Provider Performance
… be to coordinate a strategic effort that includes Clinical Operations, Network Services, Program and Network Integrity, and Affordability with the goal of designing and delivering interventions aimed at addressing outlier practice patterns, while improving provider performance , quality and clinical outcomes. These interventions may include, but are not limited to, clinical audits and the development of performance improvement plans. If you live in Kentucky, you will have the flexibility to telecommute …
Debunking 3 Myths About Improving Patient Satisfaction Scores | Patient Engagement HIT | 9/23/2020
Patient Satisfaction News Debunking 3 Myths About Improving Patient Satisfaction Scores Succumbing to myths about raising patient satisfaction scores could limit quality improvement initiatives, affecting overall provider performance . September 23, 2020 - Setting out to improve patient satisfaction scores is not always straightforward. Quality improvement, and change management in general, can spark a lot of stakeholder pushback, giving rise to a series of common misconceptions. An initiative as elusive as improving …
Sr Director, Advisory Svcs - UnitedHealth Group - MN, MN | 9/11/2020
… And you’ll do your life’s best work.(sm)The Managing Director / Data Research Consultant will oversee a team that supports the development of solution sets in the areas of clinical program assessment and improvement, provider performance assessment and evaluation, benchmarking, and program evaluation. Other responsibilities:- Create supporting collateral and support sales effort with clinical staff.- Provide leadership relative to solution ideation, creation, development, and implementation.- Provide project management support for …
… ROI within the first year of our partnerships, depending on a partner’s patient population and participation in value-based contracts.” ABOUT CARESIGNAL: CareSignal is a Deviceless Remote Patient Monitoring™ platform that improves payer and provider performance in value-based care. The company leverages real-time, self-reported patient data and artificial intelligence to produce long-term patient engagement while identifying clinically actionable moments for proactive care. Its evidence-based platform …
PAI Awarded HealthTrust Purchasing Group Contract | PR Newswire | 9/2/2020
… country the products they need in the dosage form that’s right for them,” added Vincent Jackson , Vice President, Pharmacy Service Group. About HealthTrust Purchasing Group HealthTrust (HealthTrust Purchasing Group, L.P.) is committed to strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage operator experience, scale, and innovation. Headquartered in Nashville, Tenn. , HealthTrust ( www.healthtrustpg.com ) serves over 1,600 hospitals …
SullivanCotter, the nation’s leading independent consulting firm in the assessment and development of total rewards programs and workforce solutions for the health care industry and not-for-profit sector, announces the addition of highly anticipated new Clinician Pay functionality to its growing Provider Performance Management TechnologyTM (PPMT) platform. PPMTTM is an industry-first, cloud-based solution that enables provider engagement through transparent performance-based compensation administration and analytical capabilities. Clinician …
SullivanCotter, the nation’s leading independent consulting firm in the assessment and development of total rewards programs and workforce solutions for the health care industry and not-for-profit sector, announces the addition of highly anticipated new Clinician Pay functionality to its growing Provider Performance Management Technology™ (PPMT) platform. PPMT™ is an industry-first, cloud-based solution that enables provider engagement through transparent performance-based compensation administration and analytical capabilities. Clinician …
… Officer at Blue Health Intelligence. He now works exclusively with cutting edge companies in health care through Alan Spiro Solutions. He also serves on the Board of Directors for the Institute for Practice and Provider Performance Improvement. Prior to Blue Health Intelligence, Dr. Spiro was Chief Medical Officer at Medica, Co-founder and Chief Medical Officer at Accolade, Head of Clinical Consulting at Towers Perrin (now WTW) and Vice President …
… was attributable to the specific hospital in which the delivery was performed, and another 7% was due to the region where the hospital was located. A recent meta-analysis of interventions to improve healthcare provider performance found that interventions focused primarily on training the providers had small to moderate effects 8 ; however, it’s unclear if this is because the specific interventions examined were sub-optimal, and other interventions could be …
Effect of Monitoring Devices on Healthcare Provider Performance During Neonatal Resuscitation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Recruitment Status : Not yet …
A NEED FOR A DRUG CZAR ? | 8/17/2020
… allocated within the Dept. of the Treasury but would be independent of the Dept. and would report directly to the Governor. It would review County Annual Alliance Plans and distribute grants. It would evaluate provider performance and enforce contract compliance. The Office would take over most of the functions of the Governor’s Council on Alcoholism and Drug Abuse. An Executive Director would be appointed by the Governor with the consent …
