A "Conversation About Accountable Care" assesses Accountable Care Organizations (ACOs) and industry stakeholders including managed care, pharmaceutical manufacturers, managed care, physicians and patients. Patient care, hospital, provider and payer impact is discussed.
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
How does Healthcare Reform and Accountable Care Organizations impact patients, clinicians and commercial stakeholders? Review the presentation, lead your own discussion and put your new insights to work!
Be sure to visit www.HealthcareMedicalPharmaceuticalDirectory.com for more clinical and business healthcare industry insights!
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
A primary component of healthcare reform is the establishment of web-based health insurance exchanges.
They represent challenges and opportunities for marketers, politicians, consumers and technical professionals. Quickly gain insight and understanding to this national initiative through this concise and comprehensive presentation!
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
The establishment of web-based health insurance exchanges is a key component of healthcare reform. Their purpose, developmental challenges,patient access benefits and healthcare industry impact are discussed.
www.healthcaremedicalpharmaceuticaldirectory.com
https://www.linkedin.com/in/johngbaresky
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
Learn some simple truths about how ACO's operate and function. Adapted from http://www.insight-txcin.org/post/why-accountable-care-organizations-succeed
This presentation from the 2014 ASHRM Conference analyzes the legal, regulatory and clinical risks related to meaningful consent and offers ways to mitigate them.
How does Healthcare Reform and Accountable Care Organizations impact patients, clinicians and commercial stakeholders? Review the presentation, lead your own discussion and put your new insights to work!
Be sure to visit www.HealthcareMedicalPharmaceuticalDirectory.com for more clinical and business healthcare industry insights!
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
A primary component of healthcare reform is the establishment of web-based health insurance exchanges.
They represent challenges and opportunities for marketers, politicians, consumers and technical professionals. Quickly gain insight and understanding to this national initiative through this concise and comprehensive presentation!
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
The establishment of web-based health insurance exchanges is a key component of healthcare reform. Their purpose, developmental challenges,patient access benefits and healthcare industry impact are discussed.
www.healthcaremedicalpharmaceuticaldirectory.com
https://www.linkedin.com/in/johngbaresky
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
Learn some simple truths about how ACO's operate and function. Adapted from http://www.insight-txcin.org/post/why-accountable-care-organizations-succeed
This presentation from the 2014 ASHRM Conference analyzes the legal, regulatory and clinical risks related to meaningful consent and offers ways to mitigate them.
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.
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!
The Evolution of Physician Group from Patient Centric Medical HomesVitreosHealth
A Quest to Achieve Higher Quality and Bend the Employers Health Care Cost Curves. Medical Clinic of North Texas (MCNT) enjoys a stellar FY 2010 performance with Total Medical Cost trend for their managed population 2.4% better than market. We tried to understand the journey and the drivers behind the success of Medical Clinic of North Texas from its early years and its future direction.
This is from a brief workshop we did at Arizona SkySong for local health care executives. All about the current state of value-based care, accountable care organizations, and general trends we're seeing within the health care delivery space.
A conversational candid discussion about web-based health insurance exchanges. What is their impact on states, insurers and consumers?
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
Jay Crosson on integrated care - lessons from the USThe King's Fund
Jay Crosson, Senior Adviser for The Permanente Medical Group, shares his experience of integrated health care systems in the US and looks at incentives to support integration between primary and secondary care.
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.
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.
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!
The Evolution of Physician Group from Patient Centric Medical HomesVitreosHealth
A Quest to Achieve Higher Quality and Bend the Employers Health Care Cost Curves. Medical Clinic of North Texas (MCNT) enjoys a stellar FY 2010 performance with Total Medical Cost trend for their managed population 2.4% better than market. We tried to understand the journey and the drivers behind the success of Medical Clinic of North Texas from its early years and its future direction.
This is from a brief workshop we did at Arizona SkySong for local health care executives. All about the current state of value-based care, accountable care organizations, and general trends we're seeing within the health care delivery space.
A conversational candid discussion about web-based health insurance exchanges. What is their impact on states, insurers and consumers?
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
Jay Crosson on integrated care - lessons from the USThe King's Fund
Jay Crosson, Senior Adviser for The Permanente Medical Group, shares his experience of integrated health care systems in the US and looks at incentives to support integration between primary and secondary care.
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.
Accountable Care Organizations and Physician Joint Ventures .docxAMMY30
Accountable Care Organizations and Physician Joint Ventures
Jeffrey P. Harrison
Chapter 9
“I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.”
