ACO

by John Moore | September 29, 2017

Convergence in Healthcare: What is it? And Why Now?

Convergence is a thesis that posits the successful path to risk-adjusted care requires realignment in provider-payer relations – that neither provider nor payer will truly be successful without the core competencies of the other. Optimizing risk-adjusted care will require providers and payers to develop far deeper forms of collaboration to

by John Moore | September 15, 2017

Convergence and the Three Rules for Data Governance

Across the industry novel provider-payer collaborations have arisen – something we refer to as Convergence. The macro-factor driving this push to convergence is simple; the migration to newer value-based care (VBC) reimbursement models and the rise of consumerism in healthcare. Convergence comes in many forms ranging from Accountable Care Organizations

by Brian Murphy | August 14, 2017

Beyond Reporting: Analytics Moving to Point of Care

The 2017 Healthcare Analytics Market Trends Report is now available. Building on the 2014 and 2016 editions of this report, Chilmark returned to the market this year to assess critical changes in vendor solutions to see how well they map to provider needs. This report reveals that analytics vendor solutions

by Jennifer Rogers | July 25, 2017

Prior Authorization: Productivity Sink In Dire Need of Convergence

Prior Authorization is often viewed as the poster child for throwing the Quadruple Aim off balance with its pursuit of cost reduction at the expense of provider experience, but my latest research for Chilmark Research shows that new PA models and maturing PA technology solutions could benefit both providers and payers. Traditionally,

by Jennifer Rogers | March 02, 2017

Vendors Enabling the ACO: New Class of Vendors Matures

Successfully enabling an Accountable Care Organization is extremely challenging: There isn’t one standard ACO model; there isn’t one single ACO national policy; there isn’t one specific map to follow to build an ACO nor measure its success. There are few if any

by Jennifer Rogers | December 19, 2016

RCM Meets PHM

It won't happen in 2017 or 2018, but the argument can be made that PHM will likely include some form of benefit/coverage counseling in the mid-term future. PHM is still too immature as a market solution strategy, still being understood by HCOs, launched, refined, and further refined. After HCOs become

by John Moore | November 14, 2016

Changing of the Guard: Implications to Health IT Market

After a brutal election cycle, we are now on the other-side. The Republicans have taken control of the Hill and the White House. The many healthcare programs rolled-out under the Obama administration will now be put under the microscope. While we try to stick to IT-related topics, in healthcare one

by Janice Young | October 24, 2016

Value Based Health: No Success without Value-Based Technology Strategies

A September 16 2016 Bloomberg report once again provides the bad news for the US healthcare system, ranking it among the least efficient healthcare systems -50 of 55 countries surveyed in 2014. Despite the plethora of new regulations, payment models, technology mandates and incentives to promote greater efficiency and improved outcomes in
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-Former SVP of PHM at Cerner