Julie Mickles Agan Program Manager Louisiana Senior Medicare Patrol The arrests in early May of more than 100 people accused of health care fraud is a vivid reminder that fraudsters are as much a part of the health care system as doctors and patients. In my community of Baton Rouge, LA, the most recently accused …
People’s Health selects eQHealth for Care Coordination Project
eQHealth Solutions has been selected by Peoples Health Network (PHN) to provide training support to PHN’s team members who provide assistance to hospitalized members. The training program pairs a health coach with a Peoples Health nurse case manager, and guides them through the educational program that helps each individual throughout their hospitalization and following discharge. …
Earthquakes, Meltdowns and other Events that will Impact Health Care
Ron Ritchey, MD, Corporate Medical Officer, eQHealth Solutions In this op-ed Dr. Ritchey discusses block grants as a possible funding source for state Medicaid programs. This post is part of a forward looking series, Game-Changing Events, that examines several scenarios that might soon have dramatic impacts on state Medicaid agencies and their approaches to controlling …
Your ACO May be Doomed to Fail
Unless you have a plan to ensure the coordination of care for your patients Laurie Robinson, RN Director of Care Coordination Services, eQHealth Solutions The latest “next-greatest-idea” to improve health care quality is the Accountable Care Organization (ACO). This idea follows the integrated health system, the patient-centered medical home, case management, disease management and a …
OP-ED: Fast forward to 2014: Has Medicaid managed care saved the day?
Ron Ritchey, MD, Chief Medical Officer, eQHealth Solutions In this op-ed Dr. Ritchey discusses managed care as the strategy of choice for many states. This post is part of a forward looking series that examines several scenarios that might soon have dramatic impacts on state Medicaid agencies and their approaches to controlling costs. Let’s fast …
2011 Round Up: Our 10 Picks for Readmissions, Care Coordination Resources
Hospitals have until October 2012 before the penalties for high readmissions take effect but the clock has already started ticking. CMS began monitoring readmission rates earlier this year and hospitals are preparing for the rollout. It’s an opportune time to review some of this year’s best discussions on reducing readmissions and care coordination. Below is …
AMA supports efforts in Congress to keep healthcare quality improvement state-based
Ron Ritchey, MD, MBA Chief Medical Officer, eQHealth Solutions Physicians across the country are letting Congress know the centralization of medical decision-making will be harmful to patients and health care quality. The removal of state-level physician oversight from health care quality improvement work that was included as an offset in the Trade Adjustment Assistance Act …
Can Your Care Management Software Do This?
5 Functions Your Care Coordination Tool Must Have By Marina Brown, BSN, RN, CCM, eQHealth Solutions Product Development Manager Breaking down provider silos is going to require a practical tool that can drive coordinated care delivery. We cannot expect the traditional case management software systems to support a care coordination program. Care coordination software that …
Congress centralizes medical decision-making and threatens physician oversight
Major changes to Medicare quality improvement tucked into trade legislation Ron Ritchey, MD, MBA Chief Medical Officer eQHealth Solutions, The Medicare Quality Improvement Organization for Louisiana Local level control and physician involvement in health care quality improvement in the U.S. was jeopardized by the passage of the Trade Adjustment Act of 2011 (HR 2832) through …
Don’t Be Fooled by Care Coordinator Imposters
Four reasons why care coordinators must be clinicians Laurie Robinson, RN, CPUR, Director of Care Coordination Services, eQHealth Solutions Marina Brown, BSN, RN, CCM, Product Development Manager, eQHealth Solutions Care coordinators are not health coaches and they aren’t case managers with a new name. Care coordinators do coach patients and perform case management functions. But …
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