—from The Hippocratic Oath (modern version)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
1
Learning Objectives
Demonstrate an understanding of the interparty relationships associated with healthcare joint ventures and accountable care organizations.
Understand some of the dynamics and controversies surrounding the concept of accountable care organizations as an alternative approach to the current marketplace.
Demonstrate a basic understanding of the patient-centered medical home with attention to how it supports network-based delivery systems.
Master the concept of physician–hospital alignment and health system integration including consumer, provider, and regulatory developments.
Assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
2
Key Terms and Concepts
Accountable care organization (ACO)
Clinical integration
Equity-based joint venture
Hospitalist model
Integrated physician model
Medical foundation
Patient-centered medical home (PCMH)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
3
Introduction
A positive relationship between hospitals and physicians is important to the success of the US healthcare system, because hospitals and physicians can be both collaborators and competitors.
Many hospitals and healthcare systems have moved to various models of physician integration through which hospitals hope to capture market share and physicians seek financial security.
After the Affordable Care Act (ACA) was passed in 2010, physician–hospital alignment became driven by another factor: cost control and quality outcomes in the accountable care era (Reiboldt 2013).
Physicians work in a wide range of settings and serve in leadership positions that have significant responsibility for quality of care.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
4
Clinical Integration
What Is It?
Coordination of patient care between hospitals and physicians across the healthcare continuum— e.g., an accountable care organization (ACO).
Provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs.
Clinical integration is necessary to delivering high-quality, affordable care in the current environment (Jacquin 2014).
Clinical.
Accountable Care Organizations (ACOs) are a rapidly growing part of the healthcare industry. This presentation provides a concise profile of the latest developments in ACO business model expansion and how they affect healthcare professionals, patients and other entities.
www.healthcaremedicalpharmaceuticaldirectory.com
John G. Baresky
https://www.linkedin.com/in/johngbaresky
#baresky
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.
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.
Early in August, President Trump issued an executive order focused on improving rural health. In response, the U.S. Department of Health and Human Services (HHS) is moving forward with a series of assertive measures featured in a formal strategic plan to remedy the significant healthcare challenges of farmers and others living in rural communities. It addresses access to quality care, medical staffing, technology, clinical innovation, reimbursement and sustainability.Read the story and contact John Baresky for further details.
Walgreens (NASDAQ: WBA) has signed on a second consumer home delivery service partner. Based in San Francisco, DoorDash will provide home delivery services spanning more than 2,300 items including over-the-counter (OTC) medications to consumers for Walgreens stores.
Read the story and contact John Baresky for further details
Authentic, fact-based healthcare content writing for medical, business, academic, patient and consumer audiences.
Review the presentation then go to the Bare Sky Marketing Healthcare Content Writing Services website. Visit the Examples page that features 2 portfolios and a satellite blog and visit the main Blog page on the website as well.
Both pages feature numerous examples of my healthcare marketing and healthcare content writing work.
The FDA has issued approval for Lynparza (olaparib) in the treatment of adult patients with deleterious or suspected deleterious germline or somatic homologous recombination repair (HRR) gene-mutated metastatic castration-resistant prostate cancer (mCRPC) who have progressed following prior treatment with Xtandi (enzalutamide by Pfizer/Astellas) or Zytiga (abiraterone by Centocor/Johnson & Johnson).
HRR gene mutations occur in approximately 20–30% of patients with mCRPC. Lynparza is a poly (ADB ribose) polymerase (PARP) inhibitor. The poly ADP-ribose polymerase (PARP) enzyme fixes DNA damage in both healthy and cancerous cells. Lynparza is available by prescription only and produced in 100mg and 150mg tablet strengths.
Read the story and contact John Baresky for further details...
Alexion Pharmaceuticals (NASDAQ: ALXN) has announced it is acquiring Portola Pharmaceuticals (NASDAQ: PTLA) for $1.41 billion in cash. Founded in 2003, Portola is based in South San Francisco and produces about $116 million in annual sales.
Closing rural hospitals are reducing access to care in multiple states
Between January 2010 and January 2020, 114 rural hospitals closed. More than 30 of these were critical access facilities. Data from the University of North Carolina Cecil G. Sheps Center for Research provides further insights showing that from 2005 to 2020 a total of 170 rural hospitals shut down. There seems to be no indication this trend is subsiding and a sizable portion of it has occurred during a time of record economic expansion. There is no telling how many more would have closed their doors had a weakened economy continued.
Read the complete story here and contact John Baresky for further details...
