Category Archives: Population Health

Variables to Consider for Stratifying the Risk of Readmission

While there are multiple models for stratifying patients on their risk of readmission, many providers find that they need to customize the models to fit the nuances of their communities. The following infographic provides a guide to the most common factors to consider in a readmission risk model, including: Overall health and function Mental health…
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Communicating to a 65+ Patient Population

Communicating to a 65+ Patient Population A recent survey revealed some of the challenges payers (and providers) face when trying to reach a 65+ audience. The survey, conducted by HealthMine, found that 57% of Medicare health plan members aged 65+ said they were unsure if their health plan offered telemedicine. The findings underscore the challenges…
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Transitional Care and ACO Quality Measures

Transitional Care and ACO Quality Measures A recent OIG report shows that ACOs are able to reduce Medicare spending and improve quality but that key areas for improvement still exist. The report, titled “Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality” analyzed data on the 33 quality…
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5 Ways Discharge Phone Calls Can Reduce Readmissions

Discharge phone calls play a significant role in decreasing unnecessary hospital readmissions not only in practice but also in identifying where workflow and culture changes are warranted. Standardizing your discharge phone call operations by utilizing a centralized calling resource and electronic documentation not only makes your calls more productive and efficient but allows for trend…
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