The health care industry always has room for improvement and through the use of care analytics, or care intelligence, the most needed improvements can be made. Health care analytics works to gather data and information about health care industry in hopes of analyzing the data to find new ways to improve the current pitfalls in [...]

Many health care professionals believe that through the use of population management within the health system there is the potential for the quality of care to improve as well as the cost of care to decrease. Population management can be described as a collaborative effort from many different health care providers who share information and [...]

As the science behind the health care industry continues to expand and new treatments and clinical trials are being run every day, it is important to have a method of disseminating information. This is especially true when the information will have an significant effect on the level of mortality and morbidity. Clinical alerts are used [...]

The Center for Medicare and Medicaid Services has established a rating system to be used in determining the overall quality of a nursing home. The Five-Star quality rating system was created in order to aid caregivers, families and consumers with the comparison of available nursing homes. The rating system is measured on a scale of [...]

Hierarchical Condition Categories, or HCC, were established in 2004 by the Centers for Medicare and Medicaid. This model is used in order to change the capitation payments that are paid to health insurance providers for an anticipated cost for Medicare or Medicaid enrollees. Each hierarchical condition category is assigned to a specific health condition. Through [...]

Within the health care industry, pay for performance, also known as P4P, is a method of payment that is becoming more popular both within the United States and Great Britain. Through this model of payment rewards, health care providers such as physicians, medical groups and hospitals are rewarded when certain measures of efficiency and quality [...]

Medicare Advantage was first established in 1997 when the Balanced Budget Act was passed. Through this act, those eligible for Medicate benefits were allowed to use private insurance plans and still receive their benefits. This was in lieu of having to use the Medicare plan, whether it had been Part A or Part B. When [...]

There are a number of different benefits that are known to be the result of an effectively utilized health information technology system. Health information technology, or health IT, is responsible for the complete management of health related information. This includes the exchange of information between all necessary entities including the consumers, insurers, government, and providers. [...]

Chronic care management is an important part of health care when it comes to those suffering with chronic sickness. Some examples of the diseases that chronic care management works with include common ailments such as high blood pressure, diabetes, sleep apnea, multiple sclerosis as well as lupus among many others. Through chronic care management, health [...]

The term case management is used within the health care system to describe a set of practices aimed at improving the care of individualized patients through the use of collaboration and personalized care. It is a process that has a number of different steps and aspects that work together in order to provide the highest [...]