Population Health: How Healthcare Leaders Are Re-envisioning Data Integration and Care Management

As provider organizations take on risk and quality-based contracts through ACOs and other payer models, they must carefully consider the next stage of their population health management journey. Fort Myers, Florida–based Millennium Physician Group (MPG) and Western Connecticut Health Network (WCHN) in Danbury have carefully crafted population health strategies over the last several years that include harnessing the power of data and analytics to manage patients differently.

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Take Control of Your Revenue Cycle: Three Ways Finance Leaders are Helping Their Organizations Adapt to Change

Hospital revenue cycle trends come in waves. Leaders are pointing to declining reimbursements, complex payer policies, and a lack of innovation across the revenue cycle in general as among the many challenges hospitals and health systems are grappling with in 2019.

As leaders navigate these areas, HealthLeaders sat down with executives from multiple health systems to discuss these challenges and found three major themes that are driving success across the revenue cycle.

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Defining Roles, Leveraging Technology Top the List of CDI Leadership Challenges

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In some respects, the hurdles facing clinical documentation improvement (CDI) program managers/directors mirror those of CDI staff. Like staff, these leaders strive for physician engagement, juggle competing responsibilities, and gather and leverage data—just at a higher level.

Download this free report to dive into the different challenges that CDI managers face versus those faced by directors and explores how each professional type needs to understand the data, technology, and staffing capabilities of their program to ensure success.

Confronting Top Nursing Challenges

In 2019, healthcare facilities are targeting the underlying reasons nurses leave their jobs, developing nurse managers who are more in sync with nurses’ changing needs, and giving nurses creative opportunities to solve everyday problems.

In the latest HealthLeaders Industry Focus Section report, we will discuss these areas of concern, and other practices healthcare facilities should implement in order to ensure a strong nursing workforce.

Breaking Barriers and Advancing Value-Based Care Goals

Redesigning infrastructure is key to creating a value-based delivery system. For Piedmont Healthcare, this strategy included filling out its continuum of services and adding virtual care, primary care, urgent care, and retail care settings. Their medical costs for its Medicare ACO population resulted in $30 million less per year compared to local, state, and national average total care costs thanks in part to a well-designed patient-centered care model.

Download this Industry Focus Section report and explore the critical steps Piedmont Healthcare and DuPage Medical Group are taking to improve care coordination, open up care access, and lower costs, all of which have lead to impressive results.

Population Health: A Five-Step Plan for Success

Healthcare organizations are taking on increased risk and making large IT investments to meet population health goals, including Revere Health, a large multispecialty physician group.

Revere Health began its path to population health through a careful and measured transition to value-based care and successful participation in the Medicare Shared Savings Program. Over the last several years, it has invested in key infrastructure to take on increased risk for patient populations through its ACO and commercial payer contracts.

The latest HealthLeaders Monthly Focus Section looks at the five critical steps Revere Health took to meet population health goals, including improving care access, gaining better control of costs, and focusing on creating and sharing actionable data with providers.

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