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Want Your ACO To Succeed? …Focus On Improving How Your Doctors & Patients Communicate

Want Your ACO To Succeed? …Focus On Improving How Your Doctors & Patients Communicate | changing healthcare | Scoop.it

For ACOs to succeed, experts tell us that 3 things are required: 1) health information technology is needed to track and manage patient populations, 2) redesigned care delivery processes are needed to support patient care coordination, and 3) the right set of provider financial incentives must be in place.


But the “experts” have overlooked perhaps the most important requirement:

The improvements in quality and cost effectiveness in large part are predicated upon providers being able to engage patients with the goal of changing their health behavior. 


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The Medical Home's role in children's health still evolving

The Medical Home's role in children's health still evolving | changing healthcare | Scoop.it

"There is a clear need for PCMHs to not only evolve on their current trajectory but also to expand beyond the walls of the health home into the communities where our children live, work, learn and play.

We need to be engaging coaches, teams and teachers (and educating them on the positive and negative effects they are having on our children) to create a patient-centered neighborhood connected to these individuals (and other community resources) and especially to the child and their family in the way THEY need."

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A Hospital Network With a Vision

A Hospital Network With a Vision | changing healthcare | Scoop.it
Blending the humanist principles of an Indian mystic and the management style of McDonald's, Aravind Eye Care System has become a global success.
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Cornerstone partners with UnitedHealthcare, Optum on accountable care

Cornerstone partners with UnitedHealthcare, Optum on accountable care | changing healthcare | Scoop.it

"A challenge for primary care providers has been understanding the full scope of care a patient might be receiving, since they don't have data on a patient's visits to the hospital or emergency department or other providers. However, insurance carriers have that broader pool of data since they are paying the claims."

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Electronic Records are not a silver bullet. Who knew?

Electronic Records are not a silver bullet. Who knew? | changing healthcare | Scoop.it
The conversion to electronic records has failed so far to reduce health care costs, according to a new study by the RAND Corporation, which issued a rosier report in 2005.
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Mayo Clinic + Billings Clinic

Mayo Clinic + Billings Clinic | changing healthcare | Scoop.it

The Mayo affiliation... highlights the importance of networking in today’s health care and the necessity of sharing expertise and best practices. Billings Clinic shares its expertise and resources throughout Montana with physician clinics in Miles City, Bozeman and Cody, Wyo., and provides management and other services to community health centers in Red Lodge, Columbus, Big Timber, Livingston, Colstrip, Scobey, Roundup, Plentywood and Lovell, Wyo. Dozens of Billings Clinic specialists travel to those cities and others in a multistate region to conduct outreach clinics. All of those clinics and hospitals, their staffs and patients are now connected to Mayo
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Apps latest bid by health insurers to manage wellness

A 1% reduction in the prevalence of preventable conditions among active members in the system would create about $3.6 million in savings per year.

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Using mindfulness to soothe physician stress - amednews.com

Using mindfulness to soothe physician stress - amednews.com | changing healthcare | Scoop.it
Doctors find relief from burnout symptoms in relaxation techniques designed to keep them focused on factors they control, such as patient communication.
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Four steps to a successful ACO

"Those of us with long memories recall the promise of health maintenance organizations in the '80s and '90s, and we recognize that a health care concept is ultimately only as good as its implementation"

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Patients' Share of Health Care Costs Is Actually Shrinking

Patients' Share of Health Care Costs Is Actually Shrinking | changing healthcare | Scoop.it

"I'm surprised," says Jonathan Gruber, a health economist at the Massachusetts Institute of Technology. "All the news is about the move to high-deductible health plans. Based on that logic ... I would have expected it to go up."

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Medicare announces 106 new accountable care organizations

The Centers for Medicare & Medicaid Services announced the creation of 106 more accountable care organizations Thursday.
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Independence and Relationships Predict Health and Wellbeing Differently in the US and Japan






A cross-cultural survey was used to examine two hypotheses designed to link culture to wellbeing and health. The first hypothesis states that people are motivated toward prevalent cultural mandates of either independence (personal control) in the United States or interdependence (relational harmony) in Japan. As predicted, Americans with compromised personal control and Japanese with strained relationships reported high perceived constraint. The second hypothesis holds that people achieve wellbeing and health through actualizing the respective cultural mandates in their modes of being. As predicted, the strongest predictor of wellbeing and health was personal control in the United States, but the absence of relational strain in Japan.

