Medicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization. Some 38 percent of healthcare organizations indicated that utilization of healthcare services has increased at their facility as a result of expanded health insurance coverage under the Affordable Care Act. Nearly 86 percent of healthcare organizations have a program to reduce avoidable healthcare utilization, according to the new survey on Reducing Avoidable Healthcare Utilization Survey by the Healthcare Intelligence Network (HIN). The majority of healthcare organizations focus their efforts on reducing avoidable hospitalizations, with 78 percent of healthcare organizations reporting they have a program aimed at this task.

Download this free HINtelligence report for more data on the level of care targeted under programs aimed at reducing avoidable healthcare utilization, defining avoidable healthcare utilization, common barriers and much, much more.

1. Penn's Community Health Worker Program Yields $2.47 for Every $1 Invested Annually by Medicaid
   
   
2. United HealthCare's North Texas ACO Significantly Increases Preventive Screenings and Reduces Healthcare Costs
   
   
3. Accountable Care Organizations: 2020 Benchmarks and Metrics
   
   
4. New Report: Commercial Payers Spent More Than $5.5 Billion on 20 Select Low-value Healthcare Services in 2015
   
   
5. Medicaid Expansions Are Linked To Lower Out-of-Pocket Spending for Recipients
   
   
6. Infographic: State Team-Based Care Strategies for Medicaid-Eligible Women
   
   
7. Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed Care
   
   
8. New Chart: Data Analysis Approaches to Drive Value in ACOs
   
   
9. Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results
   
   
10. Proposed Changes to Medicare Advantage and Part D
    
    
11. Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare Industry
    
    
12. Artificial Intelligence's Impact on the Future of Patient Care
    
    
13. Increasing Access to Generics and Biosimilars in Medicare
    
    
14. Publicly Funded Pregnancy Programs Improve Maternal Mortality Rates
    
    
15. Hospitals Play Key Role in Reducing C-Section Rates
    
    
16. Social Determinants of Health in 2019: Assistance with Navigating Healthcare Services Rated Most Effective Intervention
    
    
17. Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations
    
    
18. Alarmingly High Rate of Antibiotics Prescribed Without Evidence of Office Visit
    
    
19. Johns Hopkins Physicians Propose Quality Measures to Improve Medical Billing
    
    
20. Digital Health Tools Gain Momentum Among Physicians
    
    
21. How Runaway Healthcare Costs are a Threat to Older Adults and What to do About It

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Missed the last issue? View it here for details on Southwestern Health Resources Accountable Care Network achieving the highest Medicare Shared Savings in the Next Gen ACO program, states collecting social needs data as part of the Medicaid enrollment form, an index ranking America's 100 most disadvantaged communities and much more.

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© 2020 Healthcare Business Weekly Update by Healthcare Intelligence Network.
Publisher: Melanie Matthews, mmatthews@hin.com

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