Learn about the 7 drivers of pharmaceutical television advertising. Television advertising for prescription drugs is a controversial practice but is an important component of the marketing strategy for many pharmaceutical manufacturers plus other healthcare product manufacturers. The FDA’s Center for Drug Evaluation and Research (CDER) and its Office of Prescription Drug Promotion(OPDG) closely monitor what pharmaceutical companies display and communicate within their television, print, radio or digital ads.
Get the complete insights through this article from Bare Sky Marketing Healthcare Content Writing Services
The World Health Organization has declared the Coronavirus 2019-nCoV a Public Health Emergency of International Concern (PHEIC). The declaration of PHEIC is rare. Upon its designation, various government agencies, healthcare institutions and other stakeholders are officially organized to act and escalate measures in collaboration with each other to combat the issue. The decision was made at a point as 171 persons in China have succumbed to the illness and the disease has spread to at least 18 other nations.
PHEIC events of the past: Ebola, H1N1 Swine Flu, Polio
WHO has deployed the emergency designation five times since the rules were implemented in the mid-2000s:
Ebola virus, 2019, Zika virus, 2016, Polio outbreak, 2014. Ebola outbreak, 2014, Swine flu, 2009
Learn more about the World Health Organization and the PHEIC designation by reading this article from Bare Sky Marketing
Alphabet / Google ( NASDAQ: GOOGL ) continue to build out their healthcare organization with distinguished leadership staff additions encompassing medical, commercial and government experience.
Dr. Karen B. DeSalvo, currently a professor at the Dell Medical School, University of Texas in Austin, will be the first person to have the title of Chief Health Officer for Alphabet / Google / Verily.
The company made the announcement as they progress through a steady workstream of healthcare-centered initatives involving Google Health and Verily Life Sciences. At Dell Medical School, she has two roles as Professor, Department of Internal Medicine and Professor, Department of Population Health. Dr. DeSalvo possesses exceptional medical, business and government experience.
Dr. DeSalvo’s academic and medical credentials include:
- M.D. — Tulane University School of Medicine
- MSc — Clinical Epidemiology — Harvard University
- MS — Public Health — Tulane University
- BA — Biology / Political Science — Suffolk University
In addition to medical academics, Dr. DeSalvo has worked in the commercial healthcare space ( Welltower and Humana ), the Federal Government ( Health and Human Services and Office of Health Information Technology ) and the Municipal Government Sector ( City of New Orleans ).
Alphabet clearly has long term, large scale plans for the healthcare industry. Their present enterprises span pharmaceutical research & development, medical device engineering, cloud computing, genetics, voice recognition technology ( VRT ), artificial intelligence ( AI ) and medical imaging (with advanced focus in oncology diagnosis and treatment).
The bandwidth of their ventures demonstrates the array of uses Alphabet’s growing technology innovation has throughout healthcare and life sciences industries.
Read the story to learn more about Dr. DeSalvo and Alphabet's plans ongoing healthcare initiatives...
Contact John Baresky with your questions and comments...
May Walgreens Boots Alliance be strategically signalling it is up for sale to the highest bidder by presumably going through the motions of taking itself private?
A consumer retail, pharmacy, healthcare services, supply chain leader...
Taking Walgreens private may involve an estimated range of $50 billion to $60 billion to execute the transaction. Most of the company’s global scope and scale are overlooked by consumers and even those in the healthcare sector:
• Founded in 1901, their present CEO, billionaire Stefano Pessina, owns about 16% of the company
• On a daily basis, Walgreens interacts with over 8 million customers in stores and online
• They operate more than 9,000 stores in the United States and more than 13,000 units worldwide in 11 countries.
• Walgreens owns 26% of AmerisourceBergen; one of the world’s largest drug wholesalers
• They are a minority share owner of Option Care Health, the largest home infusion and alternate site care provider in the nation servicing patients in all 50 states and administers over 2 million doses of various IV therapies per month; Option Care Health ( NASDAQ: BIOS ) was formed through the merger of Option Care and BioScrip in 2019
• The company has a pilot venture underway with grocery retail giant Kroger involving Walgreens health and beauty brands being sold in Kroger stores and Walgreens selling select Kroger grocery goods in their stores plus supporting Kroger online ordering consumer pickup services at participating stores
• Microsoft and Walgreens are collaborating on a suite of chronic disease management and patient engagement applications plus a portfolio of connected Internet of Things (IoT) devices for nonacute chronic care management, delivered by Microsoft’s cloud, AI and IoT technologies
• About 78% of the population in the United States lives within 5 miles of a Walgreens store or a Walgreens-owned Rite Aid or Duane Reed store.
