Care Transformation Center Blog

The insights, tools, and resources you need to take on population health management

3 ways to drive consumer loyalty for groups facing health disparities

by Anna Yakovenko and Margot Peterson January 18, 2018

Health disparities don't just affect clinical outcomes for traditionally underserved populations—they also impact a major driver of hospitals' bottom line: consumer loyalty.

Some major drivers of consumer loyalty are similar across all patients: They must know they need care, want to get care, and think to return to you. But there are special considerations that hospitals need to keep in mind when it comes to securing loyalty from patients impacted by health disparities, such as those from certain racial or ethnic groups or those from low-income households. Securing consumer loyalty from under-resourced patients is especially important because their long-term cost of care may be higher than those of other populations.

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How one rural hospital offers care for their most vulnerable patients

by Tomi Ogundimu and Darby Sullivan January 16, 2018

Providing care management to high-risk patients is challenging for any provider organization—particularly for rural providers, whose communities tend to be sicker, lower-income, and have higher uninsured rates. More specifically, rural provider challenges are compounded when managing higher-risks given barriers to primary care access. 

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How natural language processing will help achieve a payback on EHRs

by John Kontor, MD January 11, 2018

One of the most talked about buzzwords in health care is natural language processing (NLP). While NLP has carried some industry weight for a while, many think the practical applications and impact of NLP haven't lived up to the hype.

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The 2018 MSSP ACO participants are out. Here are 6 key takeaways.

Hunter Sinclair, MBA January 9, 2018

I've been an eager observer of the annual announcement of Medicare ACO participants since I started helping organizations apply to join the Medicare Shared Savings Program (MSSP) in 2012. Here's why the 2018 list (which CMS recently posted on its website) is one of the most interesting ones I've seen:

1. Medicare ACO programs continue to grow—and MACRA was a major catalyst

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Best of the Care Transformation Center Blog: 2017 Edition

Rebecca Tyrrell January 4, 2018

Each week, our health care experts share their insights from the field to help you stay on top of the latest trends and exciting innovations. Check out 10 of our most popular Care Transformation Center blog posts from 2017 below—and don't forget to subscribe to our email alerts to stay up to date.

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How 4 health systems partnered to improve behavioral health care and save millions of dollars

by Tomi Ogundimu and Clare Wirth December 20, 2017

The emergency department is certainly equipped to treat life- and limb-threatening emergencies. However, the traditional ED is not adequately resourced to treat patients with acute behavioral health concerns.

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Stop losing drug revenue to prior authorization denials

by Regina Lohr and Katie Schmalkuche December 19, 2017

With impending cuts to 340B reimbursement, it's more important than ever for providers to shore up drug revenue capture processes. One critical area to prevent losing revenue is in prior authorization (PA). Most commercial insurance plans require providers to justify high-cost drug use by completing PA forms, without which payers can deny reimbursement.

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Want physicians to engage in advance care planning? Make it easy for them.

by Tomi Ogundimu and Abby Burns December 14, 2017

Overtreatment in a patient's last years of life can be confusing and exhausting for patients and their families, hugely expensive to the health care system, and potentially even be avoidable. Unfortunately, it's also a common occurrence. 

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