Whether you are a care coordinator, caregiver or a family member of someone who is getting up in age, chances are you know someone with chronic conditions. During the holidays, many factors affect the people around us, especially those with chronic health conditions. Whether it's the holiday blues, traveling out of town or trying to manage diet restrictions and other self-care measures, these are all things that need to be monitored with extra care over the holidays. Here are some tips on navigating chronic conditions during the holiday season....

In 2012, about half of all Americans suffered from some sort of chronic disease, such as diabetes, heart disease, or lung disease. In addition to this excessive amount of people suffering, the health care system is suffering as well. $3 out of $4 in health care are spent on chronic disease. Reducing and better managing chronic diseases has the potential to improve the lifestyle of millions of adults in the US while also cutting costs for healthcare providers.  In recent years, the growing epidemic of chronic disease in America has not g...

Today, approximately 117 million people - about half of all adults - suffer from one or more chronic health condition and one in four adults have two or more chronic health conditions, such as asthma, diabetes and congestive heart failure. Although these are some of the most common illnesses among the population today, they are becoming more and more manageable due to preventative measures taken by both physicians and healthcare entities as well as patients. With the introduction of CPT code 99490 on January 1, 2015, CMS began reimbursing fo...

By Ron Ritchey, M.D., Chief Medical Officer One of the most significant pieces of federal stimulus for providers and Medicare beneficiaries, CPT code 99490, began on January 1, 2015. If you are interested in being reimbursed by the Centers for Medicare and Medicaid Services (CMS) and the ability to increase revenue by as much as $250,000 per year, please read on. How to Qualify for Medicare Reimbursement With CPT Code 99490 At the beginning of this year, the Centers for Medicare & Medicaid Services began reimbursing chronic care manag...

By Ila Sarkar, Ph.D., Director of Corporate Analytics Predictive health analytics, as a whole, is still in its infancy.  In 10 years, the product landscape will look much different than it does today.  Analytics will allow for much greater use of real-time data from a wider stream of data sources, and be available real time to patients in some form.  That said, the use of predictive analytics is already helping providers to identify high-risk patients and manage them so they don’t consume healthcare resources and drive up...

by Ron Ritchey, M.D., Chief Medical Officer Accountable care organizations looking to strengthen their population health management programs should strongly consider two new Affordable Care Act initiatives as a real jumpstart to get their infrastructure going. The Centers for Medicare & Medicaid Services (CMS) announced these new initiatives earlier this year as a way to encourage quality improvement and care coordination.  ACOs and physicians (especially those in rural areas) will provide a tremendous benefit to the patients the...

By Ron Ritchey, M.D., Chief Medical Officer The recent CMS report on the quality and financial savings achieved by Shared Savings and Pioneer ACOs was both unsurprising and instructive for all stakeholders. According to the report released last week (which include performance for about 250 organizations), ACOs launched in 2012 reduced spending by $817 million to date, with hospitals and doctors keeping about $445 million as a result. However, performance on quality improved for 28 of the 33 measures. These numbers are instructive for all sta...

By Sean Marchiafava, Chief Information Officer A quick Google News search of “clinical integration” is very instructive:  Everyone wants a clinical integration program, and they want it yesterday.  Positions are being created within health systems for people whose sole task is the integration of quality initiatives, patient access and physician operations.  Since the passage of the Affordable Care Act, the number of clinical integration frameworks has surged from “just a few” to “literally thousands...

By Ron Ritchey, M.D., Chief Medical Officer As Chief Medical Officer for eQHealth Solutions, I travel regularly to conferences and workshops across the United States that focus on development, implementation and maintenance of accountable care organizations (ACOs). Recently, I attended and presented at the ACO Summit: West and the Collaborative Care Summit, which took place last month in San Diego, CA. Many conference attendees came from health systems, hospitals, physician groups, and health insurance companies.   In my travels, I meet ...

by Marina Brown, BSN, RN, CCM, Director of Clinical Programs It’s no secret that the US healthcare system has realized the value of keeping people well, as opposed to treating the sick. Population health management is actively being adopted by organizations, and we believe it’s an ideal way to achieve quality health outcomes while addressing the factors that drive health costs up.  Available data confirms the need for population health management:  Private insurance spending is disproportionately concentrated. The top 1%...