• Walgreens has an active partnership with Blue Cross Blue Shield affiliated prescription benefit manager Prime Therapeutics known as AllianceRx Walgreens Prime)
Key Considerations:
• Boots Alliance ( WBA ) is reportedly consulting KKR, a leading global private equity firm, about its options to go private
• With an estimated market capitalization of $50 to $60 billion it would be one of the largest public to private deals in history
• The current debt load of Walgreens is about $15 billion and is a pivotal cost element undertaking such a deal
• If KKR were to orchestrate the public to private deal with Walgreens, it would likely enlist additional financial partners such as other private equity firms and investment bankers
Read the complete details on who may be interested in and most importantly, financially and organizationally qualified, to acquire Walgreens Boots Alliance... Contact John Baresky with your questions or comments...
Amazon has purchased a healthcare technology startup known as “Health Navigator”. Health Navigator, based in Chicago, Illinois, is a clinical healthcare information firm founded by an emergency medicine physician, Dr. David Thompson. Dr. Thompson is board certified in Emergency Medicine and Internal Medicine; his academic background includes the University of Illinois College of Medicine with a residency at McGaw Medical Center of Northwestern University.
Health Navigator encompasses a deep selection of features which account for the core elements of patient care interaction and documentation:
- After Care Instruction ( ACI ): provides health information and care advice for telehealth patients
- Clinical Documentation Support ( CDS ): a telehealth dialogue tool orchestrating patient visit details including initial patient intake, emergency screening and prioritization, consumer-facing health checker or health bot, CarePath ( formulates questions for patients based on their initial reasons for health visit to begin diagnosis ), consumer e-visit form and provider documentation checklist
- Coded Chief Complaints ( CCC ): supports definition, identification of patient’s primary reason for visit ( RFV ) seeking care
- Diagnosis Engine: a proprietary knowledge-based inference engine or processor generating a list of possible causes or pre-diagnoses for a specific symptom or problem that can be aligned with digital health assistants (health bots, diagnosis symptom checkers) and electronic health records ( EHR or EMR ).
- Natural Language Processing ( NLP ): a digital translator program used in patient and clinician dialogue for visit free-text into the Coded Chief Complaint clinical vocabulary
- Non-Commercial Resource Database: features over 25,000 Internet resources comprised of non-commercial websites linked to more than 2,800 clinical concepts (plus over 7,200 references of which many are directly linked through a PubMedIC )
- Triage Engine: calculates a triage score, level of care recommendation ( disposition ) for use in consumer health bots and triage symptom checker applications
As Amazon forges ahead, it will be interesting to see how its actions are reflected within the realm of Haven Healthcare, its healthcare management partnership initiative with Berkshire Hathaway ( NYSE: BRK.A ) and JPMorgan Chase ( NYSE: JPM ). The organization is seeking ways to improve quality of care while reducing cost.
Read the article for the complete details of Amazon's latest acquisition and contact John Baresky for further information...
Oncology initiatives in Women’s Healthcare have gained another valuable therapy to improve patient care and outcomes…
Merck & Co.’s ( NYSE: MRK )Keytruda and combination partner therapy Eisai’s ( OTCMKTS: ESALY ) Lenvima will keep their respective marketing and sales units very busy in the upcoming months. Regulatory agencies in the United States, Canada and Australia have concurrently approval to the Keytruda-Lenvima tandem for women with certain advanced endometrial carcinoma. It represents a significant accomplishment by Merck and Eisai and for government regulatory agencies working together to accelerate the process of advancing medicine whether it’s for completely new products or clinically strategic new indications.
Project Orbis: Improve accuracy and accelerate new drug and indication approvals across multiple nation government agencies...
The parallel decisions are the first made through Project Orbis ;a collaborative initiative of the Food And Drug Administration ( FDA ), the Australian Therapeutic Goods Administration ( TGA ) and Health Canada that seeks to reduce new oncology therapy review turnaround between nations. It champions concurrent submissions by drug manufacturers and collaborative assessments by each of the three government regulatory agencies, sponsors and collaborative reviews by all three agencies.
Project Orbis: A winning initiative for patients and clinicians
New drug approvals and the process of approving additional indications is a detail heavy exercise necessary to qualify performance and safety of medications. By improving the processes within nations and cultivating collaboration between them, patients and clinicians benefit from having access to approved therapies sooner. For advanced medication, payers are often reluctant to cover their costs without specific regulatory approval of precise indications. Project Orbis initiatives helps to overcome this hurdle.
Read the article for complete details and contact John Baresky for further information...
