News and Insights

Patient-Centered Evidence-Based Care

Transparency in Healthcare: Coming to Your Hospital Soon!

H&HN

In August, 2013, Priority Health claimed the title of first health plan in Michigan to publish specific, regionalized health care costs and quality information by procedure, facility and physician.  The company launched this tool so plan members could review and compare prices and quality for more than 300 of the…

Diagnosing and Treating Readmissions

H&HN

Hospital readmissions arguably are one of the biggest clinical issues facing healthcare systems today.  Otherwise known as “bouncebacks”, readmissions have proven to be extremely costly, and are taken as a concrete metric of inadequate quality.  According to a September 19, 2013 study in The New England Journal of Medicine, nearly…

Clinical Care Paths – A Foray into Clinical Decision-Making for the Finance Professional

hfm Magazine

For over two decades, healthcare delivery organizations have devoted extensive resources to cost management in response to shrinking reimbursement. They’ve used vendor consolidation and contract renegotiation to lower supply costs, and shared services to lower overhead. Combined with the wholesale consolidation of hospitals into larger systems with corresponding purchasing power,…

Engaging Physicians to Improve Quality and Lower Costs

H&HN

Reform is driving an industry redefinition of “value” that challenges traditional healthcare business models. As demand for better outcomes at lower cost continues to grow, healthcare organizations that lack evidence-based value propositions will struggle to compete. In order to adapt to this new environment, healthcare executives will need to move…

7 Ways to Improve Accountability for Care

Becker's Hospital Review

One consequence of the Patient Protection and Affordable Care Act is that it has shown a spotlight on what’s missing in the current business model of healthcare: accountability — for coordination of care, for outcome measures that are more demanding and meaningful, for evidence-based, cost-effective decision making at all levels…