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Health IT Meets Medicaid Population Health, Socioeconomic Needs

Amitech Solutions

Welcome to the latest #DataRX Report, a weekly digest of interesting news and trending topics in the healthcare industry. Every Friday we're pulling together the best articles and insights to keep payors and providers informed, engaged and up to date on the headlines that are impacting the industry. 

 

 

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Using Health IT to Meet Medicaid Population Health, Socioeconomic Needs
Transitioning to value-based care and reimbursement means chipping away at stubborn relics of fee-for-service delivery that made it uniquely difficult to address the high socioeconomic needs of complex patients. Here’s how innovative Health IT tools are making progress.



Prescription for Payors

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Member Engagement is Key for High-Deductible Health Plan Success
Quelling the growing customer concerns about health insurance ROI is understandably high on the list of priorities for major players in the healthcare payor industry. Experts suggest that thoughtful member engagement strategies like those described in this article, could be an effective solution.

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Bundled Payments Require Clinical Insights, Provider Buy-In
As more and more payers prepare to hop on the bundled payments bandwagon, it’s important to consider the role that data and provider engagement play in establishing an effective model. BCBS Michigan shares a few valuable insights from their most recent effort.

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How Payers Address Deep-Rooted Social Determinants of Health
Does your zip code really matter more than your genetic code when it comes to health? SDOH and geographic data suggest the answer is a resounding, “YES!” Here’s a smart strategy to help healthcare payors manage this data to effectively improve care and costs.

Prescription for Providers

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Data Mining in Healthcare without Skipping Steps 
No one ever accused data mining of being the sexiest part of analytics, but gloss over it at your own risk! Amitech’s own, Paul Boal explains the how and why.

 

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Leveraging Provider Communication for Better Care Coordination 
With EHR systems now commonplace in hospitals and health systems nationwide, many healthcare organizations have realized their built-in potential to operate as an effective way to improve care coordination. Here’s how Vanderbuilt University Medical Center is getting the best of both worlds.

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Humana Makes Improving Quality Central to New Hospital Reimbursement Program 
As top payers continue to roll out value-based payment models across their networks, programs like the one unveiled by Humana this week are destined to become the new norm. Check out how this one came together for a taste of what’s to come.