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There's More to Life Than Being Happy

There's More to Life Than Being Happy | changing healthcare | Scoop.it

"It is the very pursuit of happiness," Frankl knew, "that thwarts happiness."

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Managing Physician Relationships in an Accountable Care Model

Managing Physician Relationships in an Accountable Care Model | changing healthcare | Scoop.it

"If you're going to need to manage the health of a population, you need to have access to [sub-specialties]," Mr. Halley says. "You can't say in an ACO that you don't [offer] general surgery. You can't run an ACO without…sub-specialists."

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Tracking Lung Health With a Cell Phone

Tracking Lung Health With a Cell Phone | changing healthcare | Scoop.it
Breathe in, breathe out. Dial and repeat.

 

Today, a deep sigh at your smartphone could reveal a well-developed emotional connection with your gadget. But one day those sighs could tip off your doctor to a latent or worsening lung condition.

 

A group at the University of Washington, in collaboration with Seattle Children’s Hospital, is developing a way to check how healthy your lungs are when you breathe out at your smartphone."

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Village Health Partners and Cigna Start Accountable Care Program

"Patients most likely to see the immediate benefits of the program are those who need help managing chronic conditions, such as diabetes or heart disease.

Critical to the program's benefits are clinical care coordinators, employed by Village Health Partners, who help patients with chronic conditions or other health challenges navigate the health care system. The care coordinators are aligned with a team of Cigna case managers to ensure a high degree of collaboration between the medical group and Cigna that ultimately results in a better experience for the individual."

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A $55,000 cat bite: the insanity of hospital charges

Case in point: My cozy hospital room at UCLA Medical Center in Santa Monica was priced at $4,000 a night. Four thousand. You can book a 1,400-square-foot Premier Suite at the Beverly Hills Hotel for less than that.

...

"It's totally crazy," admitted Dr. David Feinberg, who isn't just some innocent bystander when it comes to UCLA's medical pricing. He's the president of UCLA Health System. He runs the place.

 

"Our billing system is terrible," Feinberg told me. "I get some explanations of benefits from my insurer, and I don't understand what they are."

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As doctors flock to hospitals, bills spike for patients

As doctors flock to hospitals, bills spike for patients | changing healthcare | Scoop.it

North Carolina patients are likely to pay more for routine health care if their doctors are employed by a hospital, an investigation by the Observer and the News & Observer of Raleigh has found.

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Online patient portals: Unveiling the doctor's note

Online patient portals: Unveiling the doctor's note | changing healthcare | Scoop.it
Growing demand for patient engagement has led some health care organizations to open physicians' clinical notes to patients. But they're doing it in different ways.
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What doctors should ask insurers before joining ACOs or medical homes

What doctors should ask insurers before joining ACOs or medical homes | changing healthcare | Scoop.it

With many aspects of these programs non-negotiable, consultants say it’s important that doctors get answers to their questions. Otherwise, they said, physicians should think twice about signing.

 

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4 essentials to physician-hospital alignment

4 essentials to physician-hospital alignment | changing healthcare | Scoop.it
Signing the deal that joins doctors and hospitals is easy. The challenge comes in making sure everyone is on the same page once conflicts arise.
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What Should You Know Before Being Admitted to a Hospital?

What Should You Know Before Being Admitted to a Hospital? | changing healthcare | Scoop.it
This question originally appeared on Quora. Answer by Andrew Young Shin, pediatric cardiologist: How to survive your hospitalization.
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An ingenious researcher finds the real ingredients of “fake” medicine

An ingenious researcher finds the real ingredients of “fake” medicine | changing healthcare | Scoop.it

Researchers like Kaptchuk study not if, but how, placebo effects work. Explanations for the phenomenon come from fields across the scientific map—clinical science, psychology, anthropology, biology, social economics, neuroscience.


Disregarding the knowledge that placebo treatments can affect certain ailments, Kaptchuk says, “is like ignoring a huge chunk of healthcare.” As caregivers, “we should be using every tool in the box.”

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Beth Israel launches accountable care organization

Beth Israel Deaconess Medical Center today is unveiling a new accountable care organization, joining a national movement toward defined payments for each patient’s health care, in place of traditional fee-for-service payments.
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