Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Access HealthColumbus - Jeff Biehl, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Access HealthColumbus - Jeff Biehl, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
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.
Disruptive Transformation and the Accountable Care OrganizationDarwin Health
Presentation by John Marchica (Darwin Health) and Bob Roth (Cypress HomeCare Solutions) at the Home Care Association of America Leadership Conference, Sep. 30, 2016.
From Paper to Personal: Partnering with Patients for Condition Management
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We’ll share a case study of how we applied five years of patient research and worked with a leading regional health system to create a personalized condition management program for their heart failure patients, tailored based on whether patients were first learning of this diagnosis or had been managing their condition for awhile. An integrative and innovative approach combined education on the “survival skills” most critical to health as well as an interactive needs assessment to identify any knowledge, resource, or behavior gaps so that proactive support can be provided to patients before risks become problems.
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IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
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The Role of Hospital Management in Renovating Healthcare By Dr.Mahboob ali kh...Healthcare consultant
In a time of rapid change in the healthcare system, it’s no surprise that hospitals across the country are examining new patient care delivery approaches. In many cases, business professionals with management experience are driving innovation. According to me healthcare managers are the “missing link” when it comes to the debate surrounding healthcare reform. The skills and ideas that healthcare managers bring to the table provide a fresh approach with significant patient benefits.
CAREERS IN HEALTHCARE MANAGEMENT IN INDIA AND US by Dr.Mahboob ali khan Phd Healthcare consultant
This is an exciting time for healthcare management. Healthcare is changing more rapidly than almost any other field. The field is changing in terms of how and where care is delivered, who is providing those services, and how that care is financed. Healthcare management requires talented people to manage the changes taking place. In their roles, healthcare executives have an opportunity to make a significant contribution to improving the health of the communities their organizations serve.
In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.
INTEGRATED thought leaders Dr. William Jessee and Don Seymour share their insight and advice on the emerging pay/risk trend in today's evolving healthcare environment. This webinar coincides with their 3-part video series titled "Raising the Bar."
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
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.
Disruptive Transformation and the Accountable Care OrganizationDarwin Health
Presentation by John Marchica (Darwin Health) and Bob Roth (Cypress HomeCare Solutions) at the Home Care Association of America Leadership Conference, Sep. 30, 2016.
From Paper to Personal: Partnering with Patients for Condition Management
A folder of handouts given at discharge used to count as patient education for hospitals. Now, as health systems move to videos, text programs, and more in their overall digital patient engagement strategies, there is still something missing: starting with what the patient actually cares about. Each of these approaches involve pushing a standard set of information at patients, without first understanding what would actually be meaningful for this person at this moment.
We’ll share a case study of how we applied five years of patient research and worked with a leading regional health system to create a personalized condition management program for their heart failure patients, tailored based on whether patients were first learning of this diagnosis or had been managing their condition for awhile. An integrative and innovative approach combined education on the “survival skills” most critical to health as well as an interactive needs assessment to identify any knowledge, resource, or behavior gaps so that proactive support can be provided to patients before risks become problems.
Because everyone matters.
IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
Insights from NASHP Conference in Atlanta
Trick or Treating for State Healthcare Innovation Treats
http://craigrhinehart.com
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CAREERS IN HEALTHCARE MANAGEMENT IN INDIA AND US by Dr.Mahboob ali khan Phd Healthcare consultant
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In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.
INTEGRATED thought leaders Dr. William Jessee and Don Seymour share their insight and advice on the emerging pay/risk trend in today's evolving healthcare environment. This webinar coincides with their 3-part video series titled "Raising the Bar."
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Allina Health used actionable data to identify potential areas of bias, then applied the right interventions to decrease implicit biases. For example, data revealed that the African American populations receiving care at Allina Health were not enrolling in hospice programs when they were eligible because the hospitalists weren’t referring African Americans at the same rate as other populations.
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During this webinar, Vivian will help attendees:
- Understand how Allina Health uses data to identify disparities.
