The document discusses Accountablecare Service Organization (ASO), which aims to establish accountable care organizations (ACOs) under the new Medicare program rules. ASO provides a complete "ACO-in-a-Box" toolkit and services to help qualify as an ACO, including business planning, legal services, electronic medical records, cost-savings programs like clinical trials and generic prescriptions, marketing services, and wellness partner programs focused on preventative care and community involvement. The goal is for ACOs established with ASO's help to save up to $960 million in healthcare costs over three years while improving quality of care.
Trends From The Trenches : Adapting to Affordable Care Act: Provider and Heal...Andrea Simon
As the Affordable Care Act is implemented and healthcare expenditures continue to rise, providers and payers need to explore how to best set themselves up to succeed in an evolving marketplace. In this 5th webinar, Margaret Davino will discuss how the relationships between hospitals, physicians and other providers are changing and what structures are being used for providers and payers to work together, including accountable care organizations (ACOs). Margaret will also describe the different models of collaboration between hospitals and physicians, how these affect reimbursement, and what to expect in the future.
"You can download this product from SlideTeam.net"
Healthcare Management Powerpoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management Powerpoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3oAoykn
Online Conference Takes “Deep Dive” into Affordable Care ActPYA, P.C.
PYA’s Martie Ross, Principal, joined three other panelists in a full-day, online conference sponsored by the American Institute of Certified Public Accountants to offer an in-depth look at healthcare reform under the Affordable Care Act (ACA).
Trends From The Trenches : Adapting to Affordable Care Act: Provider and Heal...Andrea Simon
As the Affordable Care Act is implemented and healthcare expenditures continue to rise, providers and payers need to explore how to best set themselves up to succeed in an evolving marketplace. In this 5th webinar, Margaret Davino will discuss how the relationships between hospitals, physicians and other providers are changing and what structures are being used for providers and payers to work together, including accountable care organizations (ACOs). Margaret will also describe the different models of collaboration between hospitals and physicians, how these affect reimbursement, and what to expect in the future.
"You can download this product from SlideTeam.net"
Healthcare Management Powerpoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management Powerpoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3oAoykn
Online Conference Takes “Deep Dive” into Affordable Care ActPYA, P.C.
PYA’s Martie Ross, Principal, joined three other panelists in a full-day, online conference sponsored by the American Institute of Certified Public Accountants to offer an in-depth look at healthcare reform under the Affordable Care Act (ACA).
The healthcare reform debate is very heated and this presentation is our effort to cut through some of the misunderstandings and misinformation. We hope you find it helpful!
Got Healthcare? Affordable Care Act PP (July 2013)Kevin Kane
The Affordable Care Act presentation that Citizen Action of Wisconsin presents with around the state. How the ACA impacts you and how to talk about it.
hCentive Health Insurance Exchange PlatformAlisha North
Take advantage of hCentive's deep expertise in the healthcare insurance industry. Browse through or download our white papers to get an in-depth understanding of the industry.
Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
The healthcare reform debate is very heated and this presentation is our effort to cut through some of the misunderstandings and misinformation. We hope you find it helpful!
Got Healthcare? Affordable Care Act PP (July 2013)Kevin Kane
The Affordable Care Act presentation that Citizen Action of Wisconsin presents with around the state. How the ACA impacts you and how to talk about it.
hCentive Health Insurance Exchange PlatformAlisha North
Take advantage of hCentive's deep expertise in the healthcare insurance industry. Browse through or download our white papers to get an in-depth understanding of the industry.
Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
Read the scenario that you will use for the Individual Projects in ea.pdfashokarians
Read the scenario that you will use for the Individual Projects in each week of the course. The
Centers for Medicare and Medicaid Services (CMS) has taken on a more visible role in health
care delivery. Many changes have transpired to improve patient safety along with the
implementation of additional quality metrics, and these changes impact reimbursement rates
Likewise, the Patient Protection and Affordable Care Act has changed the reimbursement fee
structure of Medicare and Medicaid reimbursement for health care services. Other legislation
including the HITECH Act and the Medicare Authorization and CHIP Reactivation Act of 2015
(MACRA) all impact how healthcare organizations receive reimbursement and demonstrate use
of data to improve quality and delivery of patient care Mr. Magone, CEO of Healing Hands
Hospital, has asked you to join the \"Future of Healing Hands Task Force, and your first
assignment is to work with the Hospital Chief Financial Officer, Mr. Johnson, and provide a
summary of the current regulations regarding Medicare reimbursement including how MACR
impact reimbursement if/when Healing Hands coordinates delivery of services by affiliating with
physician practices For this assignment, write a 2-3 page report that you will deliver to Mr.
