Keeping an eye on Massachusetts
Several payer-provider collaborations launched in Massachusetts seek to better manage Medicaid risk by including behavioral health resources, among other services.
Why behavioral health should be part of a holistic healthcare approach
The dual risk of physician and mental health conditions often compound the cost of care. In fact, people with a combination of medical and behavioral issues have medical costs that are two times higher than the general population.
Analysis: Improving surgical care by engaging older adults in shared decision-making
A review of the potential for the American College of Surgeon’s new surgical standards to improve value for older adults.
Small Medicare payment increases in store for post-acute care
The Centers for Medicare & Medicaid Services (CMS) recently issued final rules with FY20 rates for skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and hospices.
Creative partnerships bring relief from soaring drug prices
With drug costs emerging as a central concern for healthcare leaders, providers are trying to mitigate the problem through partnerships.
CareMore Health: Addressing loneliness leads to lower rates of ED, hospital use
Through a holistic program that addresses senior patients’ psychological, social and physical health, a provider is successfully treating loneliness and improving outcomes.
Care management for Medicare patients drives more than 50% of savings
Care management for Medicare patients accounted for more than half of the shared savings in a study of three accountable care organizations.
Joint venture removes provider, patient and payer barriers
A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.
Coordinated care reduces hospitalizations
Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians. “As an example,…
Dental center prevents ED visits, provides hospital referrals
St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.