… data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm) The Manager, Medicare Practice Performance is responsible for provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships …
12 Best Email Marketing Tools to Dominate Inboxes in 2020 | 8/13/2020
… hard with the right transaction email service. With an email service provider or simple email service like Mailgun, you can send and track emails like these. Mailgun gives you insight into analytics and mailbox provider performance , so you can see how Google’s Gmail, Yahoo, and other providers handle your messages. Their goal is to help you achieve high delivery rates and keep your transactional emails out of the spam folder …
… a deep without any value all together, play-for-fun page, of which features gambling establishment competitions, video training on-line poker on-line, spouse and children dinner table adventure game titles, Live Service provider performance titles, and also exercises betting. In most instances, via the internet casinos provide devotion acquires to every gamer. Just make a good initially sign up associated with € 10 or higher and take 100 gamble …
… communicate and track outcomes together, aligning all stakeholders from healthcare, government, and the community around a shared goal to improve health. The company’s technological infrastructure enables real-time, actionable metrics on individuals, outcomes, and provider performance , enabling partners to proactively address the complex needs of the most vulnerable populations across the country. Unite Us’ intuitive platform supports meaningful collaboration, community-wide care coordination, and secure, bidirectional data sharing. Unite Us …
Trella Health Announces Rebecca Molesworth as VP of Product Management | PRWeb | 8/13/2020
… fellow executive leaders to improve Trella’s current offerings and continue to propel our partners’ and customers’ growth.” ATLANTA (PRWEB) August 13, 2020 Trella Health, the leading source for current and complete outcomes data and provider performance analytics, announced that Rebecca Molesworth has joined its executive leadership team as the Vice President of Product Management. Rebecca brings more than twenty years’ experience working with healthcare information technology companies and over ten …
… payment system will evolve to support good care.” Dr. Lee’s concluding statement about the payment system is too important to overlook, because it has a meaningful impact on patient decisions about their care and provider performance . We and others have written extensively on the financial barriers to care for many Americans. These barriers existed for years before the COVID-19 crisis, and the crisis has made a desperate situation worse …
Network Management Guide for ACOs | 7/28/2020
CareJourney’s Provider Performance Index is a comprehensive, explainable, and reliable way to evaluate cost effectiveness and outcomes across PCPs, specialists, and practice groups. This guide presents quick tips on implementing network selection, management, and optimization using the CareJourney Index Cost and Outcome Scores. Use Cases Covered Enhanced View of Utilization Patterns & Network Integrity Benchmark Provider Performance Against Competitor Health System Learn how to compare provider or practice group cost effectiveness …
MHCC PROGRAM MANAGER - #20-009273-0002 | 7/27/2020
… needs and promoting informed decision-making by providing timely and accurate information on the quality of health care services to policymakers, purchasers, providers, and the public. The MHCC maintains a consumer website, through which provider performance and quality information is made available to the public. The Maryland Healthcare Quality Reports website can be accessed at healthcarequality.mhcc.maryland.gov . The MHCC is seeking a Program Manager to provide project oversight and analytic support …
… improves treatment delivery, and improves treatment outcomes, including reduced relapse. Health plans and governments also benefit from more individuals in treatment and better outcomes; with the CHESS platform, they also gain analytic insights into provider performance . CHESS Health has received recognition from the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices (NREPP), the Journal of Substance Abuse and the Surgeon General. For more …
Sendero Health Plans launches digital health initiative | 7/22/2020
… profit community-based health plan, contracted with HealthTrio , a software service provider for the health care market . According to Sendero , this partnership will seek to “deliver better healthcare access, inform healthcare consumers, and improve provider performance and quality care outcomes.” We worked with our members to identify how we could improve their care. As a direct result, we are investing in solutions to improve member interaction and engagement with the …
