Working to bridge the gap between hospital discharge and permanent supportive housing for homeless patients, the California-based Chronic Care Plus program found that 40 percent of client needs are related to social determinants, explains Paul Leon, CEO of the Illumination Foundation, a Chronic Care Plus joint venture partner. In this audio interview, Leon explains the need to not only house patients but also to connect them to a plethora of social services, including mental health appointments.
During Intensive Care Coordination for Healthcare Super Utilizers: Community Collaborations Stabilize Medically Vulnerable Homeless Patients, a December 2016 webinar now available for replay, Mr. Leon shares the inside details of this recuperative care program that offers community-based stabilization for medically vulnerable chronically homeless patients, including program results and savings achieved.
Identifying social determinants of health (SDH) requires providers to probe beyond the scope of clinical data. But how can health teams ensure that patients and health plan members provide valid data during SDH assessments? In this audio interview, Dr. Randall Williams, chief executive officer, Pharos Innovations, describes three scenarios to build trust and encourage individuals to share sensitive information during SDH interactions.
During Social Determinants and Population Health: Moving Beyond Clinical Data in a Value-Based Healthcare System, a December 2016 webinar now available for replay, Dr. Williams shares his insight on the opportunity available to providers to impact population health beyond traditional clinical factors.
The engagement of patients, particularly those with multiple chronic conditions, continues to challenge healthcare providers.
However, as Steven Valentine, vice president of advisory consulting services for Premier Inc., explains in this podcast, clinicians actually have a host of tools at their fingertips to engage patients—tools they must employ in order to succeed in value-based healthcare.
During Trends Shaping the Healthcare Industry in 2017: A Strategic Planning Session, a November 2016 webinar now available for replay, Steven Valentine provides a roadmap to the key issues, challenges and opportunities for healthcare organizations in 2017.
By focusing chiefly on moving high-risk patients down to the low-risk band, population health management programs are in danger of missing the “natural inertia” driving low-risk patients right back into that high-risk stratum, cautions Dr. Adrian Zai, clinical director of population informatics at Massachusetts General Hospital (MGH).
Dr. Zai describes why MGH, ranked the number one hospital in the nation by U.S. News & World Report,® advocates a multi-pronged approach addressing both low-risk and rising risk patients—a strategy that has improved MGH care quality and provider performance while reducing high-cost healthcare utilization.
During an August 2016 webinar, Targeting High-Risk and Rising-Risk Patients: A Multi-Pronged Strategy, now available for replay, Dr. Zai shares the key details behind his organization’s strategy and the results it has achieved.
Rather than threatening to drop Medicare volumes or open a concierge practice, small and solo physician practices daunted by MACRA technology requirements should sit tight and avail themselves of current and promised education and training from CMS to support the transition, advises Eric Levin, director of strategic services, McKesson.
In this audio interview, Levin describes what’s at risk for practices that don’t engage in at least one physician reporting program and four benefits of tapping into MACRA technical assistance from CMS.
During a July 2016 webinar, The New Physician Quality Reporting: Positioning Your Practice for MACRA’s Merit-Based Incentive Program, now available for replay, Levin offers a brief MACRA overview and outlines 2016 focus areas for practices to help them avoid reimbursement penalties in 2017 based on the proposed rule.
Whether an ACO is assessing readiness for CMS’s Next Generation ACO model or is already a Medicare Shared Savings Program (MSSP) participant, face-to-face education of non-executive providers living the day-to-day ACO reality is critical to that accountable care organization’s viability, advises Travis Ansel, senior manager of strategic services for Healthcare Strategy Group.
Even within experienced MSSP ACOs, providers often don’t understand MSSP quality goals, the relationship of their actions to cost management or MSSP data requirements, noted Ansel.
In this broadcast, Ansel describes the two biggest barriers to success across all ACO models, and offers two tips to organizations wishing to prosper in the value-based care reimbursement world.
During an April 2016 webinar, Next Generation ACO: An Organizational Readiness Assessment, now available for replay, Ansel and colleague Walter Hankwitz, senior accountable care advisor at Healthcare Strategy Group, provide a value-based risk contract roadmap to determine organizational readiness for participation in the Next Generation ACO Model in particular and in risk-based contracts in general.
The future for health plans is not so much in plan design or call centers but in how they leverage their storehouses of healthcare data, advises Paul Keckley, managing director of Navigant. In this audio interview, Keckley talks about infomediation—the mining of membership data to determine factors influencing population health—and its influence on payor valuation, its role in shared risk arrangements, and why health plans’ ’embedded Intel’ uniquely positions them for success.
During a November 2015 webinar, Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, now available for replay, Keckley and Laura Jacobs, executive vice president of GE Healthcare Camden Group, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2016.
The patient experience begins before an individual even thinks about going to the doctor or hospital, notes Laura Jacobs, executive vice president for GE Healthcare Camden Group, and patient satisfaction has moved beyond what is measured on surveys. As such, healthcare organizations should thoughtfully craft communications and care delivery strategies to meet rising consumer expectations and boost quality metrics. In this audio interview, Ms. Jacobs suggests how to better manage the consumer experience across the care spectrum and respond to the proliferation of consumer-generated healthcare data via apps and social media.
During a November 2015 webinar, Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, now available for replay, Ms. Jacobs and Paul Keckley, managing director of Navigant, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2016.
E-visits and telehealth will grow in 2015, as health plans like Catholic Health Initiatives continue to lead the way, and Anthem Blue Cross collaborates with health systems to put a new type of health product in the marketplace that has e-visit reimbursement, predicts Steve Valentine, president of the Camden Group during this audio interview. Part-time physicians employed by health systems or health plans will most likely fill the impending clinician gap in 2015, and physician-hospital organizations (PHOs), once defined as a messenger model for the preferred provider organization (PPO) world, will continue in 2015 as a linkage of hospital and physicians primarily in non-risk bearing health plans.
Each year, healthcare executives rely on the strategic advice they receive during the Healthcare Intelligence Network’s annual Healthcare Trends & Forecasts webinar. Once again Steven Valentine joins HIN along with Dorothy Moller, consultant for Navigant, to provide a roadmap to the key issues, challenges and opportunities for healthcare payors and providers in 2015 during Healthcare Trends & Forecasts in 2015: A Strategic Planning Session, a 60-minute webinar on November 13, 2014, sponsored by The Healthcare Intelligence Network.
Expect to see more growth of telehealth in regions with rural or scattered populations in 2015, predicts Dorothy Moller, a consultant with Navigant, as well as some unexpected applications, such as 24/7 remote management of ICUs by specialists around the world.
Safety net payor organizations deserve kudos for early and successful implementation of telehealth, adds Ms. Moller, as well as for their established practice of embedding or co-locating the care coordination function within points of care, such as placement of behavioral health or social services management in hospital ERs.
In this audio interview, Ms. Moller outlines anticipated growth areas for telehealth as well as a payor strategy for embedding the case or care management function within provider sites.
Along with Steven Valentine, president of The Camden Group, Ms. Moller will provide a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in the coming year during a November 13, 2014 webinar, Healthcare Trends & Forecasts in 2015: A Strategic Planning Session, an hour-long program sponsored by The Healthcare Intelligence Network.