purchases.
The Advantages of Change in Pharmaceutical Management
Robert Miller suggests improvements for supply chain management in hospital pharmacies.