Magone on how the new CMS initiatives and regulations impact the organization\'s revenue
structure. In your presentation, address the following questions: Why did CMS become more
involved in the reimbursement component of health care? How does CMS\'s involvement impact
the reimbursement model for Healing Hands Hospital and other health care organizations If
CMS reimbursement regulations for Medicare and Medicaid change, does it follow that other
insurance providers change heir policies on reimbursement? What tools can be implemented to
ensure organizations such as Healing Hands Hospital and physician practices are meeting the
policies and procedures set forth by CMS? Identify 3 tools from the CMS Web site that are
helpful in meeting the requirements for Medicare reimbursement set forth by CMS
Solution
Part-a & part-b:
The physician’s work, practice expense, and malpractice, RVU values, CMS (centers for
Medicare and Medicaid services) is required to control overall expenditures in health care
organization. Therefore, CMS become highly involved in the reimbursement component of
health care to patients as per their \"insurance packages\". The CMS\' involvement in “budget
Neutrality” & the reimbursement model at Healing Hand hospital & other health care
organizations is mainly for physician RVU based payments from Medicare & Medicare that can
control its physician costs by adjusting physician payment rates based on “previous periods in a
calendar year” as per federal acts and regulations. The Medicare is going to control physicians
costs according to “medical procedures and medical visits of their record” in a Jan- 1 ending Dec
31. Conversion Factor is main basis to control the physician costs ac.
This course is based on previous courses taken in the MSHA program.docxjuliennehar
This course is based on previous courses taken in the MSHA program.
In general, there will be no additional new readings, but rather the course will be based on the reading materials required in program core courses.
The program core courses are listed below. Please refer to the lists of readings as they appear on their respective course syllabus pages.
Again, these readings should refresh your memory on the course topics, and serve you in responding to the Case, SLP, and Discussion assignments.
In the modular Background materials pages, the instructor has identified the course readings most relevant to the Capstone modular topic(s).
Module 1
Module 2
Module 3
Module 4
MHA506 - Health Care System Organization
X
X
X
MHA507 - Health Care Delivery Systems
X
X
X
MHM525 - Marketing in Healthcare
X
MHM502 - Health Care Finance
X
MHM514 - Health Information Systems
X
MHM522 - Legal Aspects of Health Administration
X
Running Head: MARKETING PLAN1
MARKETING PLAN 4
Marketing Plan
Shaneya Acker
Dr. Eric Oestmann
MHM 525
Trident University International
April 27, 2019
Contents
Cover Letter3
Introduction4
Geographical location4
Historical background4
Marketing Goals and Objectives5
Market Analysis6
Environmental Analysis7
Political and Legal7
Social and Cultural7
Consumer Analysis8
SWOT8
Strengths8
Weaknesses9
Opportunities10
Threats10
Marketing and Promotion strategies10
Marketing and Promotion Strategies13
References16
Cover Letter
This paper presents a marketing plan for Continuum health partners. Continuum health partners is an organization based in the metropolitan area of New York US. The main aim of the organization is to coordinate the operations of its members to keep the organization financially solvent by controlling costs in the highly competitive industry (Pronk et al., 2015). The plan outlines various goals and objectives which will help the organization succeed. Goals are used as a road map for the organization to achieve its vision. The plan also presents a market analysis for the healthcare industry.
The plan also presents an environmental analysis of political and social issues affecting the organization. Politics and policy issues affect the healthcare industry in a big way. For instance, the Affordable Healthcare Act has been used in the US for a while. However, the new incumbent government has promised that they will replace this Act. Social and cultural factors significantly affect the quality of healthcare for a community. Most people in the US are educated and this helps them to understand the importance of staying healthy. The paper also presents a consumer analysis of the healthcare sector.
Various strengths, weakness, opportunities and threats facing the organization are also discussed in details. One of the main strengths of the organization is its geographical location which ensures that consumers can easily access health care services within the city. Finally, the paper explores ...
White Paper - Building Your ACO and Healthcare IT’s RoleNextGen Healthcare
The tools needed to capture, organize, and share healthcare data are truly evolving at the speed of light. Patient Centered Medical Homes play a vital role in the path toward accountable care and technology, staff, and workflow transformation are necessary to achieve PCMH recognition. This transformation allows healthcare providers to deliver higher quality coordinated care by streamlining and rationalizing the patient experience.
A low cost alternative to meeting rising healthcare cost. Addresses the root causes of accelerating health care cost and solves the issue of rising healthcare cost.
