Posts Tagged ‘ACO’

In a recent article by John Lynn, he explains that ACOs are a good idea, but physicians can influence the outcomes and not control the outcomes. In my earlier blog I started to explain that ACO success and longevity will depend on changing patient behavior. This starts with the physicians. For decades, patients, and some […]

About a year ago I blogged, “Will we be reading in 2011 ACOs partner with large carriers?” I am hearing that carriers are staying away from ACOs and are not planning on partnering. What have you heard? Was my assumption incorrect in 2011?

Racing towards an ACO and Population Management this year is a huge challenge. A new enterprise platform is a must for an ACO to coordinate the changing of Provider and Payer processes and behavior not to mention the Shared Savings contracts which require new measurements and reporting: a shared dashboard. Check out Martin Sizemore’s take […]

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.

With the HIMSS Annual Conference wrapping up in Las Vegas there are a lot of sore feet and throats (from walking through clouds of smoke). The Perficient team was excited to be invited to demonstrate our ONC certified Meaningful Use Stage 2 and ACO reporting solution, Health BI, in the Microsoft booth.  There was great […]