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Big Data - Outcomes Performance Measured
 

Big Data - Outcomes Performance Measured

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Slide from a webinar originally presented on November 21, 2013 by SuccessEHS Director of Government Affairs, Adele Allison.

Slide from a webinar originally presented on November 21, 2013 by SuccessEHS Director of Government Affairs, Adele Allison.

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  • ACA By the Numbers <br /> 23% of the Federal Budget currently goes to health care. The only line item that is higher than health care is the military – and together they represent nearly 50% of the total federal budget. 16% of the federal budget went to pay for Medicare last year; and, on average 57 cents of every Medicaid dollar is paid by the Federal gov’t. <br /> 36 times ACA talks about Patient-Centeredness. The full continuum is called to patient-centeredness. Americans are unengaged as patients. We want to smoke our cigarettes, drink our beer, sit on the couch in a sedentary lifestyle and watch football – no where more so than in the SEC! Then when things start to go wrong and break, we want to go to someone and get a quick fix. This is about a cultural shift within your practice and with the relationship you have with the American patient. <br /> 15 times ACA discusses a return to wellness, prevention and chronic disease management through the Medical Home – a model in patient centeredness for primary care. <br /> 73 times ACOs are referenced. We are seeing uptick trends in the development and establishment of ACOs. A model of value-based purchasing through the creation of a care “community” and the use of health IT. <br /> 93 times ACA talks about measuring quality – PQRS will be the vehicle for Medicare patient quality measures. Boomers are enrolling at a rate of 2.8 million/year – and will continue to do so for the next 18 years, essentially doubling the number of Medicare beneficiaries (what’s % of your payer mix does Medicare represent?). The health care industry is being called to action – this is your health care system. Data will be the barometer of your reimbursement, public comparison and comparative effectiveness. This requires the consistent capture and reporting of accurate clinical data on the patient, which is why … <br /> 29 times ACA links quality to the reporting of Clinical Data <br /> 100 times ACA talks about value-based and payment modifiers when it comes to reforming hospital and physician reimbursement. <br /> And, as a side note, the Supreme Court of the U.S. (SCOTUS) final opinion upholding ACA references “Broccoli” 12 times. During oral argument in March of last year, counsel argued that it was a slippery slope to allow the federal gov’t the ability to require an American to purchase something under threat of penalty. If they can require an American to purchase health insurance, then can they also require them to buy a certain type of care – or broccoli, because it promotes health. <br />

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