Posts Tagged ‘Accountable Care Organization’

A struggle for the Payer/Provider Industry is how to prepare the next generation of Subject Matter Experts (SMEs). Now more than ever you need the experienced Medical Directors, Clinicians, and Non-Clinicians on your multiple #1 initiatives. Are you preparing your next generation of SMEs? Yes, you do need the 20-25 years EE on the project […]

In my previous posts about the Member-Centric Care team, I posed several questions and gave my opinions to support them. Here is a review of what was discussed, as well as new thoughts: Have we over turned every rock (e.g., process, operation, and IT enablement) to allow for member-centric care? It Depends – Sorry, I […]

In my previous blogs, I asked if we were missing a key player in member-centric care and then provided my opinion. Here is a recap of questions and answers I discussed, as well as some new points: Are we, business and information technology professionals, clinicians, and non-clinicians, working on the correct priorities for member-centric care […]

In my last blog post I asked if we have missed a core team member in member-centric care. My answer: In Sales there are the Health, Life and Supplemental Insurance Agents for employers and members that are responsible for mentoring members on plans, eligibility and benefits as well as understanding claims. These individuals make a […]

Recently rolled off a large payer, I am sitting back and reflecting on what is facing the healthcare industry today and what has happened over the past 15+ years (Looking at the forest rather than the trees). 1) Are we, all business and information technology professionals, clinicians, and non-clinicians, working on the correct priorities for […]

Cindy O’Neill from Microsoft interviewed Perficient’s Martin Sizemore at HIMSS 2012 on accountable care, meaningful use, mobility, social media, cloud, portals and business intelligence solutions.

Several of the organizations that represent some of the many stakeholders in the healthcare delivery system have turned up the volume against ICD-10, yet again. Some of the arguments against it are that there’s too much of a burden due to compliance work already being done on other directives and some have also exclaimed that […]

At HIMSS 2012 we talked with patient advocate Regina Holliday (@ReginaHolliday) on the importance of patient engagement in reducing costs and increasing quality in Healthcare.

We spoke with Jane Sarasohn-Kahn (@healthythinker) at HIMSS 2012 on the evolving economics of healthcare as we move from volume based to value based care.

I heard this question while wandering around the HIMSS conference. It made me pause and think. The healthcare system in the US is designed to fix problems after they occur. Payments are made this way and patients are, with few exceptions, accustomed to waiting until something is really painful, bloody, or non-functioning before they seek […]

In the closing weeks before the Christmas holiday, I made a whirlwind tour of several large integrated delivery networks (IDNs) in search of the newest Holy Grail in healthcare: Managing Population Health. The race to Accountable Care Organizations and Shared Savings performance contracts has resulted in a new level of enterprise data integration never imagined […]

HIMSS 2012 is upon us already. Our team will be in Las Vegas for the February 21-23 for the event. With all of the changes we are witnessing in the health insurance industry, this year’s conference promises to address the many needs of conference attendees. Whether it is meeting regulatory compliance issues or preparing for […]