The document discusses healthcare costs and reforms in the United States. It provides an overview of Austin Regional Clinic, including the number of patients, locations, physicians, and specialties. It then discusses various challenges facing the US healthcare system like the costs as a percentage of GDP, the Affordable Care Act, deficits, uninsured Americans, increasing costs, and sustainability issues. Alternative payment models like accountable care organizations and medical homes are presented as ways to better manage costs for high-risk populations through care coordination and preventive care. The challenges of transitioning payments from fee-for-service to these alternative models is also noted.
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14Douglas Green
Empowering Healthcare Leaders: The Business Case for Language Access provides a framework for calculating total potential encounters with limited English patients, the economic benefit and cost of not providing language access and a frame work to align the economic benefits with organizational goals under the Affordable Care Act.
The Economics Of Language Services In Healthcare FinalDouglas Green
The initial presentation of the Economics of Language Access. For an updated version with new research please do not hesitate to contact Douglas Green through the website. Thank you.
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14Douglas Green
Empowering Healthcare Leaders: The Business Case for Language Access provides a framework for calculating total potential encounters with limited English patients, the economic benefit and cost of not providing language access and a frame work to align the economic benefits with organizational goals under the Affordable Care Act.
The Economics Of Language Services In Healthcare FinalDouglas Green
The initial presentation of the Economics of Language Access. For an updated version with new research please do not hesitate to contact Douglas Green through the website. Thank you.
Dr. James Mongan spoke about "Health Reform, Past and Present" at the 10th annual William E. Petersen Symposium on Physician Leadership at the University of St. Thomas.
Reactive Vs. Preventative Healthcare for Seniorsrachelgmoore
Exorbitant costs are breaking the back of the nation's healthcare system, and seniors are shouldering significantly more than their fair share of the burden. A large portion of these costs are due to a reactive healthcare model - one that only addresses problems after they arise.
In this infographic, learn about how a shift towards a preventative care model for seniors can decrease healthcare costs, improve quality of care, and quality of life, as well as some of the technologies senior living and care providers can use to promote preventative care and their organizations.
Get the high resolution version here: http://hubs.ly/y0Yj4b0
L'acceleratore d'impresa come modello di investimento ed il ruolo del crowdfu...Guanxi
La presentazione offre uno studio sullo stato dell'arte circa il fenomeno degli acceleratori d'impresa, in Italia e nel resto del mondo, con focus sul modello di business e sull'utilizzo di tali organizzazioni come metodo alternativo di investimento. Analisi delle best practice e dei principali risultati ottenuti dalle strutture considerate come riferimento nei vari mercati.
Altro tema affrontato è quello del crowdfunding, che trae le proprie origini da fenomeni meno recenti, quali il microcredito, il crowdsourcing, e la "coda lunga".
Sono presentati i principali player internazionali, ed è offerto un focus sul mercato italiano, sulle principali piattaforme presenti, e su quali sono le principali differenze con i mercati in cui tale fenomeno è maggiormente diffuso e maturo.
Dr. James Mongan spoke about "Health Reform, Past and Present" at the 10th annual William E. Petersen Symposium on Physician Leadership at the University of St. Thomas.
Reactive Vs. Preventative Healthcare for Seniorsrachelgmoore
Exorbitant costs are breaking the back of the nation's healthcare system, and seniors are shouldering significantly more than their fair share of the burden. A large portion of these costs are due to a reactive healthcare model - one that only addresses problems after they arise.
In this infographic, learn about how a shift towards a preventative care model for seniors can decrease healthcare costs, improve quality of care, and quality of life, as well as some of the technologies senior living and care providers can use to promote preventative care and their organizations.
Get the high resolution version here: http://hubs.ly/y0Yj4b0
L'acceleratore d'impresa come modello di investimento ed il ruolo del crowdfu...Guanxi
La presentazione offre uno studio sullo stato dell'arte circa il fenomeno degli acceleratori d'impresa, in Italia e nel resto del mondo, con focus sul modello di business e sull'utilizzo di tali organizzazioni come metodo alternativo di investimento. Analisi delle best practice e dei principali risultati ottenuti dalle strutture considerate come riferimento nei vari mercati.
Altro tema affrontato è quello del crowdfunding, che trae le proprie origini da fenomeni meno recenti, quali il microcredito, il crowdsourcing, e la "coda lunga".
Sono presentati i principali player internazionali, ed è offerto un focus sul mercato italiano, sulle principali piattaforme presenti, e su quali sono le principali differenze con i mercati in cui tale fenomeno è maggiormente diffuso e maturo.