… industry and discover new value-added trends and patterns. Clarify’s referral analytics software stands apart in the market today through its ability to derive transparent macro and micro insights about patient journeys, referral volume, provider performance , and competitive intelligence in a matter of seconds. As health systems and provider groups work to regain revenue flows via referral optimization, Clarify allows users to interrogate the most up-to-date and complete …
New Step by Step Map For analytical crm | 7/19/2020
… arrange custom made workflow automation, get actionable insights into conversations, keep track of gatherings, and utilize the 360-degree customer watch to find out all The most crucial details from an individual screen.The customer provider performance in CRM is meant to act as a central hub made up of precise, up-to-date information regarding your entire customers and their communications with all your business.And whilst the hosted option reduces …
Value Based Program Consultant - Maryland - UnitedHealth Group - Columbia, MD | 7/18/2020
… VBPC will be responsible for developing relationships with Behavioral Health Home providers, driving a quality improvement process to improve quality, improve clinical outcomes, increase efficiency and reduce overall benefit expense. The VBPC will monitor Provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance, and is accountable for driving performance improvement. As the single point of clinical contact for a practice, the VBPC will be …
… role where you’ll have the opportunity to make an impact on a huge scale. This is the place to do your life’s best work.(sm) The Practice Consultant is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships …
Behavioral Health
… entire continuum of care. Join us and help people live healthier lives while doing your life’s best work.(sm) The Behavioral Health Practice Management Specialist must demonstrate strong clinical and analytic skills, strong oral and … delivering interventions aimed at addressing outlier practice patterns, while improving provider performance, quality and clinical outcomes. These interventions may include, but are not limited to, clinical audits and the development of performance improvement plans. If …
Continuum of Care
… the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life’s … delivering interventions aimed at addressing outlier practice patterns, while improving provider performance, quality and clinical outcomes. These interventions may include, but are not limited to, clinical audits and the development of performance improvement plans. If …
Patient Safety
Debunking 3 Myths About Improving Patient Satisfaction Scores | Patient Engagement HIT | 9/23/2020
… About Improving Patient Satisfaction Scores Succumbing to myths about raising patient satisfaction scores could limit quality improvement initiatives, affecting overall provider performance. September 23, 2020 - Setting out to improve patient satisfaction scores is not always … be disheartening for providers working in good faith to improve patient safety and outcomes when the patient is complaining about the cafeteria menu. READ MORE: Industry Groups Call to Revamp HCAHPS, Patient Satisfaction Surveys But …
Patient Satisfaction
Debunking 3 Myths About Improving Patient Satisfaction Scores | Patient Engagement HIT | 9/23/2020
Patient Satisfaction News Debunking 3 Myths About Improving Patient Satisfaction Scores Succumbing to myths about raising patient satisfaction scores could limit quality improvement initiatives, affecting overall provider performance. September 23, 2020 - Setting out to improve patient satisfaction scores is not always straightforward. Quality improvement, and change management in general, can spark a lot of stakeholder pushback, giving rise to a series of common misconceptions. An initiative as elusive as improving …
Medicare Advantage
… more than two weeks. CareSignal offers industry-leading enrollment, activation, and long-term engagement rates for challenging populations, such as Medicare Advantage and FQHC patients . CareSignal measures success using the metric Clinically Relevant Engagement Duration … a Deviceless Remote Patient Monitoring™ platform that improves payer and provider performance in value-based care. The company leverages real-time, self-reported patient data and artificial intelligence to produce long-term patient engagement while …
Medicare
… more than two weeks. CareSignal offers industry-leading enrollment, activation, and long-term engagement rates for challenging populations, such as Medicare Advantage and FQHC patients . CareSignal measures success using the metric Clinically Relevant Engagement Duration … a Deviceless Remote Patient Monitoring™ platform that improves payer and provider performance in value-based care. The company leverages real-time, self-reported patient data and artificial intelligence to produce long-term patient engagement while …
Medicaid
Trella Health Announces Rebecca Molesworth as VP of Product Management | PRWeb | 8/13/2020
… and customers’ growth.” ATLANTA (PRWEB) August 13, 2020 Trella Health, the leading source for current and complete outcomes data and provider performance analytics, announced that Rebecca Molesworth has joined its executive leadership team as the … country deemed an Innovator under the Centers for Medicare and Medicaid Services’ Virtual Research Data Center Program, Trella has access to 100% of Medicare Part A and Part B claims data. Trella analyzes 1.2 billion …
