Difference between revisions of "Programs"
From PatientRecovery
(→Utilization Management) |
(→Utilization Management) |
||
Line 29: | Line 29: | ||
* [http://www.beckershospitalreview.com/finance/medpac-issues-march-report-to-congress-8-takeaways.html MedPAC recommends site-neutral payments for evaluation and management office visits so that the rates are the same whether the service is provided in a physician office or an outpatient department. (3/16/17)] | * [http://www.beckershospitalreview.com/finance/medpac-issues-march-report-to-congress-8-takeaways.html MedPAC recommends site-neutral payments for evaluation and management office visits so that the rates are the same whether the service is provided in a physician office or an outpatient department. (3/16/17)] | ||
Low-Value Care <br> | Low-Value Care <br> | ||
− | * [https://www.healthnewsreview.org/2017/04/five-years-wisely-a-look-at-the-choosing-wisely-campaign-to-reduce-unnecessary-medical-tests-and-treatments/ Five years wisely: A look at Choosing Wisely’s effort to reduce unnecessary medical care (4/25/17)]Variations <br> | + | * [https://www.healthnewsreview.org/2017/04/five-years-wisely-a-look-at-the-choosing-wisely-campaign-to-reduce-unnecessary-medical-tests-and-treatments/ Five years wisely: A look at Choosing Wisely’s effort to reduce unnecessary medical care (4/25/17)] |
+ | Variations <br> | ||
See [[Managing Health]] | See [[Managing Health]] |
Revision as of 15:01, 27 June 2017
Contents
Ambulatory Care Sensitive Conditions
Ambulatory Care Sensitive Admissions - Reviews
Ambulatory Care Sensitive Conditions - Best Practices
Ambulatory Care Sensitive ER Visit - Reviews
Care Gaps
Same Day Appointments
Clinical Team Coordination
In-Network Coordination
Out-of-Network Specialist Coordination
Determinants & Intervention Documentation
High Value Office Visits
Reduce Low-Value Visits
Lab Tests or ER Visit reports in advance
Patient Loyalty
- The 4 biggest factors determining a patient's choice of physician (4/25/17)
- 20% of individuals polled stated they would consider changing their primary care physician (PCP) if another PCP offered telehealth services and their current one did not (1/2017)
Quality Measures
Referral Management
Risk Adjustment Factor (RAF) Coding
Second Opinions
Utilization Management
Emergency Room
Location of Services
Low-Value Care
Variations
See Managing Health