Establishing a Community-based Framework for ACOs - slide-share 120116Jennifer D.
With the rapid growth of state Medicaid, Medicare, and commercial ACOs, now is the time to establish best practices for addressing the full spectrum of patient needs within an accountable care setting.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Similar to Accountablecare Service Organization (20)
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
10. And required to "invest in keeping people healthy”* Source: U.S. Department of Health and Human Services
11. What are the quality standards? Patients' experiences in getting care The extent to which care is coordinated Patients' safety The degree of emphasis on preventive health The effectiveness in treating patients who are sick and frail
12.
13. Establishing at least 25 ACOs by January 1, 2012, and 75 more over the first half of 2012
14.
15. While we will accept direct fees for these services, we also provide our services for no upfront money in exchange for a 25% equity stake in the new ACO.
21. Analyzes the fundamentals facing each emerging ACODarwin “Trey” Miller is an associate economist with the RAND CORPORATION and holds a Ph.D. in Economics from Stanford University. He is currently working on a chapter in a book for the Gates Foundation. Trey’s firm will build all of the business documents and provide all the analysis needed to place emerging ACO’s in the cross-hairs of the ACO Review committee.
24. Prepares contracts between ACOs and our service partnersRuss Frandsen is a 35-year veteran attorney who heads up the ASO legal team. He was Caltech MIT Enterprise Forum Committee Chair from 1998-2000 and again from 2003-2007. He sits on the Board of Directors for the Association for Corporate Growth.
25.
26. Allows patient to monitor their own health care and that of their spouse
27. Motivates them to follow up and stay involvedWoody Anderson was a director of insurance and health programs for the 241 hospitals in the Southern California Hospital Association working with physician groups as well as ancillary medical facilities and medical organizations. He is well-suited for the task of running the ASO.
31. Offer hope to ill patients while representing substantial savings to ACO participants
32. ACOs generate revenue by shifting costs to the clinical trial Over 112,667 trials with locations in 175 countries* * Source: www.clinicaltrials.gov
33.
34. Thanks to regenerating mechanisms found in stem cell therapies, we can better address diseases, mental ailments, aging, and thousands of other health concerns.
35.
36. Presidential frontrunner Gov. Rick Perry used our program recently to treat recurring back pain by implanting stem cells during surgery.
39. For example, a Korean patient requiring a heart bypass has the opportunity to receive that procedure in Korea, where he or she may have relatives.
40.
41. The ACO could save up to 60% or more per patient from switching these brand name prescriptions to generic alternatives.** Source: Haas, et. Al. 2005
54. AgeLoc improves the three dimensions of vitality – physical vigor, mental acuity, and sexual health. AGELOC Senior Scientist Jia-Shi (Josh) Zhu, Ph.D., is also an adjunct professor in the Department of Applied Biology and Chemical Technology at Hong Kong Polytechnic University.
55.
56. Patients who visit their YMCA 12 times per month will have their gym membership paid for by the ACO.
60. We will also target our ACOs through local churches and other various community groups.
61.
62.
63. The only way to fill beds under such a scenario is to compete for patients.
64. Therefore a well-designed marketing and PR campaign must be an integral component of any ACO.ASO partner organizations BannerCaswell Productions and Ethnic Media Marketing Inc. have a combined 35-year track record in health media. EMMI has implemented successful marketing campaigns for ethnic communities since the 80’s while the Banner brand has been in television since the 50’s, producing classic TV series such as Candid Camera and The Carol Burnett Show. In the 2000’s, BCP produced all the media for the eHealth Network.
65.
66. ASO Founders Woody Anderson – President & CEO Russ Frandsen– General Legal Counsel Trey Miller – EVP, Business & Policy Strategy Edmund Carlson – EVP, Non-profit & Gov’t Relations David Gustafson – EVP, Hospital Relations Ben Caswell – EVP, Marketing & Bus. Development Chuck Banner – EVP, Media and Production Jessica Beavers – Manager of Operations
67. Board of Directors Edmund Carlson – Chairman Woody Anderson Russ Frandsen Trey Miller David Gustafson Ben Caswell Chuck Banner Jessica Beavers William Schifferli Thomas C. Blake Al Liefer Kai Nigard _____________ _____________ _____________
68. Advisory Boards PHYSICIAN William E. Shell, MD – Chairman Walter Jayasinghe, MD, MPH Chris Wilmouthe, MD Lou Acosta, MD ErlindaDy Grey, MD Fouad I. Ghaly, MD Jorge Carreon, MD Dr. Malina Keith Mootoo, MD Steve Cohen, MD Ken Kroll, MD James P. Watson, MD, FACS Jacob N. Flores, MD Marcel S. Filart, MD Andre Berger, MD BUSINESS Al Pirnia – Chairman Thomas R. Bradford, Esq. Lance Miller Steven Powers Lloyd E. Stoll Paul S. Horvitz William V. Alkhasian King M. Huang Frank Wheaton, Esq. Chris Durkee Maria Townsend Krystyna H. Slezak Jenny Yoon Martin Roy Mervel Rev. E. Dale Click
69.