Walgreens Boots Alliance ( NASDAQ: WBA ) ranks at number 17 on the Fortune 500 list of largest firms. Reportedly they are exploring options to take the company private which may also be a strong signal to other industry leaders that it is open to takeover offers. Regardless of what their ultimate goals are, they remain a global force in retail, pharmacy, wholesaler and other sectors. The company’s CEO, Stefano Pessina, has communicated Walgreens is actively pursuing more partnerships as a business strategy that enable it to generate revenue by asserting its corporate, financial, clinical and operations resources to build market access and revenue while disrupting competitors — without having to deploy funding for complete acquisitions that contribute to further to debt loads.
Primary elements of Walgreens Boots Alliance financial profile:
- Market capitalization of $50 billion
- Annual sales: $136.86 billion ( 2019 figures which represented a 5.8% increase over 2018 )
- Earnings: $3.982 billion
- Debt: $15 billion
- Ownership stake of 16% held by CEO Stefano Pessina
Strategic global attributes of WBA
- Business operations in more than 25 nations
- Over 415,000 employees
- More than 18,500 stores located in 11 countries
- Over 390 distribution centers servicing pharmacies ( including pharmacies not owned by WBA ), physician offices and healthcare provider organizations
- Ownership stake of 26% in AmerisourceBergen ( NYSE: ABC ), a global leader in healthcare wholesaler operations ranked at number 12 on the Fortune 500 list; annual sales of $153 billion
Key Points:
- Leading companies seeking strategic alliances with Walgreens
Kroger, McKesson, Microsoft and Prime Therapeutics collaborating with Walgreens
- Brand marketing, pharmacy, market access and technology partnerships driving revenue for Walgreens and partners
- Global and domestic market access, commercial synergies and profit in strategic partnerships
Read the article for complete details on each of the strategic partnerships Walgreens has in place with Kroger, McKesson, Microsoft, Prime Therapeutics
Contact John Baresky for additional details
Amazon (NASDAQ: AMZN ) and its online pharmacy unit, PillPack, have a significant challenge. On the surface, it appears to involve only a small, Iowa-based healthcare and prescription data technology company, ReMyHealth, but drastically scales up and potentially involves some of the largest retail and mail order pharmacy, MCO / PBMs and pharmacy associations in the nation — and a somewhat ambiguous organization known as Surescripts.
Prior to being acquired by Amazon, PillPack had contracts in place with many managed care organizations, PBMs and other entities to be a providing pharmacy in their networks. PillPack’s success in building market access early as an integral part of their business model was just one of the reasons Amazon was impressed enough to acquire them.
As an online mail order pharmacy, PillPack is a competitor to the retail pharmacies represented by the NACDS and NCPA that have part ownership in Surescripts. These same retailers compete with PillPack’s parent company, Amazon, for other consumer product sales. CVS Health / Aetna and Cigna / Express Scripts, the two other ownership stakeholders in Surescripts, operate substantial mail order pharmacies PillPack would compete against.
Amazon has been entering into healthcare-focused partnerships and collaborations with such notable organizations as Accenture, Berkshire Hathaway, Carnegie Mellon, Cedars-Sinai, Cerner, Change Healthcare, JPMorganChase, Merck, National Institute of Health, University of Pittsburgh, University of Pittsburgh Medical Center and others. Amazon has steeply ramped up its understanding of the healthcare sector and identifying opportunities to develop and deploy commercial actions to succeed within it.
Read the complete story and contact John Baresky with any questions...
State Of Digital Healthcare In 2017 - HIMSS - • Healthcare Marketing Leadership Index
• Online and Digital Marketing Techniques Used
• CMS, CRM, and Marketing Automation
• ROI and KPIs
• Web Innovations
• Importance/Effectiveness of Digital Marketing Efforts
• Driving Digital Transformation of the Healthcare Brand
• Resources
• Key Take-aways
• Recommendations From the Research for Providers
My background is healthcare marketing; products (injectable & oral pharmaceuticals, IV pumps, disposables), healthcare services (market access programs, pharmacy benefits), managed care and healthcare digital marketing. Connect with me at LinkedIn and Twitter, visit my healthcare website -an industry resource since 2004...
Twitter: @johngbaresky
LinkedIn: https://www.linkedin.com/in/johngbaresky
My website: www.healthcaremedicalpharmaceuticaldirectory.com
Portfolio: https://www.clippings.me/johngbaresky
#IOT #digital #healthcare #marketing #medical #pharmaceutical #doctor #patient #consumer
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
DELOITTE: 2017 Global Health Sciences Outlook Report - A global perspective on the healthcare industry and its strategic sectors. Deloitte efficiently delivers an uncomplicated but in-depth look at worldwide healthcare. Rising demand and associated spending are being fueled by an aging population; the growing prevalence of chronic diseases and comorbidities; development of costly clinical innovations; increasing patient awareness, knowledge, and expectations; and continued economic uncertainty despite regional pockets of recovery are just a few of the key issues and trends impacting the global health care sector.