NCQA
… care they provide.” TractManager is one of only two organizations accredited in credentialing by the National Committee for Quality Assurance (NCQA) and is the first Credentialing Verification Organization (CVO) with an integrated Contract Lifecycle Management … degree of data transparency, organizations can readily evaluate and monitor provider performance. The Provider Onboarding suite can be customized with software and/or services to meet the needs of provider organizations. TractManager’s Professional Services experts …
Population Health
… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also streamline administrative processes such as …
Health Management
… health management, and member satisfaction. We are committed to helping our providers deliver quality care for our members. “Sharing insights between payers and providers at the point of care is a great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value-based care delivery system …
Digital Health
CareSignal™, mGage® Launch COVID Companion Free to Health Systems | PR Newswire | 3/18/2020
… easier for people to get the information and support they need,” said Jennifer Junis , senior vice president, OSF Saint Gabriel Digital Health. “The public deserves quick access to the most up-to-date, relevant information … a scalable remote patient monitoring platform that improves payer and provider performance in value-based care by engaging and identifying rising-risk patients. Care teams receive real-time alerts enabling real-time prioritization and outreach …
Case Management
Determinants of uptake of intermittent preventive treatment during pregnancy: a review | 11/21/2019
… ANC) contact thereafter, at least 1 month apart, until delivery [ 7 ]. Use of insecticide-treated bed nets (ITNs) and effective case management continue to be recommended in all areas where pregnant women are at risk … in SSA. In addition, the database of the Health Care Provider Performance Review was searched for studies among pregnant women in SSA assessing methods of improving health worker performance and care seeking [ 33 ]. Data analysis …
Provider Engagement
… part of Veradigm™, an Allscripts (NASDAQ: MDRX) business unit. This year’s forum will include Pulse8’s Caralyn Maerz , Director of Provider Engagement, as a panelist to discuss leveling up your provider-health plan relationships on … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …
Member Engagement
… new and innovative ways to fight off provider and member fatigue and come away with new ideas to jointly improve member engagement and patient care Recognize opportunities to collaborate to optimize workflows on both sides … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …
EMR
(USA-VA-Pennington Gap) Quality Practice Performance Coordinator - SW Virginia | 10/27/2019
… healthier lives while doing your life’s best work.(sm) The Quality Practice Performance Coordinator is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR … needed results. The person will review charts (paper and electronic - EMR), look for gaps in care, perform telephonic assessments, help coordinate doctor appointments, make follow-up calls to members after appointments, and assist our members …
Medical Education
… therapy. This certified CE course was planned and executed in accordance with the requirements of the Accreditation Council for Continuing Medical Education. About ADPKD ADPKD is the most commonly inherited renal disorder and affects up … to close professional practice gaps, increase competence, and improve healthcare provider performance. Activities developed by CMEology embrace the National Quality Strategy and are designed to improve the effectiveness of patient care. References Ravyn D, Goodwin …
Clinical Data
Deep Learning Bests Traditional Models in Risk Stratification | HealthIT Analytics | 10/2/2019
… Analytics in Action News Deep Learning Bests Traditional Models in Risk Stratification A deep learning model, powered by financial and clinical data, outperformed traditional tools in pediatric patient risk stratification. Source: Thinkstock By October 02 … panel of patients may also lead to better assessment of provider performance by taking case mix into consideration.” The team noted that they used a small ACO data set for this study and using larger …
Electronic Medical Record
… To illustrate, when patients transitioned between care settings, care managers would often need to enter the same data into multiple electronic medical record (EMR) systems to ensure its availability to other physicians and facilities. This … payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a true partner for clients, offering flexible …
HealthTrust
PAI Awarded HealthTrust Purchasing Group Contract | PR Newswire | 9/2/2020
PAI Awarded HealthTrust Purchasing Group Contract News provided by Sep 01, 2020, 17:33 ET Share this article GREENVILLE, S.C. , Sept. 1, 2020 /PRNewswire/ – Pharmaceutical Associates, Inc. (PAI) today announced that the company has been awarded … Group HealthTrust (HealthTrust Purchasing Group, L.P.) is committed to strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage operator experience, scale, and …
