How one hospital reduced pediatric epilepsy emergency visits, admissions April 18, 2017 By Tracey Walker Nationwide Children’s Hospital sees dramatic drop in ED visits and inpatient admissions for epilepsy patients with collaborative quality improvement project. Four steps managed care can take to promote antimicrobial stewardship The call for antimicrobial stewardship is growing. Enact these steps to prevent a return to the pre-antibiotic era. How to target high-risk populations with behavioral health March 23, 2017 By Ron Geraty MD Here are four of the top benefits of incorporating behavioral health management into care management plans for members with chronic conditions. Paramedics fight to combat ED visits, readmissions February 27, 2017 By Rachael Zimlich RN Paramedics 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. Remote Patient Monitoring is a Wise Investment for Payers The results of Geneia’s year-long study – a savings of $8,375 per patient and a slowing of disease progression – demonstrate that remote patient monitoring is a wise investment for payers. Advanced Analytics Improve Physician Engagement and Performance in ACOs Health plans are using advanced analytics to improve physician engagement,
performance and satisfaction in ACOs and risk-sharing contracts. Payers Can Help with the Joy of Medicine Payers have a direct interest in preserving independent physician practices and
helping all physicians regain the Joy of Medicine. Advanced Analytics Triple Win for Payers The use of advanced analytics by payers can improve administrative and medical
costs, provider satisfaction and member health. 33% of readmissions could be prevented September 08, 2016 By Rachael Zimlich RN A new study claims that about a third of pediatric readmissions could be prevented, and not many of them are tied to underlying chronic conditions. Up for debate: CMS Star Ratings released August 03, 2016 By Tracey Walker Experts break down the controversy over the agency’s release of Overall Hospital Quality Star Ratings.