Consumer health informatics

Want create site? With you can do it easy.

Consumer health informatics

Consumer health informatics

Select one of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend?


Consumer health informatics (CHI)

Telehealth (or telenursing)/virtual healthcare

Social media healthcare applications

Health-focused wearable technology


n 2017, if Track 1 MSSP ACOs had been operating under the new Pathways to Success rules, 40% of them would have ended the year with losses-owed to CMS. They would have owed up to $270M ($76 avg PMPY) to CMS.1 Conversely, Track 1 ACOs who outperformed their benchmarks enough to earn shared savings collectively earned $685M ($226 PMPY) in shared savings that year.2 These ACOs, along with those who have been in more advanced risk-sharing models with CMS (Track 3 and NextGen) must now decide their paths forward.

What decisions will they make today, given that they now have access to a much deeper and more accurate set of information than they did in 2017?

The introduction of the new population-based payment models from CMS should raise near-term questions for all Medicare ACOs who want to be successful in 2020 and beyond. Today we will dive into the first of three critical considerations introduced in our previous post: How should I participate in Medicare ACOs?

What are the payment models, and how have they changed from previous offerings?
Clarify Health: CMS Medicare ACO payment model overview

There are six options for Pathways to Success – Tracks A, B, C, D, E, and Enhanced. See the graphic above for a high-level overview and side-by-side comparison of each track. A more in-depth description of the differences will be covered in our upcoming webinar on Aug 22nd.

Consumer health informatics

As we all know, the most significant change with Pathways to Success is mandatory downside risk. ACOs will no longer be allowed to enter upside-only gainsharing agreements, forcing them to take some measure of downside risk, and the extent of that risk will increase over time. Of course, ACOs now have unprecedented opportunity to participate in considerable savings or gains, particularly with the new Direct Contracting programs. Although we don’t have the final Direct Contracting rule from CMS yet, we are seeing savvy ACOs already positioning themselves for success.

How should I position my ACO for success in this new risk-based savings and payment environment?
With the expanded set of options and the inevitability of downside risk, ACOs should carefully consider how they can make the best decision possible. Those already exposed to significant upside and downside risk should now be even more vigilant.

First, ACOs should consider three key criteria as they decide how to participate.

How will my performance be measured?
CMS Risk-Adjusted Benchmarks
Assigned Patient Population
Who are my top performers and might drag me down?
Referral Patterns
Risk Coding
Why would they drag me down, and how can I intervene to better position them for success?
Answers to the above questions ought to be foundational considerations amongst ACOs’ other priorities as they make their decisions.

Second, ACOs should get started early. ACOs can’t afford to wait until their performance period starts to think about this. To be successful, they need access to these insights now so they can begin to set up infrastructure, process, and targeted change management well in advance of the program start.

Just because an ACO is highly-aligned and progressive doesn’t mean they will succeed in a population-based payment model. For instance, those who have observed closely have seen several ACOs drop out of NextGen after paying millions of dollars in losses to CMS. While there are many reasons for this, one crucial reason is that these entities did not know the answers to the above beforehand, and therefore couldn’t accurately forecast their performance. If these organizations had access to this information before committing, how might they have changed their course, and how might they have fared?

Consumer health informatics

What participation options are best for my ACO?
Every ACO is unique – their patient populations, the needs of their populations, the composition and history of their provider groups, and the challenges faced by these providers in providing the best care they can for their patients. The resources an ACO has available to dedicate to population health along with appetite for change throughout their organization are make-or-break factors. With all these objective and subjective criteria in play, there can be no one-size-fits-all decision criteria or solution. Further, CMS’ multitude of new payment model options creates perhaps unintended complexity in the scenarios that ACOs could and should consider.

However, ACO’s can find clarity. Today, information including risk-adjusted benchmarks, assigned patients, utilization insights, and referral insights are all available to ACOs with n=1 precision. Already, some of our customers here at Clarify have made significant changes in their participation structures with the benefit of these insights.

ACOs may not have a crystal ball predicting their future performance, but with the right data – they can get a significant edge. And having the data is only the first step. Stay tuned for our next blog post to learn how you should prepare once you’ve made your decision on how to participate.

Did you find apk for android? You can find new and apps.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with CheapNursingWriter
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Business Studies
Job well done. Finish paper faster than expected. Thank you!
Customer 452451, October 3rd, 2022
Excellent services will definitely come back
Customer 452441, September 23rd, 2022
English 101
Very good job. I actually got an A
Customer 452443, September 25th, 2022
Thanks a lot the paper was excellent
Customer 452453, October 26th, 2022
excellent loved the services
Customer 452443, September 23rd, 2022
Architecture, Building and Planning
The assignment was well written and the paper was delivered on time. I really enjoyed your services.
Customer 452441, September 23rd, 2022
Job well done and completed in a timely fashioned!
Customer 452451, November 18th, 2022
The paper was EXCELLENT. Thank you
Customer 452449, September 23rd, 2022
Business Studies
Thank you!
Customer 452451, November 27th, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat