A 13-Point Protocol Helps Telephonic Care Coordinators Locate Medicaid Members for Early Engagement Initiative

=A Medicaid expansion program in Wisconsin is introducing many Medicaid beneficiaries reluctantly to managed care but with an early, effective introduction to its telephonic care coordinators, Independent Health Care Plan (iCare) is successfully engaging these new members.

In this HealthSounds episode, Lisa Holden, vice president of accountable care, iCare, shared iCare’s key strategy in engaging Medicaid members…a call to members within days of enrollment by a telephonic care coordinator…as well as details on how iCare holds the care coordinators accountable for finding difficult to locate members.

During Medicaid Member Engagement: A Telephonic Care Coordination Relationship-Building Strategy, a May 2018 webcast now available for rebroadcast, Ms. Holden shared how iCare has structured its care coordination team, including both telephonic and boots on the ground staff to find, engage and assess Medicaid members.

The webinar provided details on how the care coordinators helps Medicaid members overcome barriers to care; seven rising risk/acuity identification tools; readmission prevention initiatives for high-risk patients; three programs aimed at reducing high emergency department utilization; and details on a Follow-to-Home program for members who are homeless and much more.


Length: 4:26 minutes

Leveraging an Enterprise Data Warehouse To Identify Care Gaps and Clinical Quality Improvement Opportunities

=With an increasing percentage of at-risk healthcare payments, Allina Health System’s Minneapolis Heart Institute (MHI) began to examine clinical variations among its cardiovascular patients.

In this HealthSounds episode, Pam Rush,
cardiovascular clinical service line program director at Allina Health, shares how MHI leveraged over 80 different data sources fed into its Enterprise Data Warehouse to identify gaps in care, clinical variations and quality improvement opportunities.

During Predictive Healthcare Analytics: Four Pillars for Success, a March 2018 webcast now available for rebroadcast, Ms. Rush, along with Dr. Steven Bradley, cardiologist, MHI and associate director, MHI Healthcare Delivery Innovation Center, share their organization’s four pillars of predictive analytics success…addressing population health issues, reducing clinical variation, testing new processes and leveraging this enterprise data warehouse.

The webinar provided details on creating a culture of quality and innovation, building dashboards, as well as several case examples of quality improvement initiatives contributing to these savings and much more.


Length: 3:44 minutes

Waiting on ACO Shared Savings? Here’s 3 Ways to Generate Population Health Revenue Now

=While shared savings could be several years in the future for fledgling accountable care organizations, there are shortcuts for physician practices in ACOs to generate population health revenue immediately, explains Tim Gronniger, senior vice president of development and strategy for Caravan Health.

In this HealthSounds episode, Gronniger outlines the rationale for using three Medicare billing codes—the annual wellness visit (AWV), chronic care management and advanced care planning—to create revenue that offsets ACO infrastructure costs.

During Generating Population Health Revenue: ACO Best Practices for Medicare Shared Savings and MIPS Success, a January 2018 webcast now available for rebroadcast, Tim Gronniger shared the key focus areas for its ACOs to achieve substantial financial and quality results while building a sustainable healthcare delivery model for the year ahead and beyond.

The webinar provided key details on the key cornerstones of Caravan Health’s ACO success, including staffing and patient engagement secrets; payoffs from detailed MACRA and MIPS reporting; the benefits of effort-based quality metrics over outcomes-based data; two critical 2018 strategies Caravan Health’s ACOs use to build on their success, and much more.


Length: 3:54 minutes