Hospitals & Providers

ACOs, bundled payment, shared savings require new capabilities and new culture

Aetna examines technology solutions to advance evidence-based care

Start with lifestyle modifications then determine need for testing

Plan's data show 1.2% of screenings resulted in cancer diagnosis

Transparency still has a long way to go

Trust is deteriorating, and that can work against payers attempting to enter alternative contracts

They might not recognize the early symptoms, such as depression, anxiety, sleep disturbance, and paranoia, of serious mental illness

The provider and payer will develop a suite of health plans and an accountable care model with fully insured, self-insured and Medicare products

The 32 Pioneers asked CMS to delay the move to pay for performance in 2013

There should be more mental healthcare service delivered in schools to provide comprehensive assessments, early interventions, and treatment

As hospitalizations rise, hospital deaths are on the decline.

Solutions lie in med schools, mid-levels and incentives

New care models and federal requirements motivate HIE stakeholders

Aetna believes its new fertility program will improve the chances of conception for infertile couples, while controlling costs

With the Medicare star program, plans stand to gain bonus pay when their network providers do well on performance measures

Catalyst for Payment Reform has released a national scorecard describing the current state of value-oriented payment, finding that about 11% of commercial payments are tied to value

Physicians and local communities assist in obesity prevention.

Integrating and leveraging data will improve quality of care and decrease costs.

A tobacco cessation benefit can reduce future medical costs.

Physicians and local communities assist in obesity prevention.

Chronic care patients need reminder calls to remain adherent to treatment and show up for appointments

Extreme out of network fees and lack of transparency are threats to affordable care

Hospitals have not gotten a break in the budget battles but few are changing their financial strategy

In partnership with the Mayo Clinic, a UnitedHealthcare unit is putting data to work in a new facility to drive improved outcomes

Predictive analysis can link suspicious behavior back to fraudsters before claims are paid out