Ontopic's presentation on Storm-Crawler for ApacheCon North America 2015.
Storm-Crawler is a next-generation web crawler that discovers and processes content on the Web, in real-time with low latency. This open source (and Apache Licensed) project is built on the Apache Storm framework, which provides a great foundation for a distributed real-time web crawler.
In the past decade Brays Bayou has flooded several times due to massive peak flows and urban stormwater runoff. The increase in volume of runoff can be attributed to both increased urbanization and changing weather patterns. However, as flooding issues continue to worsen along the Bayou and are especially dangerous in vulnerable areas such as the Texas Medical Center, this project seeks to redesign the portion of the Bayou between Fannin Street and Main Street in order to mitigate the flood threat. In the early 2000s, the U.S. Army Corps of Engineers (USACE) and the Harris County Flood Control District (HCFCD) launched Project Brays, which outlined specifications for the redevelopment of the entire Bayou. One goal of this project is to design improvements that meet the specifications outlined by USACE and HCFCD. The development of the Bayou will consider increased stormwater flow due to the construction of a new hotel on Main St., and will require close coordination with the developers of the new 7200 Main Street Hotel. The area between the hotel and Bayou will be designed with guest amenities such as trails, terraces, access points, trees, and landscaping. In addition, this project will redesign the Greenbriar Bridge between Braeswood Boulevard and Main Street in order to reduce its backwater effect on the Bayou and ensure that it abides by the elevation specifications mandated by Harris County.
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)Zach Jarou
Presented to the American Medical Student Association (www.AMSA.org) at Michigan State University's College of Human Medicine (MSU CHM) on Tuesday, March 20, 2012
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
Prof. Martin Gaynorin esitys VATT-päivässä 1.11.2016
Gaynor on professori Carnegie Mellon yliopistossa, tutkija Britannian johtavassa, julkisen sektorin reformeihin keskittyvässä tutkimuslaitoksessa (Bristolin yliopiston Centre for Market and Public Organisation) ja jäsenenä NHS:n kilpailuasioita käsittelevässä asiantuntijapaneelissa.
Gaynor on tehnyt vaikutusvaltaisia tutkimuksia ja kirjoittanut laajasti terveydenhuoltomarkkinoiden toiminnasta, kilpailusta, kilpailua rajoittavista tekijöistä, tuottajien saamista korvauksista sekä Yhdysvalloissa että Briteissä.
The goal of this webinar was to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Sharpen existing tools or get a new toolbox? Contemporary cluster initiatives...Orkestra
UIIN Conference, Madrid, 27-29 May 2024
James Wilson, Orkestra and Deusto Business School
Emily Wise, Lund University
Madeline Smith, The Glasgow School of Art
0x01 - Newton's Third Law: Static vs. Dynamic AbusersOWASP Beja
f you offer a service on the web, odds are that someone will abuse it. Be it an API, a SaaS, a PaaS, or even a static website, someone somewhere will try to figure out a way to use it to their own needs. In this talk we'll compare measures that are effective against static attackers and how to battle a dynamic attacker who adapts to your counter-measures.
About the Speaker
===============
Diogo Sousa, Engineering Manager @ Canonical
An opinionated individual with an interest in cryptography and its intersection with secure software development.
Acorn Recovery: Restore IT infra within minutesIP ServerOne
Introducing Acorn Recovery as a Service, a simple, fast, and secure managed disaster recovery (DRaaS) by IP ServerOne. A DR solution that helps restore your IT infra within minutes.
This presentation, created by Syed Faiz ul Hassan, explores the profound influence of media on public perception and behavior. It delves into the evolution of media from oral traditions to modern digital and social media platforms. Key topics include the role of media in information propagation, socialization, crisis awareness, globalization, and education. The presentation also examines media influence through agenda setting, propaganda, and manipulative techniques used by advertisers and marketers. Furthermore, it highlights the impact of surveillance enabled by media technologies on personal behavior and preferences. Through this comprehensive overview, the presentation aims to shed light on how media shapes collective consciousness and public opinion.
This presentation by Morris Kleiner (University of Minnesota), was made during the discussion “Competition and Regulation in Professions and Occupations” held at the Working Party No. 2 on Competition and Regulation on 10 June 2024. More papers and presentations on the topic can be found out at oe.cd/crps.
This presentation was uploaded with the author’s consent.
