David Nace

The healthcare industry has evolved in its push to tie payment to quality of care. With this evolution, which is closely integrated with the Medicare Access and Chip Reauthorization Act (MACRA), the Centers for Medicare & Medicaid Services (CMS) has shifted more towards risk-based reimbursement. With this evolution, the healthcare system will rely more heavily on data than ever before. Providers and payers that are able to adapt and execute a flexible, efficient data strategy will find… Show more

The healthcare industry has evolved in its push to tie payment to quality of care. With this evolution, which is closely integrated with the Medicare Access and Chip Reauthorization Act (MACRA), the Centers for Medicare & Medicaid Services (CMS) has shifted more towards risk-based reimbursement. With this evolution, the healthcare system will rely more heavily on data than ever before. Providers and payers that are able to adapt and execute a flexible, efficient data strategy will find themselves well-prepared to meet the challenges associated with this transition. Show less

Population-level approaches focus on improving the health of a whole population. As population-level approaches continue to proliferate, primary care practices and provider organizations must ensure that they have the right data strategy to facilitate improved health outcomes across a population. Three key areas of focus should guide providers in evaluating their strategy.

As consumer-driven healthcare becomes increasingly prevalent in the industry, the onus is on payers and providers to provide accurate information that empower consumers to play more active roles in their care. As daunting as the task is, many healthcare organizations are successfully delivering directories with exceptional data quality. These organizations exhibit a modern mindset for today's modern data problems. Here are five ways major providers are creating accurate directories that improve… Show more

As consumer-driven healthcare becomes increasingly prevalent in the industry, the onus is on payers and providers to provide accurate information that empower consumers to play more active roles in their care. As daunting as the task is, many healthcare organizations are successfully delivering directories with exceptional data quality. These organizations exhibit a modern mindset for today's modern data problems. Here are five ways major providers are creating accurate directories that improve customer service and protect against fines. Show less

Business Intelligence (BI) and data warehouses drove the adoption of ETL in healthcare. These technologies were supposed to solve data problems, but now they have become a hinderance. New generation databases are designed for today’s data challenges, and allow organizations to spend more time on creating innovative and productive new applications and services

Improving patient care, clinical outcomes, empowering patients, improving quality while reducing overall costs — what’s the common denominator for all of these? Data integration. Data integration is widely seen as the number one key to success for evolving accountable care, organizations’ management of population health and new payment models. This article describes some best practices healthcare leaders can implement to achieve success.

The Affordable Care Act and healthcare reform have impacted providers in all aspects, from the way they are and will be paid to how they engage patients. To meet the deadlines and demands of an industry shifting to value-based care, physicians must change their thinking from independent to team-oriented in order to succeed in this new world.

In 2014, two studies took the pulse of how physicians are responding to the transition to value-based care. Both studies indicated that physicians – like many in healthcare – expect that big changes are coming but are reluctant to see that as a good thing. Proposed are five strategies to gain more buy-in from physicians on a transition that all agree is absolutely essential.

Key issues today that are confronting the move to value based care include - What kind of market alignment is necessary to get payers moving in the same direction to achieve value-based care? How do you make value-based care a priority for providers in the wake of all the other competing priorities and constantly shifting regulatory requirements? What cultural changes can help with physician buy-in? These questions are addressed for those confronting the many challenges in moving to value… Show more

Key issues today that are confronting the move to value based care include - What kind of market alignment is necessary to get payers moving in the same direction to achieve value-based care? How do you make value-based care a priority for providers in the wake of all the other competing priorities and constantly shifting regulatory requirements? What cultural changes can help with physician buy-in? These questions are addressed for those confronting the many challenges in moving to value based payment and care delivery.




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The U.S. health care system has made significant progress in health IT adoption, but real change and innovation in health care won't come from just digitizing patient records. We need to increase connectivity and communication, address care inefficiencies and empower patients.

In this new white paper, How We Can Make Payment and Delivery Reform Work, Dr. David Nace, VP and medical director at McKesson defines the five critical elements of successful care delivery reform that payers and providers must consider. Dr. Nace covers the history of the care and reimbursement models that resulted in our reliance on volume-based medicine, and then provides compelling insights and expert counsel on how healthcare can transition to a collaborative value-based model.

A new urgency for collaboration among payers and providers and new technologies are breathing new life into old concepts. Automation and collaboration can bring evidence-based decision support to the point of care for a more collaborative approach to utilization management that improves quality and costs savings, and are critical success factors for new methods of value based reimbursement

As the medical home concept grows, many in health care will have to define new roles. The ability to partner with a clinical network and to understand medical informatics will be critical, and clinician executives will have a tremendous role to play.

The patient-centered medical home (PCMH) is an approach that evolved from the understanding that a well-organized, proactive clinical team working in a tandem with well-informed patients is better able to address the preventive and disease management needs in a guideline-concordant manner. This approach represents a fundamental shift from episodic acute care models and has become an integral part of health reform.

This article reviews four key domains of healthcare transformation : (1)… Show more

The patient-centered medical home (PCMH) is an approach that evolved from the understanding that a well-organized, proactive clinical team working in a tandem with well-informed patients is better able to address the preventive and disease management needs in a guideline-concordant manner. This approach represents a fundamental shift from episodic acute care models and has become an integral part of health reform.

This article reviews four key domains of healthcare transformation : (1) PCMH as an Evolving Model of Healthcare Delivery; (2) Health Information Technology (HIT) Applications to Support the PCMH; (3) the Current HIT Landscape of PCMH; and (4) Current Federal Initiatives on Health Informatics, Legislation, and Standardization.

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Medical home and accountable care models incorporate the best evidence and the best ideas to drive value in the health care system. But the forward momentum propelling these models cannot be explained by new ideas or new evidence alone. What is historic is the magnitude of the collaboration, the broad inclusion of a wide variety of stakeholders, and the diverse and dedicated leadership that spans the private and public sectors and hails from every corner of the health care sector. This report… Show more

Medical home and accountable care models incorporate the best evidence and the best ideas to drive value in the health care system. But the forward momentum propelling these models cannot be explained by new ideas or new evidence alone. What is historic is the magnitude of the collaboration, the broad inclusion of a wide variety of stakeholders, and the diverse and dedicated leadership that spans the private and public sectors and hails from every corner of the health care sector. This report presents action items for moving forward to a value-based health care system.
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