Health Data Analytics

Calculating Provider Revenue Loss in an ACO

Current healthcare literature is replete with recommendations for providers who are interested in pursuing participation in accountable care organizations. These articles typically focus on aligning payment incentives, developing care models, designing information systems to report quality measures and identify potential high-cost patients, and describing the dire consequences that will befall hospitals that don't participate in ACOs.

The "Lowest Common Denominator" Theory of Analytics

This afternoon we had the pleasure of listening to one of our clients describe their analytics work dealing with the Medicare bundled payment initiative. They highlighted some of the reports that they had assembled from a variety of different hospital-based systems, described in detail their use of Microsoft's PowerPivot analytics tool, and showed how an advanced analytics shop can drive an entire healthcare initiative.

Episode Choices and Bundled Payment Risk

Earlier in 2013 we wrote an article about the effect of selection of individual DRGs for participation in the Medicare Bundled Payment for Care Improvement (BPCI) program.

Do Readmissions Cost More than Non-Readmissions?

One of the challenges in working in healthcare data analytics is the requirement to keep up-to-date on many diverse topics. The eHealth Initiative provides a multitude of such opportunities, and we enjoyed attending the recent National Forum on Data and Analytics at which we heard a wide variety of presentations on many topics related to the management and analysis of healthcare data.

Risk Adjustment: How Physician-Patient Encounters Can Justify Themselves

A recent article on risk adjustment by a group of researchers from Dartmouth attracted our attention. Entitled Observational intensity bias associated with illness adjustment: cross sectional analysis of insurance claims , it describes biases that are found in various types of healthcare risk adjustment processes, with the bias is being caused by an increasing number of physician–patient encounters.

"Why Nobody Believes the Numbers" - Reviewing a New Book on Disease Management Results

In the current health care environment (or what might be termed as the "second coming" of managed care), disease management initiatives designed to reduce healthcare costs are springing up in record numbers, claiming high levels of effectiveness in reducing healthcare costs. Casual readers of these articles may come to the conclusion that implementation of several of these programs together could turn the trend of healthcare inflation into negative territory.

Physician-Owned ACO Executive Highlights Need for Claims Data Analytics

Yesterday's Becker’s Hospital Review contained an interesting article entitled "Five Things No One Told Me before I Launched an ACO", which interviewed five leaders of Accountable Care Organizations throughout the country.

Excel 2013 Delivers Features to Improve Spreadsheet Accuracy

Excel 2013 promises to deliver some exciting new features, such as incorporating PowerView (Microsoft’s visualization program) which will give the ability to create interactive data-driven dashboards to Excel users.  But it will also incorporate some much-needed features to improve the accuracy of spreadsheet models, facilitating the ability of users to locate and correct errors.  It also will provide spreadsheet comparison features and version control, which every Excel user can recognize as critical features to maintaining spreadsheet accuracy.  Microsoft’s arti

A Structured Approach to Spreadsheet Review

Spreadsheets have become universal in the financial world, yet their flexibility also allows for significant potential for error. This white paper presents several techniques for identifying and correcting spreadsheet errors.

Singletrack News - June 2012

Singletrack Principal Jon Pearce will be presenting on "Data Analytics for Healthcare Financial Managers" at the PICPA Healthcare Conference on June 11, 2012.  This session will discuss the challenges financial managers face to acquire information in databases, such as those provided by CMS to ACOs and bundled payment participants.

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