70. In 2008, he expanded into the emerging field of Adult Stem Cell Therapy with RNL BIO.
71. In September 2009, Congress passed the H.R.3590 Patient Protection and Affordable Care Act, and Woody’s strategy shifted from HMO to ACO development in California.
72. In June, 2011, the strategy expanded nationally to cover existing ACOs under development as well as to establish new ACOs… and the ASO was formed.
Editor's Notes
Anew report, published in Health Affairs on July 28th, paints a daunting picture. Health spending will rise by 5.8% each year from 2010 to the end of 2020, according to actuaries at the Centres for Medicare and Medicaid Services (CMS). In 2020 health care will account for one-fifth of America’s economy. The federal government will pay for a greater share than ever before.http://www.economist.com/node/21524889
The Obama administration proposed much-anticipated rules Thursday to spur changes in the way that health care for older Americans is organized and paid for. Here are key details:1 What does it mean? The rules lay out a path for doctors, hospitals and other providers of care to form teams called "accountable care organizations," which, supporters say, would save money by better coordinating medical services for Medicare patients. Under the rules, teams that treat patients for less money would be rewarded financially by the government if they also meet certain measures of quality.2 What are ACOs? They are a form of managed care that differs from health maintenance organizations, which were widely unpopular. ACOs are run by doctors or hospitals, rather than by insurance companies. Some ACOs already have sprung up, but the federal law enacted a year ago to overhaul the nation's health care system tries to spur their development by weaving them into the large Medicare program. To qualify as an ACO, the rules say, the doctors or hospitals that run one must be able to provide primary care for at least 5,000 patients.3 Who would be affected? The Obama administration hopes many of the more than 45 million seniors and others who rely on Medicare will ultimately get their care this way; the administration's early estimates are that 1.5 million to 4 million people would participate by 2014. But it remains unclear how many doctors will sign up to start ACO's next year.4 How much would be saved? Health and Human Services officials predicted Thursday that the Medicare ACOs will save the financially strained program $510 million to $960 million during the first three years after they go into effect next January.5 What do patients have to do? Unlike in Medicare Advantage, the managed-care part of Medicare, patients will not sign up for an accountable care organization. Instead, they will be assigned to one after the fact if their primary doctor belongs to it. The rules call for patients to be told whether their main doctors belong to an ACO.6 What do critics say? Some doctors fear that the new approach will unfairly give the advantage to larger systems that can afford the computerized databases and other resources needed to coordinate care with hospitals and specialists. Critics have worried that the arrangements could become large health-care monopolies that could suppress competition for patients and, as a result, drive up costs.7 What do supporters say? Donald Berwick, a Health and Human Services administrator, said ACOs would help unite what has been fragmented care for older patients who have several chronic medical problems, which sometimes are treated by doctors who do not communicate with one another. He said ACOs encourage doctors, hospitals, nurses and other care-givers to share medical records, emphasize preventive care and "invest in keeping people healthy.”8 How do the rules help new ACOs? Unlike well-developed ACOs, newer organizations will be shielded from any downside risk for the first two years.9 How will quality be assessed? The 65 standards by which an ACO's quality will be judged fall into five areas. They are patients' experiences in getting care; the extent to which care is coordinated; patients' safety; the degree of emphasis on preventive health; and the effectiveness in treating patients who are sick and frail. Other rules are intended to prevent doctors or other care providers that band together from violating antitrust laws.