Have you ever wondered how search works while visiting an e-commerce site, internal website, or searching through other types of online resources? Look no further than this informative session on the ways that taxonomies help end-users navigate the internet! Hear from taxonomists and other information professionals who have first-hand experience creating and working with taxonomies that aid in navigation, search, and discovery across a range of disciplines.
Supercharge your AI - SSP Industry Breakout Session 2024-v2_1.pdf
Leadership austin presentation chenven april 24 2015_pdf
1. Healthcare 2015
Leadership Austin Program
April 24, 2015
Norman H. Chenven
Founder & CEO
Austin Regional Clinic
512-231-5514
chenven@arcmd.com
2. 1,250,000 patient visits 350,000 active patients
1,750 employees 335 physicians 21 locations
15 specialties 7 cities 3 counties 1 medical group
Austin Regional Clinic
3.
4. HEALTH CARE REFORM
THE PATIENT PROTECTION AND AFFORDABLE CARE ACT
THE NATIONAL DEFICIT
THE POTENTIAL IMPACT OF DECISIONS MADE BY THE SUPREME COURT
OTHER IMPONDERABLES
And…..
7. American Health Care
The American way of health care is both reviled and praised,
sometimes by the same people. It is expensive, but it is
innovative. It is unequal , but it provides some of the best care
in the world. Its cost is growing far too fast for individuals and
businesses, but we want even more of it. There are intense
debates concerning many areas of health care – scientific
issues in medical practice, prescription drugs, and emergency
room use, to name a few – and underlying most of this conflict
is the unusual way we pay for health care in the United States.
Our approach results in our spending much more than other
industrialized countries for, statistically speaking, no better
results.
Richard C. Leone, President
The Century Foundation
9. Healthcare Costs are
“Unsustainable”
The size of the federal budget deficit is
unsustainable.
The annual increase in the Medicare budget is
unsustainable.
The percentage of healthcare spending to GDP is
unsustainable.
State Medicaid programs are unsustainable.
The continued transfer of costs to employers and
consumers is unsustainable.
11. Heathcare Costs by Age
$-
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
0 10 20 30 40 50 60 70 80 90
Age
Annualpercapitahealthcarecosts
UK
Germany
Sweden
US
Spain
U.S. is Spending Much More for Older Ages
Source: Fischbeck, Paul. “US-Europe Comparisons of Health Risk for Specific
Gender-Age Groups,” Carnegie Mellon University; September, 2009.
14. Questions:
• Why does medical care cost so much?
• Why are there so many uninsured Americans & Texans?
• Why are medical premiums going up by 5-7% a year?
• Will we need to ration health care?
• Why can’t we do a better job of preventive medicine?
• Why are there predictions that Medicare will go broke?
17. Q: Is It Really That Bad? A: Yes!
• Total health care costs = ~ 3 Trillion Dollars
• US ranks 17th internationally in health care outcomes
but 1st in cost per citizen
• 38 million uninsured Americans
• 22% of Texans are uninsured - We’re #1
• Looming shortage of primary care physicians
• 6 billion in uncompensated care (Texas Hospitals)
18. Is It Really That Bad (cont’d)
• 78 million baby boomers (1946-1964)
• 65% of Americans are overweight.
• Medicare funding will go negative in the next
decade.
• Health care costs are the 2nd leading cause of
personal bankruptcy.
19.
20. Cost of Health Care Per Individual
1997 2008 2015
$3,700
$7,500
$8,700
21. We Have an Unsustainable Situation
• Americans have an expectation that health care is a right.
• If care isn’t funded then our safety net system picks up
the slack.
• Government funded health care represents more than 50%
of all health care dollars.
• Medicare alone is projected to create a 60 trillion national
debt by 2050.
22. What Drives the Increases in Cost?
• Lifestyle choices - BAD
• Improved technology - GOOD
Imaging
Pharmaceuticals
Implants
• Aging of America - GOOD
Baby boomers
Geriatric population (Men – 77, Women 81)
• Retail features in a third party payer system - BAD
Direct to consumer advertising
• Bureaucracy, paperwork and regulatory complexity – VERY BAD
• Medical liability system – VERY, VERY BAD
• Lagging information technology - BAD
• Payment for piecework BUT not for good outcomes. - BAD
23. ACA (OBAMACARE)
Patient Protection & Affordable Care Act
• Law signed in 2010 – phasing in through 2020
• More than half of the States have sued to declare
portions of the law unconstitutional.
• The House of Delegates voted repeatedly to repeal the
act.
• Senator Orrin Hatch introduced legislation to repeal the
individual and employer mandate in the Senate.