Medecision
Trella Health Announces Rebecca Molesworth as VP of Product Management | PRWeb | 8/13/2020
… and customers’ growth.” ATLANTA (PRWEB) August 13, 2020 Trella Health, the leading source for current and complete outcomes data and provider performance analytics, announced that Rebecca Molesworth has joined its executive leadership team as the … Trella, Rebecca was the Senior Director of Data Intelligence at Medecision, a care management workflow company, where she led the product group on reporting, analytics, clinical terminology, and the data management platform. “As someone whose …
Optum
… Provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance, and is accountable for driving performance improvement. As the single point of clinical contact for a practice, the VBPC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within Optum and the Provider. The VBPC must demonstrate strong clinical and analytic skills, strong oral and written communication skills and …
UnitedHealth Group
… quality improvement process to improve quality, improve clinical outcomes, increase efficiency and reduce overall benefit expense. The VBPC will monitor Provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance … and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order …
UnitedHealth
… quality improvement process to improve quality, improve clinical outcomes, increase efficiency and reduce overall benefit expense. The VBPC will monitor Provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance … and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order …
Walmart Health
Making the Grade with Embold Health - Nashville Medical News | 11/18/2019
… Walmart Care Clinics. Stein also served as an emergency room physician for the Veteran’s Healthcare System of the Ozarks and held various policy positions in Washington, D.C., while completing his medical degree at Johns Hopkins School of Medicine in Baltimore. As a medical student, Stein first noticed a striking contrast in provider performance. “Even while training at Johns Hopkins, which is one of the best schools in the country, there …
Pulse8
Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ Download Thumbnail November 11, 2019 08:01 AM Eastern Standard Time CHICAGO–( BUSINESS WIRE )–In its 14 … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …
Allscripts
… knowledge and continuous improvements to risk adjustment programs from experienced industry specialists, including Pulse8, which is part of Veradigm™, an Allscripts (NASDAQ: MDRX) business unit. This year’s forum will include Pulse8’s Caralyn Maerz , Director … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …
GSI Health
… management solutions provider that supports the health and care of more than 50 million consumers nationwide, has acquired Philadelphia -based GSI Health , a SaaS provider of workflow, engagement and compliance solutions and related services. The … These improvements include reduced avoidable hospital admissions and better care provider performance as well as payment alignment. GSI Health Founder, President and CEO, LeRoy (Lee) E. Jones , is joining Medecision as Senior Vice President, Care …
Anthem, Inc.
Provider Performance Medical Director - Payment Innovation - Nationwide - PS28124Location: United StatesRequisition : PS28124Post Date: 20 hours agoYour Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .This is an exceptional opportunity to do innovative …
ZeOmega
PLANO, Texas , Jan. 3, 2018 /PRNewswire/ – ZeOmega ® , a market leader in population health management (PHM) solutions, recently launched Jiva Integrated Identification and Stratification (IIS) as part of Jiva™ Clinical Solutions. Other identification and stratification tools … payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a “true-north” partner for clients—offering …
HCA
Financial Agility is Essential to Healthcare’s Post-COVID-19 New Normal - Industry Analysis by Loyale Healthcare Share Article Despite billions in federal stimulus payouts, 2020 operating losses at America’s hospitals are projected to be between … a meaningful impact on patient decisions about their care and provider performance. We and others have written extensively on the financial barriers to care for many Americans. These barriers existed for years before the COVID …
(USA-TN-Nashville) Contract Analyst, Services | 11/18/2019
Job Information HCA, Hospital Corporation of America Contract Analyst, Services in Nashville , Tennessee At HealthTrust we are committed to strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage its operator experience, scale and innovation. We are headquartered in Nashville, Tennessee, and serve over 1,500 hospitals and health systems, and more than 31,000 other member locations including ambulatory …
Alan Hutchison
… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … the payer, and the patient in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also …
… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … the payer, and the patient in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also …
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