Connect with me at LinkedIn and Twitter, visit my healthcare website -an industry resource since 2004...
Twitter: @johngbaresky
LinkedIn: https://www.linkedin.com/in/johngbaresky
My website: www.healthcaremedicalpharmaceuticaldirectory.com
John Baresky Healthcare Marketing Leader, Pharmaceutical Marketing, Digital Marketing Strategy, Content Marketing Strategy, Market Access Strategy, Healthcare RPA Software Marketing Strategy
These guidelines will enable you to develop assertively effective healthcare digital marketing initiatives with infographs. Launching a brand or seeking strategic options to promote an established brand?...Infographs have powerful attributes making them strategic assets to improve healthcare digital marketing performance, social sharing, brand awareness and ROI.
They can be strategically deployed across digital / social / mobile venues to engage clinicians (doctors, nurses, pharmacists), consumers / patients, managed care / payers, employers, employee benefit consultants and other stakeholders......
HMPD, AbelsonTaylor, Hospira, Takeda / Abbott (TAP), Walgreens and Pfizer. My experience spans advanced medical specialties and healthcare industry sectors. I am the interconnection of brand marketing, digital marketing, managed care marketing and sales...
My healthcare website:
www.healthcaremedicalpharmaceuticaldirectory.com
LinkedIn profile:
www.linkedin.com/in/johngbaresky/
Twitter:
@johngbaresky
Feel free to connect with me on LinkedIn and follow me on Twitter...
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
These guidelines will enable you to develop assertively effective healthcare digital marketing initiatives with infographs. Launching a brand or seeking strategic options to promote an established brand?...Infographs have powerful attributes making them strategic assets to improve healthcare digital marketing performance, social sharing, brand awareness and ROI.
They can be strategically deployed across digital / social / mobile venues to engage clinicians (doctors, nurses, pharmacists), consumers / patients, managed care / payers, employers, employee benefit consultants and other stakeholders.
HMPD, AbelsonTaylor, Hospira, Takeda / Abbott (TAP), Walgreens and Pfizer. My experience spans advanced medical specialties and healthcare industry sectors. I am the interconnection of brand marketing, digital marketing, managed care marketing and sales...
My healthcare website:
www.healthcaremedicalpharmaceuticaldirectory.com
LinkedIn profile:
www.linkedin.com/in/johngbaresky/
Twitter:
@johngbaresky
Feel free to connect with me on LinkedIn and follow me on Twitter...
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
Launching a brand or seeking strategic options to promote an established brand? These guidelines will enable you to develop assertively effective healthcare digital marketing initiatives with infographs...Infographs have powerful attributes making them strategic assets to improve healthcare digital marketing performance, social sharing, brand awareness and ROI.
They can be strategically deployed across digital / social / mobile venues to engage clinicians (doctors, nurses, pharmacists), consumers / patients, managed care / payers, employers, employee benefit consultants and other stakeholders. These guidelines will enable you to develop assertively effective healthcare digital marketing initiatives with infographs.
HMPD, AbelsonTaylor, Hospira, Takeda / Abbott (TAP), Walgreens and Pfizer. My experience spans advanced medical specialties and healthcare industry sectors. I am the interconnection of brand marketing, digital marketing, managed care marketing and sales...
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John Baresky Healthcare Marketing Leader, Pharmaceutical Marketing, Digital Marketing Strategy, Content Marketing Strategy, Market Access Strategy, Healthcare RPA Software Marketing Strategy
Get to know the mechanics of how deductibles work, how they are perceived and big data's role and impact. For healthcare marketers, pharmaceutical marketers, health insurance marketers and other healthcare / managed care stakeholders, the deductible feature in health benefit plans has wide reaching impact as does the data and analytics which support it.
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
More from Bare Sky Marketing Healthcare Content Writing Services (20)
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
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Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
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Healthcare Brand Management - A Conversation About Accountable Care - John Baresky, #baresky
1. Healthcare Brand Management
“A Conversation About Accountable Care”
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2. Healthcare Brand Management
“A Conversation About Accountable Care”
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3. What is an Accountable Care Organization?