• Judge Roger Vinson (Florida) ruled against the ACA and
added that the lack of a severability clause required him
to declare, “The whole act void”. Reversed by the
Supreme Court.
• King vs. Burwell currently in the Supreme Court.
24. ACA is “Really” Three Bills
(and probably more…)
• Health Insurance Reform
• Extension of coverage to larger percentage of the
U. S. population.
• Creative payment reform and encouragement for
improved quality (pay for value) via Medicare and
Medicaid payment mechanisms.
25. Health Insurance Reform
• Elimination of lifetime limits
• 85% floor on health plan loss ratios
• Extension of family coverage to adult
children
• Elimination of pre-existing condition
coverage exclusions
• Preventive medicine benefit mandates
• Etc.
26. Extension of Coverage To More Citizens
• Expansion of Medicaid
• Individual mandates
• Employer mandates - delayed
• Establish health insurance exchanges
• Sliding scale premium subsidies for individuals
and small businesses.
Estimated: 11 million newly covered Americans
27. Creative Payment Reform
(encouraged by Medicare and Medicaid)
• Accountable Care Organizations (ACO)
• Bundled payments
• “Innovation Center” experiments
• Improve information systems and health care data
gathering/analytics in the health care industry.
• Congress just reinforced these concepts with SGR bill
language this month (April, 2015).
28. Diabetes Management Pilot
Initial program results have been excellent.
If Texas implemented a similar diabetes program with similar outcomes,
Texas Medicaid could save $155 million/year.
75%
33%
Decrease in
Inpatient Care
Decrease in
Emergency Care
$2.85 benefit for every
$1.00 spent
Redefining Value:
Better Outcomes at Lower Cost
29. • 1% of the population accounts for more than 25%
of health costs.
• 10% of the population account for 70% of health
care expenditures.
• 95% of Medicare costs are spent on patients with
two or more chronic illnesses.
• 78% of national health care expenditures can be
attributed to chronic illness. On order of $2
trillion.
Follow the Money
31. Geisinger Health System Medical Home
Preliminary data show a 20% reduction in hospital admissions and a 7%
savings in total medical costs.
Group Health of Pugent Sound Medical Home Pilot
By End of Year Two, total savings $10.30 pmpm
• Outpatient Primary Care up $1.68 pmpm
• Outpatient Specialty Care up $5.78 pmpm
• ER utilization down $4.02 pmpm
• Inpatient utilization down $14.18 pmpm
• Improved HEDIS measures
• Higher patient and provider satisfaction
Medical Home Successes
32. • Improve preventive care & wellness measures.
• Improve management of chronic conditions.
• Provide optimal service & access to ensure patient
satisfaction.
• Reduce cost trend.
• Demonstrate provider commitment as an organized system
of care to be accountable for the individual patient’s welfare
and the health of the entire program population.
Goals of ACOs
33. Whole population,
Well-managed
with chronic conditions
Chronic conditions
needing attention
Catastrophic Cases
Complex Patients
and Frequent
Utilizers
Types of Patients We Expect to See
34. The 4 Patient Groups
• Whole population: preventive screenings.
• Chronic disease: asthma, diabetics, CAD.
• Catastrophic: transplants, cancers, strokes, etc.
• High utilizers: frequent ER visits, seeing multiple
specialists, poly pharmacy, behavioral, financial
and/or social issues, etc.
35. • Increased informatics and prompting at point of
care
• Patient Outreach unit to focus on care gaps for
healthy patients and controlled chronic disease
patients
• Extensivist team for complex, high-utilizing
patients
High Level Strategy
36. Summary
• The cost of medical care in the U.S. is
concentrated in a small subset of the population.
• Data analytics can identify many (not all) of the
population at risk.
• The current FFS reimbursement methodology
does not reward prospective identification of
this population or care coordination.
• Large, integrated delivery systems have the
ability to identify and direct resources to better
manage the high risk population.
• You get what you pay for!
37.
38. The Health Industry Forum
Last month Secretary Sylvia Matthews Burrell announced
that HHS has adopted a goal of shifting half of Medicare
payments from traditional fee-for-service to an alternative
method by 2018. Despite many new Affordable Care Act
initiatives, progress on payment reform around the country
has been spotty. Most of the new payment initiatives
provide financial incentives for quality or reward provider
groups that control total spending below a budget target.
But most of these programs place little financial risk on
providers. It is not known whether these limited financial
incentives are strong enough to drive meaningful delivery
reforms nor is it know whether they will evolve into
stronger arrangements.