The Obama administration proposed much-anticipated rules Thursday to spur changes in the way that health care for older Americans is organized and paid for. Here are key details:1 What does it mean? The rules lay out a path for doctors, hospitals and other providers of care to form teams called "accountable care organizations," which, supporters say, would save money by better coordinating medical services for Medicare patients. Under the rules, teams that treat patients for less money would be rewarded financially by the government if they also meet certain measures of quality.2 What are ACOs? They are a form of managed care that differs from health maintenance organizations, which were widely unpopular. ACOs are run by doctors or hospitals, rather than by insurance companies. Some ACOs already have sprung up, but the federal law enacted a year ago to overhaul the nation's health care system tries to spur their development by weaving them into the large Medicare program. To qualify as an ACO, the rules say, the doctors or hospitals that run one must be able to provide primary care for at least 5,000 patients.3 Who would be affected? The Obama administration hopes many of the more than 45 million seniors and others who rely on Medicare will ultimately get their care this way; the administration's early estimates are that 1.5 million to 4 million people would participate by 2014. But it remains unclear how many doctors will sign up to start ACO's next year.4 How much would be saved? Health and Human Services officials predicted Thursday that the Medicare ACOs will save the financially strained program $510 million to $960 million during the first three years after they go into effect next January.5 What do patients have to do? Unlike in Medicare Advantage, the managed-care part of Medicare, patients will not sign up for an accountable care organization. Instead, they will be assigned to one after the fact if their primary doctor belongs to it. The rules call for patients to be told whether their main doctors belong to an ACO.6 What do critics say? Some doctors fear that the new approach will unfairly give the advantage to larger systems that can afford the computerized databases and other resources needed to coordinate care with hospitals and specialists. Critics have worried that the arrangements could become large health-care monopolies that could suppress competition for patients and, as a result, drive up costs.7 What do supporters say? Donald Berwick, a Health and Human Services administrator, said ACOs would help unite what has been fragmented care for older patients who have several chronic medical problems, which sometimes are treated by doctors who do not communicate with one another. He said ACOs encourage doctors, hospitals, nurses and other care-givers to share medical records, emphasize preventive care and "invest in keeping people healthy.”8 How do the rules help new ACOs? Unlike well-developed ACOs, newer organizations will be shielded from any downside risk for the first two years.9 How will quality be assessed? The 65 standards by which an ACO's quality will be judged fall into five areas. They are patients' experiences in getting care; the extent to which care is coordinated; patients' safety; the degree of emphasis on preventive health; and the effectiveness in treating patients who are sick and frail. Other rules are intended to prevent doctors or other care providers that band together from violating antitrust laws.
Major U.S. health insurers, including Aetna Inc., Humana Inc. and WellPoint Inc., are retooling to become more than just health plans, in the wake of the federal health-care overhaul that is changing the rules for the industry’s core business.Diversification plans, touted in meetings with investors this year, include stepped up acquisitions and partnerships that will allow the companies to employ doctors directly, deliver health-information technologies, and participate in new hospital-doctor groups known as accountable-care organizations.Wall Street Journal; May 12, 2011
SET-UP SERVICES
Natural HealthlinkA study published in the Journal of the American Pharmaceutical Association found that 21.3% of community-dwelling patients 65 years or older were using at least one drug inappropriately prescribed. Moreover, many of these drugs have side effects or interactions. Natural Healthlink is a program to help patients reduce their reliance on prescription drugs. The program ensures that the drugs patients are taking are necessary, and helps patients shift towards natural alternatives wherever possible.
NuSkin - AgeLocPartnered with the Stanford School of Medicine, Nu Skin's product line, AgeLoc, is an anti-aging product platform and the outcome of 27 years of nutriceutical research. AgeLoc technology identifies, targets, and resets youth gene clusters containing multiple genes, literally reversing the signs of aging. The unique aspect of AgeLoc is that it identifies the sources, our genes, and through the introduction of nutriceutical formulas, changes the activity level of targeted genes.Doctors will benefit from offering NuSkin’s products because it represents a cash sale. The benefits of receiving income from channels that need little or no day to day attention is what large wealth is based on. The doctor can reasonably expect to recoup his investment and start turning a profit well within the first year. NuSkin creates a revenue stream independent of mandated reimbursements rates.
YMCAResearch at the National Cancer Institute suggests that daily exercise and social interaction are both shown to decrease the risk of deadly and costly diseases like diabetes, heart disease, and cancer. YMCA is national leader in physical fitness and community programs with over 2,600 facilities offering physical, recreational, nutritional, and educational activities, many of which are targeted at the health and wellness of seniors. YMCA also offers programs, such as, free yoga, cycling, Zumba, Tai-Chi, Qi-Gong as well as aquatic exercise programs that focus on wellness or keeping seniors active in spirit, mind, and body. YMCAs also provide a social gathering place for seniors, as well as social programs, camping trips, special events, presentations, and personal assistance, such as, legal assistance and health counseling.YMCA has agreed to offer its corporate discount rate of $45/month per patient to each of our ACOs. Patients who visit their YMCA 12 times per month will have their gym membership paid for by the ACO. ACOS will not be liable for gym dues when patients who enroll in the program do not visit 12 times per month. The patient who does not meet the required amount will be ineligible for the program in subsequent months unless they re-apply.