We have all heard many times about how much the US spends on health care each year. But let’s hear it again . . . because it is staggering: According to Centers for Medicare and Medicaid Services (CMS), in 2013, the national health expenditure (NHE) grew to $2.9 trillion. That
We have all heard many times about how much the US spends on health care each year. But let’s hear it again . . . because it is staggering: According to Centers for Medicare and Medicaid Services (CMS), in 2013, the national health expenditure (NHE) grew to $2.9 trillion. That
Big data is here to stay, whether we like it or not. Regardless of how you feel about it, it can help solve problems which simply could not be addressed without big data and advanced analytics. One area in which big data and analytics can provide huge benefits is the medical arena. In a recent
Healthcare IT News recently published an article on 18 health technologies poised for big growth, a list culled from a HIMSS database. The database is used to track an extensive list of technology products that have seen growth of 4-10 percent since 2010, but have not yet reached a 70
Healthcare IT News recently published an article on 18 health technologies poised for big growth, a list culled from a HIMSS database. The database is used to track an extensive list of technology products that have seen growth of 4-10 percent since 2010, but have not yet reached a 70
Today’s Medicaid environment is drastically different from that 5, 10 or 20 years ago. Medicaid enrollment has grown to monumental heights with recent CMS numbers (April 2015) at over 70 million. As enrollment rises, concerns about efficient management of care access, cost, quality, and effectiveness have become even more prominent.
We’ve all heard the old saw, “If you torture data long enough, eventually it will confess to something.” But when it comes to spurring real change, how about ditching the dungeon-master act and thinking like a venture capitalist instead? Wouldn’t that pay bigger dividends? That was the tip from Ravi
The physical and social costs of untreated mental illness are significant and have been discussed in detail in previous posts. Now let’s talk about the immense financial costs, then I’ll wrap up the series with a conclusion. The financial costs cover a broad cross-section of society, including government services and
Last week I discussed factors that threaten access to mental health care. However, better access to care doesn’t always mean better quality of care. Overworked mental health professionals and overcrowded ERs are forced to expend efforts and limited resources where they have the most impact. This forces compromises in care.
Today’s healthcare system is under tremendous pressure to reduce overall costs without losing track of the patient. Legislative changes and challenging economic realities make it increasingly difficult to deliver both improved outcomes and cost savings for the most complex patients. The Physicians Pharmacy Alliance (PPA) recognizes the changing healthcare landscape
Part 1: The challenge and the opportunity Mental illness continues to profoundly affect the nation’s population and, for the most part, remains greatly under analyzed. This is the first entry in a series about the mental health problem in the US, and how an analytic approach can improve care for
Did you hear that Prince William is getting a new job? Next year, he’ll fly emergency helicopters for the East Anglian Air Ambulance. The prince, who’ll donate his salary to charity, called his new gig “one of the finest forms of public service.” The Duke of Cambridge won’t get any
If you recognize this 1984 Wham! hit then you also recall girls in ties and blazers, guys in leisure suits, gas for $1.10 a gallon and seeing The Karate Kid at the Cineplex for $2.50 (at night!). If you think music and fashion were suspect thirty years ago, consider SAS’
The US health care industry is always getting a bad rap. It takes heat for being too expensive or not efficient enough or just too complicated. We know we need it, and that living long and healthy lives requires it. But we also know we love to complain about it
With all the changes the Affordable Care Act brings, including new care and payment models, there is an increase in provider’s need for data. While some large health systems are able to learn much about a patient’s full course of treatment by integrating their systems, the majority of health care
Big data might be daunting, but Matthew J. Becker, Senior Director and Global Head of Statistical Programming at inVentive Health Clinical, says the goal remains simple for those in health care and life sciences: cure disease and improve health outcomes. Speaking last week at SAS Global Forum, Becker noted that
The creation of Health Information Exchanges (HIEs) took off in 2009 with the establishment of the State Health Information Exchange Cooperative Agreement Program (SHIECAP). Recently, it seems like HIEs have been somewhat of the middle-child, garnering less attention between the health insurance exchanges and Medicaid expansion. But let’s take a
If you haven’t heard of an APCD, it’s one of those acronyms you need to know. All-Payer Claims Databases are simply databases that consist of claims data from all health care payers in a given state. This includes private payers such as Blue Cross Blue Shield, and public payers such
As SLG’s health policy specialist, I’m chartered with developing novel ways to apply data analytics to our state government health systems. If you ask me, it’s the perfect blend of technology and policy - two of my favorite things. However, I sometimes find it challenging to identify the areas within
It has become more and more apparent, country by country and state by state, that many organizations do not have a clear grasp on what their exposure is to health care fraud. Whatever name it goes by – aberrant behavior, abuse, waste or fraud – and no matter how it is measured – in currency (dollars,
Recently, there has been lot of uproar and confusion about the Supreme Court ruling on the constitutionality of the Affordable Care Act. Many were surprised by the ruling, and others, while happy it was upheld, are concerned about the constitutional questions that arose due to the way the ruling was
What is the solution for patient-centric healthcare? Big data, says SAS expert Alice Swearington in the post, Treat patients with big data insights. "Service providers throughout the healthcare continuum that become patient centric first will win the patient," she explains, citing the industry tends toward insurance exchanges and retail insurance
In most of the articles and press pieces that speak of health care fraud, the topic is usually covered in broad terms regarding the type or activity that has taken place: over-billing to Medicare/Medicaid, services billed and not delivered, over subscription of medication (by members or Pharmacies), and the list
For the past year, I’ve had the pleasure of serving on the communications team of the National Collaborative for Bio-Preparedness (NCB-P), of which SAS is a partner and the analytics provider. That experience was heavy on my mind as I recently watched the film Contagion. I may drop some minor
Most health care organizations either intentionally or due to some inability don’t use outside information (not just referals) in their search for fraud. There are great numbers of valid reasons for this: HIPAA, security, usable/current data sources, inflexible information systems or processes, restrictive compliance & IT departments, and the list
The federal government is more aggressively pursuing health care fraud, and helping the states do the same, by proposing funding changes and investing in new technologies. A newly proposed rule would allow 90% Federal Financial Participation (FFP) for data mining initiatives in state Medicaid Fraud Control Units (MFCU’s). Another proposed
Brian Whittington mentioned last month that government is innovating, and at great speed. Based on what I’ve seen in our line of work with state and local governments around the country in the past year, I have to agree. In the face of today’s daunting fiscal challenges, state and local
I have recently had the great opportunity to be a part of a very special project called the North Carolina Bio-Preparedness Collaborative (NCB-Prepared) It is a public-private partnership that includes the University of North Carolina at Chapel Hill (UNC), North Carolina State University, and SAS, with support from the US
Most people don’t think about government when they hear the word “innovation”, but it’s happening, and has been since long before “The Great Recession.” However, the current economic conditions have certainly moved things along. Government responds very similarly to private industry when faced with challenges. SAS manages to do relatively
As I make my way around the country I often have the opportunity to talk with state and local government leaders and as you can imagine, the financial crisis is the first, second and third topics on their minds. Everywhere, state and local governments are forced with painful decisions to