- Define bias and its impact on health disparities.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
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FLAACOs 2014 Conference Panel Discussion: A Closer Look at Improving Patient Care Coordination
1. Panel Discussion: A Closer Look at
Improving Patient Care Coordination
Krista K Sultan RN, BSN, MS
Clinical Programs
Citra Health Solutions
2. Care Coordination
• “The goal of coordinated care is to make sure that patients,
especially the chronically ill, get the right care at the right time,
while avoiding unnecessary duplication of services and
preventing medical errors”
-Centers for Medicare & Medicaid Services
3. Sandeep Bajaj, MD - Founder / CEO -
Florida Accountable Care Services
• Board Certified Internist, Cardiologist, and Interventional Cardiologist.
• Recognized for his work as a Previous Director of Cardiac-Catheterization
Lab at Florida Hospital,
• Practicing Interventional Cardiologist for over 25 years and as a former
Chairman of a Medicare Advantage plan of roughly 50,000 lives.
• Serves as the American College of Cardiology Delegate to the Florida
Medical Association
• His vision for better integrated delivery of care resulted in Guardian, a
Health Information Exchange currently being used by two ACO’s in Florida
and serves as a model for other accountable integrated care systems.
• His leadership also helped Central Florida Physician Trust, an ACO with
approximately 10,000 lives based along the I-4 corridor successfully
achieve shared savings in the amount of 4.5 Million Dollars in its first year.
4. Joe Taylor, VP ACO Practice
• Joe is an accountable care, health care management and health information
technology strategist with over 25 years’ experience in developing, leading,
implementing, delivering and measuring the results of innovative, cost-efficient health
care management solutions.
• Joe has in-depth knowledge and successful implementation experience in population,
preventive, chronic, and intensive care management approaches. He has successfully
implemented care management programs for millions of patients across the country
and internationally.
• Prior to coming aboard with FluidEdge, Joe was the President and CEO of the
Oklahoma Health Insurance COOP. Joe developed and implemented the network,
care management, pharmacy, claims and client service strategy, including vendor
selection, and the integration plan between the vendors.
• Joe was also a senior leader at the nation’s largest non-investor owned health plan
where he developed and implemented the future healthcare management vision and
strategy. Joe lead HIT, Pharmacy, HIE’s, the “Virtual Medical Community” and the
Integrated Total Health Care Management (ITHM) programs. Joe directed and
managed $175M annually in administrative budgets, excluding cost of care.
• Joe, a frequent speaker on National Healthcare issues including ACO’s, HIT and
population Analytics. Joe has written many health care related articles and is former
instructor at Southern Methodist University.
5. Ron Ritchey, MD, MBA
CMO eQHealth Solutions
• Dr. Ritchey serves as the chief medical officer (CMO) for eQHealth
Solutions. He is active in the design and application of innovative
models of care focused on quality improvement and cost containment.
These models of care are designed to be forward-looking and to
embrace new opportunities created by American health care reform,
forging functional alliances between physicians, hospitals and
payors. Dr. Ritchey is board-certified in Internal Medicine and
practiced that specialty for over twenty-five years. He is certified by
the American College of Healthcare Executives and the American
College of Physician
• Executives and has extensive experience as a physician executive in
physician-hospital organizations, independent practice associations,
and professional service organizations.
6. Larry Jones
Chief Executive Officer of Physicians Collaborative Trust
ACO
FLAACOs Founding Board Member
• For over 25 years he has been advocating for
physicians through their efforts to organize, negotiate
with health plans, and other challenges
• Larry owns and manages 8 multi-specialty IPAs and
one statewide single specialty IPA in Florida
• He also manages an MSO with 4 private Medicare
Advantage contracts in Florida.
• He is a member of the Seminole County School Board
Business Advisory Board, and sits on the Insurance
Committee.
• In addition, Larry developed “HPFConnect”, a Health
Information Exchange, to fully integrate his physicians
with both IT and Clinical Integration.
7. Can you each give us a brief description the ACO(s)
or organization that you work with?
Where are you located?
What is your general mission?
How do you see your organization evolving to meet the needs
of care coordination?
8. What do you see as the greatest challenge facing
care coordination?
9. What would you define as the area most in need of
care coordination?
10. What kinds of care coordination programs have you
seen that work well in the ACO space?
11. What kinds of care coordination programs have you
seen that are not working well?
12. What would you like to see care coordination
become in the next 3 years?
13. What role do you see technology playing in care
coordination?
14. Reach Us
Enter Company Name
First and Last Name
Organization
Phone
Email
Website
Questions for the Panel?