In the News

Stories and trends changing the healthcare landscape

Health Services Innovation – A Data-Driven Approach

Successful health care product innovations are more than high end engineering and design. They require a clear understanding of the best “fit” between a market (at risk population) need and the external (drivers of variability) and internal (capabilities, what is actionable) factors that, when taken together, reveal promising avenues for innovation. Identifying data and metrics to codify this understanding helps product teams move past solely relying on measurement of past and current performance (“what is”) toward creating the vision for what should come next (“what could be”). Predictive modeling plays a central role in unlocking the most promising opportunities to create something truly new and innovative.

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Getting Started with Consumer Data

Consumer Data refers to individual lifestyle, attitudinal and behavioral data generated by an individual’s engagement or participation in social activities and other life events (e.g., an individual’s online search history, social media activity, purchase transaction history). Living, learning, working, and playing conditions that can affect the health outcomes of populations are known as Social Determinants of Health (SDOH), which can be extracted from consumer data..

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Enhancing Healthcare Analytics with Consumer Data

Healthcare organizations are increasingly using consumer data to augment their understanding and insights into the populations they serve, for a variety of purposes – from forecasting health outcomes, risks and future use of services to development of strategies for outreach and engagement. Consumer-generated data includes a wealth of information about individuals – including what they purchase, how they use social media, how many hours their wearable devices say they sleep at night, and other aspects of how and where they live and work.

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Roadmap to Harnessing Value via Telehealth

Telehealth initiatives overall have shown potential to complement mainstream healthcare delivery at a lower cost and positive contribution to quality and outcomes (right care, right time). 

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Telehealth Integration into Care Delivery Post COVID-19

The COVID-19 pandemic has changed the way people interact with each other, turning to video and other forms of social media to stay connected. This embrace of virtual technology has extended to medical care and has paved the way for what may very well result in permanent changes in the how health care is utilized and reimbursed.

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Navigating COVID-19 in the Healthcare Industry

We can all agree COVID-19 brought about a seismic shift in the delivery of healthcare in 2020. This article reflects on services shifts, challenges those shifts create and approaches for providers and payers to anticipate and navigate the initiatives.

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CMS cancels two mandatory pay models and scales back a third

CMS is planning to reduce mandatory bundles based on results, provider feedback and “minimum” utilization considerations. Some programs will be cancelled, some will not launch in 2018 and one is being scaled back.

At the same time, we are helping our clients achieve great success building population health risk based management solutions. Let us help you identify your opportunities to improve outcomes and reduce the cost of healthcare.

http://www.modernhealthcare.com/article/20170815/…/170819935

Reducing Post Acute Costs for Mandatory CMS Joint Replacement Bundle

Knee“Looking for ways to reduce your post acute costs for the Mandatory CMS Joint replacement bundle? New products are entering the market that allow providers to gauge progress without onsite visits…in surprising ways. Microsoft Kinect shifts from gauging your dance moves to measuring your gait and recovery from hip or knee replacement. In addition, tracking and providing on demand rehabilitation therapy programs with instant feedback. Tell us what you think!Read More.

CMS Final Rule on Overpayments

gavel and law bookMedicare Advantage Plans, need to update your strategy? Provider responsibilities and look back periods are reduced in the CMS final rule for overpayments. See more information:

The Centers for Medicare & Medicaid Services has issued a final rule regarding the legal requirements providers most follow if they are overpaid.