Efficiency

Innovations

Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees 03/03/13

HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.

Statewide Health Information Exchange Generates High Levels of Participation and Many Reports of Improved Quality and Efficiency 02/26/13

The nation's first statewide health information exchange, the Delaware Health Information Network gives clinicians immediate access to patient-specific health data from other providers, leading to higher quality and more efficient care.

New York State Legislation Leads to More HIV Testing and Linking of HIV-Positive Patients to Followup Care 02/19/13

A New York State law requires hospitals and primary care providers to offer an HIV test to all patients between the ages of 13 and 64 years, streamlines the consent process, and requires providers to schedule patients with positive results for followup care; the law increased testing rates and helped link HIV-positive patients to care.

County-Based Accountable Care Organization for Medicaid Enrollees Features Shared Risk, Electronic Data Sharing, and Various Improvement Initiatives, Leading to Lower Utilization and Costs 02/14/13

A county-based accountable care organization integrates medical, behavioral health, and social services and assigns a care coordinator to newly enrolled Medicaid beneficiaries to promote use of appropriate services, leading to fewer readmissions and emergency department visits and lower costs.

Accountable Care Organization Featuring Shared Global Risk Stimulates Development of Initiatives To Improve Care, Reduces Inpatient Use and Costs 02/11/13

Partners in an accountable care organization share risk via an annual global budget and implement initiatives to improve efficiency and quality, leading to reductions in hospital use and overall health care costs.

System Gives Authorized Users Access to Interstate Information on Controlled Substance Prescriptions, Assisting Them in Identifying Cases of Potential Misuse 02/08/13

A data exchange platform links individual State PMPs, helping authorized prescribers and pharmacists identify patients who appear to be crossing State lines to obtain drugs for potential personal misuse or illegal activity.

Comprehensive Bundle of Strategies Improves Emergency Department Turnaround Time, Reduces Boarding Time and Patients Leaving Without Being Treated 02/08/13

A comprehensive bundle of process improvement strategies improved patient turnaround time in the emergency department, which in turn led to fewer patients leaving before being treated.

Health Department Promotes Implementation and Use of Electronic Health Records in Underserved Areas To Improve Clinical Preventive Services in Primary Care 02/07/13

The health department in New York City uses subsidies, upfront and ongoing technical support, and quality of care feedback to promote implementation and use of electronic health records by primary care practices in medically underserved areas, leading to better care for patients in these practices.

State Partnership Supports Quality Improvement in Pediatric Practices, Leading to More Evidence-Based Care, Better Care Coordination, and High Satisfaction in Participating Practices 01/09/13

A State-based, public–private partnership supports quality improvement in pediatric practices, leading to greater adherence to evidence-based care and improved care coordination for children and adolescents, and to higher staff satisfaction in participating practices, and highly rated quality of care for children.

Increased Reimbursement and Dedicated Funds Allow Remote Primary Care Clinics to Provide Around-the-Clock Care, Leading to Fewer Medical Evacuations and Higher Quality of Care 01/07/13

Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.

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