According to the Centers for Medicare and Medicaid Services(CMS)
an ACO is:
“An organization of health care providers that agrees to
be accountable for the quality, cost, and overall care of
Medicare beneficiaries who are enrolled in the
traditional fee-for-service program who are assigned
to it."
4. What are the basics?
Three key concepts apply:
ACOs will have strong primary care capabilities and be accountable for
quality and costs of the patients they serve
Assertive care management and accurate measurement of quality and cost
reduction goals
Payments and incentives aligned to quality care and cost reduction
5. How may a healthcare entity become an ACO?
Collectively speaking they must:
Contract with CMS for 3 years and service 5,000+ Medicare beneficiaries
Be accountable for quality, cost and care of beneficiaries, feature a process for
evaluating their health needs, potentially operate under a capitated
payment/fixed funding pool
Have a defined administrative, clinical and legal structure, a certain number of
primary care providers and likely feature a hospital and other care facilities
Be responsible for issuing savings to providers and not service other Medicare
shared savings plans
Effectively assess, treat, measure and improve care/reduce costs
6. What else may they need?
They need accurate billing and clinical systems to continually
assess/tabulate patient care and costs.
Extensive information sharing conduits with doctors, nurses and
pharmacists to coordinate and deliver highly effective yet economic
care on a daily basis
Successful adoption/implementation of evidence-based medicine
measures
Have provisions in place to work with patients individually
7. How did the ACO idea come about?
Medicare and other payers have been looking for an alternative to
the Fee-For-Service model, which reimburses based on numbers of
patients but not the level of care or cost management of them
The ACO-model initiative originates from the 2003 Medicare
Prescription Drug, Improvement, and Modernization Act
It is part of the provisions to explore alternative ways to deliver high care/low
cost healthcare other than the current U.S. healthcare delivery system
8. What can they be compared to?
Geisinger, Intermountain Healthcare, Kaiser Permanente and Mayo
Clinic have served as “role models” in how optimum patient care,
physician accountability and economic performance can be
achieved
Pilot programs were conducted in Arizona, Kentucky, New Jersey,
Massachusetts, Vermont, Virginia and Texas to gather data and
working knowledge of the concept before it rolled out in 2012
9. Do all healthcare entities have to become ACOs?
No, the ACO initiative is optional
Academic, community and government healthcare facilities and
organizations are continuing to operate according to their individual
business models and may choose not to participate in the ACO
initiative during the initial 3-year run beginning 2012
32 Pioneer ACO plans were initially approved to operate in the
United States
10. Allina Hospitals & Clinics Michigan Pioneer ACP
Minnesota, Western Wisconsin Southeastern Michigan
Atrius Health Monarch Healthcare
Eastern and Central Massachusetts Orange County, California
Banner Health Network Mount Auburn Cambridge Independent Practice Association
Phoenix, Arizona Metropolitan Area Eastern Massachusetts
Bellin-Thedacare Healthcare Partners North Texas ACO
Northeast Wisconsin Tarant, Johnson and Parker counties in North Texas
Beth Israel Deaconess Physician Organization OSF Healthcare System
Eastern Massachusetts Central Illinois
Bronx Accountable Healthcare Network (BAHN) Park Nicollet Health Services,
New York City (Bronx) and Westchester County, New York Minneapolis, Minnesota Metropolitan Area
Brown & Toland Physicians Partners Healthcare
San Francisco Bay Area, California Eastern Massachusetts
Dartmouth-Hitchcock ACO Physician Health Partners
New Hampshire, Eastern Vermont Denver, Colorado Metropolitan Area
Eastern Maine Healthcare System Presbyterian Healthcare Services-Central New Mexico Pioneer ACO
Central, Eastern and Northern Maine 32 Pioneer Central New Mexico
Fairview Health Systems ACO Plans Primecare Medical Network
Minneapolis, Minnesota Metropolitan Area Southern California, San Bernardino and Riverside Counties
Franciscan Alliance Renaissance Medical Management Company
Indianapolis, Central Indiana Southwestern Pennsylvania
Genesys PHO Seton Health Alliance
Southeastern Michigan Central Texas , including Austin and 11 counties
Healthcare Partners Medical Group Sharp Healthcare System
Los Angeles and Orange Counties, California San Diego County, California
Healthcare Partners of Nevada Steward Health Care System
Clark and Nye Counties, Nevada Eastern Massachusetts
Heritage California ACO TriHealth, Inc.
