emergency room visits

Five rules for payer success in oncologyPayers must reinvent efforts to reduce cancer cost and increase quality for a value-based care world. Here’s five rules to follow.
PCMHs thrive with use of pop health technologyBy using a patient-centered, physician-led model of care, Blue Cross Blue Shield (BCBS) of Michigan lowers recidivism and healthcare costs.
How to target high-risk populations with behavioral healthHere are four of the top benefits of incorporating behavioral health management into care management plans for members with chronic conditions.
ACA reform must preserve mental health pharmacy accessACA repeal or replacement must focus on how to preserve mental health services and pharmacy access.
Four priorities your health plan must embrace to thrive in the future
Four priorities your health plan must embrace to thrive in the futureHealth plans of the future will focus on consumers: designing products, care and services to support improved health.
Paramedics fight to combat ED visits, readmissionsParamedics can do much more than transport patients to the ED or inpatient care. Payers and providers are increasingly using EMS services to reach out to patients in their homes to improve outcomes and reduce costs.
Payer-provider partnership drives value: Execs share lessons learnedHumana and Oak Street Health share the challenges and opportunities of moving away from the fee-for-service model to value-based care.
Do retail clinics decrease emergency room visits?Retail clinics emerge as a way to satisfy the growing demand for healthcare created by the newly insured under the ACA, but contrary to expectations, they do not appear to be leading to meaningful reductions in low-acuity ED visits.
One insurer proves that value-based reimbursement works in practiceHumana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members.
Extended practice hours may reduce emergency room visits
Extended practice hours may reduce emergency room visitsKeeping primary care practices open for more hours, particularly on nights and weekends, reduces patient visits to emergency departments for non-life threatening issues, according to a recent study published in PLOS Medicine.