Inside Angle

From 3M Health Information Systems

Value-based Health Care

Achieving the Triple Aim requires new thinking. Innovative ideas from 3M experts to help you make the shift from volume to value.

eBrief: How can provider-sponsored health plans succeed in the new insurance marketplace?

What challenges can an organization expect in managing a provider-sponsored health plan (PSP)? How can those challenges be addressed?

Engaging the prescriber and the PCP in controlling pharmacy costs

May 5th, 2017 / By Steve Delaronde

Sovaldi is a prescription drug that was approved by the FDA in December 2013 to treat Hepatitis C. The following year, the total cost of prescription drugs in the United […]

Value-based payment means risk adjustment for effective revenue cycle management

May 3rd, 2017 / By Kristine Daynes

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

Article: HCC Accuracy: A Crucial Factor in the Value Equation

With Donna Smith, RHIA

HCCs are not new, but many organizations are only starting to recognize their importance. 3M’s Donna Smith dives into how to manage HCCs in her new article.

Infographic: Examining medical minds

Health care professionals were recently surveyed about their thoughts on value-based care. Here are the results:

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MACRA/MIPS: Are you ready?

April 21st, 2017 / By Mary Zeigle, MS

A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

Risky business: Achieving value-based purchasing goals in New York State

April 14th, 2017 / By Michael Keyes

I’ve spent much of the last few months traversing the State of New York speaking to our Medicaid MCOs about their strategies to reach the state’s value-based purchasing (VBP) goals. It’s […]

Video: Provider-affiliated health plans

What are the top five things “payviders” need to pay attention to? This video rounds them up.

Moving from “the data is wrong” to “all data is flawed but still useful”

April 12th, 2017 / By L. Gordon Moore, MD

Value-based purchasing and population health management are supposed to change aspects of the relationship between insurers (health plans) and providers (accountable care organizations, health systems, etc).  New contracts are supposed […]

Patient engagement – Are the benefits real?

April 7th, 2017 / By Steve Delaronde

When people take an active role in their own well-being and participate in their healthcare choices, the Triple Aim of improved outcomes, lower cost, and a positive patient experience becomes […]

The Actuarial Challenge: Alternative approaches to improving health care

March 27th, 2017 / By Paul LaBrec

The greatest change to the U.S. health insurance market in the past decade was undoubtedly the Affordable Care Act (ACA). The ACA brought changes including the establishment of health insurance […]

VBP pilot programs underway in New York State

March 20th, 2017 / By Matthew Ehlinger

In New York State (NYS), as the final results for measurement Year 2 are solidifying, Value-based Payment (VBP) pilot programs are starting. The VBP pilots do not have an easy […]