South Central and Coastal California Northwest Central Iowa
JSA Medical Group, division of HealthCare Partners University of Michigan
Orlando, Tampa Bay and surrounding South Florida Southeastern Michigan
11. What’s the difference between Shared Savings and Pioneer Programs?
The Shared Savings Program implements a legislative obligation
established in the Affordable Care Act to create a structure for
groups of healthcare providers to become ACOs
The Pioneer ACO Model tests effectiveness of a payment plan:
If a plan is successful, they will show a profit and qualify for a share of the
savings they have earned through successful care/cost management of the
Medicare beneficiary patients they treated
Depending upon the minimum savings threshold (which may be from 2% to
3.9%),CMS will return some of the savings (as much as 60%) to the ACO to
reward its providers
12. Is it a good idea to become an ACO?
It could prove to be successful and be an important conduit for
providers and managed care to get focused access to the Medicare
patient population
Some ACOs may become stronger as inherent healthcare systems
by employing more physicians, caring for more patients and doing it
more cost effectively than other healthcare providers in their
marketplace
It may prove to provide better patient care and be the wave of the
future in the delivery of healthcare in the United States
13. Why would an organization not participate?
Significant investments are required to develop and implement an
ACO including:
Patient care/clinical protocol development and tracking
Physician group contracting and coordination of care between doctors,
nurses, pharmacists and other providers
Information technology
Risk-sharing capability and resources
There is no guarantee the ACO model will be effective or patient
care/savings will result in real financial return
14. What happens if an ACO is not successful?
They will not be eligible to earn additional funds through the
shared care/cost savings incentive
They will still be required to participate in the program for the
duration of their contract with CMS
Depending upon their arrangement with CMS, they may have to
pay a certain amount of the coverage costs back to the
government in a “risk sharing agreement”
15. What do physicians think of ACOs?
Some do not believe they will be fairly reimbursed for delivering
high levels of quality care and cost savings by the ACO they are
affiliated with
Certain physicians believe it may drive them to alter how they
normally treat patients and potentially under treat patients to keep
costs down
Physicians maybe engaged by the program if it suits their practice
management style and stabilizes their income/reimbursement
Other physicians may not have a choice if they are employed by a
healthcare organization participating in the program
16. What does managed care think of ACOs?
Conceivably, improved care means lower costs and in the long run,
MCOs could realize greater margins/less risk
If quality of care and cost reduction goals are not met, ACOs could
be overly burdened with clinical, financial and technical operating
structures unable to deliver results
Some managed care plans are concerned about the leverage
sizable healthcare systems have against them in an ACO
arrangement and in their commercial plans as well
17. What do healthcare manufacturers think of ACOs?
ACOs are another administrative/contracting structure for them to
strategically/tactically account for
If their product is part of the standard of care which an ACO
adopts, they are in a good position, if they are not, then they have
less access to the providers/patients in the ACO plan
For products to be considered as part of the standard of care, they
will have to clinically demonstrate they can deliver cost-effective
care and/or reduce their prices for a stronger economic position
within treatment protocols
18. What may Medicare patients think of ACOs?
It is still too early to tell as each of the pilot programs operates
differently and patient care experiences are in early stages
Conceptually:
If patients have access to physicians they prefer, receive better care,
experience less issues with medical records and incur less out-of-pocket
costs, they will embrace the ACO model and it will be expanded beyond
Medicare into commercial sector applications
If they experience restrictive access to care, administrative issues, increased
costs or confronted with overly cost-based treatment considerations , ACOs
will be associated with the unpopular, rigid staff model HMOs of the early
90s which fell into disfavor
19. What is the outlook?
Ongoing clarification of the legislation and enhancements made in
implementation/operation could steer ACOs in different ways
Those healthcare systems choosing not to participate may
selectively adopt certain ACO methodologies/principles to enable
themselves to operate more efficiently, then promote their
performance and eventually formalize their ACO status later
The limited number of ACOs participating will clearly and quickly
determine the success of the concept
The Federal government will closely assess progress and seek an
optimum, ongoing arrangement
20. What about Healthcare Brand Management?
There are a number of opportunities to engage the ACO initiative:
Professionally recognized prescribing/treatment protocols and key
indications may position a brand over another and achieve optimum access
Potential for Comparative Effectiveness Research (CER) and Health
Economics Outcomes Research (HEOR) applications present themselves but
will require additional funding by pharmaceutical manufacturers
Pull-through promotion and clinical presentations must champion the
brand’s ability to parallel the care/cost goals of the ACO’s protocols
Additional market segmentation and contracting strategies will be required
Fluid communication, web-based brand/clinical information sharing is key
21. For ongoing business and clinical healthcare industry resources, please go to:
www.HealthcareMedicalPharmaceuticalDirectory.com
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