Hidden in Plain Sight – The Cost of ACO Leakage

By Josh Gray and Maria Monahan Many major hospital and health systems have launched Accountable Care Organizations (ACOs) through Medicare’s Shared Savings Programs (MSSP). Leakage – patients receiving care from competing hospitals or specialists – can be a substantial challenge for health system-affiliated ACOs. Out-of-network visits limit an ACO’s visibility, making both cost control and care coordination […]
Using AI to support a nursing program for patients with advanced illness

Houston Methodist Coordinated Care (HMCC) is the largest Medicare ACO in Houston, Texas with approximately 54,000 attributed Medicare patients.
How to improve clinical workflows with AI chart summaries and risk predictions

“Let’s build something new and interesting. Really, the focus, especially in health care, needs to be with understanding deeply what the actual problems are that physicians, other clinicians, and operational leaders at health systems face today and build around those leveraging these new technologies, not trying to fit the technology to a problem that isn’t […]
Buena Vida y Salud ACO Recognized for Outstanding Efforts in Value-based Care

Distributed by PRNewswire BOSTON, Oct. 18, 2024 /PRNewswire/ — Buena Vida y Salud ACO was selected as a 2024 NAACOS Excellence Awards winner, receiving national recognition for outstanding efforts in value-based care. Dr. Sheila Magoon serves as the Executive Director of Buena Vida y Salud (BVyS) ACO and South Texas Physician Alliance in Harlingen, Texas. “Keeping patients healthy at home” is her mission […]
The Intelligent Health Record

Learn how your team can benefit from AI-informed, clinician-driven workflows. We invite you to listen to how HealthVision, our Intelligent Health Management System, is transforming care across health systems and value-based care organizations. Session 1: THE INTELLIGENT HEALTH RECORD https://vimeo.com/970772224/86e8356249?share=copy SHARE Facebook Twitter LinkedIn
Beyond GUIDE: How data-driven strategies are paving the path for better dementia care

This summer, CMS will launch its eight-year Guiding an Improved Dementia Experience (GUIDE) model where Medicare patients living with dementia and their family caregivers will be able to access comprehensive care and wraparound support services for free. This new payment model supercharges organizations like Remo Health to deliver accessible, affordable, quality dementia & alzheimer’s care to […]
How Buena Vida y Salud ACO uses predictive targeting to help keep patients healthy at home

Dr. Sheila M. Magoon, Family Practice provider and clinical expert, will share how her system navigates complexities of rising costs and utilization of their aging patient population. Their strategy consists of pinpointing specific sub-populations based on predicted future risks of utilization, complication, and developing chronic diseases and deploying tailored interventions that reduce the likelihood of […]
Deploying clinical AI at scale for improved outcomes

Health Data Analytics Institute (HDAI) & Houston Methodist share their story and experience in improving outcomes with the help of clinical AI. https://vimeo.com/928387381/8959cf9c85?share=copy SHARE Facebook Twitter LinkedIn
Nursing Burnout and Costs: Reflecting on Common Drivers of Hospital Financial Woes

By Emily Hightower RN, MSN and Holli White, MPS Background A quick search online will show that most individuals go into the field of nursing for similar reasons; the National Institutes of Health (NIH) sums it up nicely, citing nurses have “…a desire to serve others…a personal calling…and a desire to work in the [healthcare] […]
The Nation’s Ten Most Cost-Effective Academic-Affiliated ACOs

By Josh Gray and Holli White Background Academic medical centers have a highly complex agenda: maintaining clinical excellence, pursuing cutting edge research, promoting medical education, and maintaining financial viability. As the country evolves towards value-based incentive care, is it realistic to expect AMCs to excel at population health as well? Josh Gray, Vice President of Analytic […]