On March 3, 2016 at Highmark Blue Shield there were healthcare executives gathered for the Healthcare Executive Forum of Central PA's quarterly event. The three speakers shared their experiences, which opened doors for discussion and furthering healthcare in our transition of providing quality care. These speakers included: The speakers were: Moderator: Terry Madonna, Director of the Center for Politics and Public Affairs, Franklin and Marshall College; Speakers: John Holmes, VP, Finance-Population Health and Payor Contracting, Wellspan Health; David Vasillaros, Esq., The Benecon Group; Diane Hess, CLU CEBS, Interim Executive Director, Lancaster County Business Group on Health. This American College of Healthcare Executive's event was worth 1.5 face to face credits. Visit our website for full biographies and more at www.centralpa.ache.org.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
Supporting Individuals with Intellectual and Developmental Disability During the First 100 Days of the COVID-19 Outbreak in the U.S.
BrightSpring Health Services Chief Medical Officer Dr. William Mills presents on BrightSpring's ongoing response to COVID-19 and how the organization is mitigating risks for our patients, clients, and team members.
Our aim is to provide a sustainable health and wellbeing programme for your company.
Which is inclusive for all employees and embraces the most up-to-date technology and best practice.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
Supporting Individuals with Intellectual and Developmental Disability During the First 100 Days of the COVID-19 Outbreak in the U.S.
BrightSpring Health Services Chief Medical Officer Dr. William Mills presents on BrightSpring's ongoing response to COVID-19 and how the organization is mitigating risks for our patients, clients, and team members.
Our aim is to provide a sustainable health and wellbeing programme for your company.
Which is inclusive for all employees and embraces the most up-to-date technology and best practice.
Explains business of medioctor and it's mission and vission, integrating technologies like medical technology, health technology and information technology. For more information visit: http://www.transformhealth-it.org
Savvy employers are now realising that the health of their workforce directly impacts on the health of their business and by promoting good health for their staff, everyone reaps the benefits. This new health partnership between The Insurance Partnership Health Solutions and Warners Health brings together a wealth of experience and an assurance to respond to your requirements in a flexible and cost effective way.
Describes about how tele-health and care management helps in saving time, value to the users like better monitoring, personalized care plans. For more information visit: http://www.transformhealth-it.org/
Compares about health care business to other business and explains how to creat health communities and steps to acquire mental health. For more information visit: http://www.transformhealth-it.org
Prophet worked extensively with the marketing and executive leadership teams at IU Health to develop and implement a new, system-wide brand and customer experience strategy to help achieve this vision. Leveraging extensive qualitative and quantitative research across different stakeholders as the foundation, we developed a comprehensive brand strategy for the health system that involved: A new positioning that highlighted the breadth and depth of the entire system, changing the name from Clarian to Indiana University Health, developing a compelling and consistently deliverable patient experience across the system, and developing the key elements that would bring the new brand to life and deliver the desired patient experience.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
David Craig: Winning DPC Employer Contracts with Better Medical CommunicationHint
David Craig, Medical Director for Spruce, will discuss the impact of modern communication channels on clinical outcomes, and explore how Direct Care practices can harness these technologies to grow their business.
Think Your Patients Are Loyal? Think Again. It Takes Work!Renown Health
Accenture provides latest insights on patient loyalty. Suzanne Hendery from Baystate Health shares successful best practices on consistently engaging seniors and women to drive loyalty.
Top 10 pioneering leaders redefining healthcare 2021(8) compressedinsightssuccess2
The recognition of the healthcare system as an engine for innovation has grown, and awareness of the need for scientific innovations has never been greater, especially in our ongoing battle with some of the most evasive illnesses in the world
Build Physician Relationships that Drive Business Results; Part 2Renown Health
Baystate Health has established a comprehensive, data-driven approach to cultivate new physician referrals, retain current business and earn trust. In this presentation, learn how market intelligence, business analytics and customer engagement are used to focus physician outreach efforts and drive bottom line results.
Explains business of medioctor and it's mission and vission, integrating technologies like medical technology, health technology and information technology. For more information visit: http://www.transformhealth-it.org
Savvy employers are now realising that the health of their workforce directly impacts on the health of their business and by promoting good health for their staff, everyone reaps the benefits. This new health partnership between The Insurance Partnership Health Solutions and Warners Health brings together a wealth of experience and an assurance to respond to your requirements in a flexible and cost effective way.
Describes about how tele-health and care management helps in saving time, value to the users like better monitoring, personalized care plans. For more information visit: http://www.transformhealth-it.org/
Compares about health care business to other business and explains how to creat health communities and steps to acquire mental health. For more information visit: http://www.transformhealth-it.org
Prophet worked extensively with the marketing and executive leadership teams at IU Health to develop and implement a new, system-wide brand and customer experience strategy to help achieve this vision. Leveraging extensive qualitative and quantitative research across different stakeholders as the foundation, we developed a comprehensive brand strategy for the health system that involved: A new positioning that highlighted the breadth and depth of the entire system, changing the name from Clarian to Indiana University Health, developing a compelling and consistently deliverable patient experience across the system, and developing the key elements that would bring the new brand to life and deliver the desired patient experience.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
David Craig: Winning DPC Employer Contracts with Better Medical CommunicationHint
David Craig, Medical Director for Spruce, will discuss the impact of modern communication channels on clinical outcomes, and explore how Direct Care practices can harness these technologies to grow their business.
Think Your Patients Are Loyal? Think Again. It Takes Work!Renown Health
Accenture provides latest insights on patient loyalty. Suzanne Hendery from Baystate Health shares successful best practices on consistently engaging seniors and women to drive loyalty.
Top 10 pioneering leaders redefining healthcare 2021(8) compressedinsightssuccess2
The recognition of the healthcare system as an engine for innovation has grown, and awareness of the need for scientific innovations has never been greater, especially in our ongoing battle with some of the most evasive illnesses in the world
Build Physician Relationships that Drive Business Results; Part 2Renown Health
Baystate Health has established a comprehensive, data-driven approach to cultivate new physician referrals, retain current business and earn trust. In this presentation, learn how market intelligence, business analytics and customer engagement are used to focus physician outreach efforts and drive bottom line results.
Nella bellissima cornice dell’Eremo San Giorgio a Bardolino, saremo guidati, attraverso la meditazione della Sacra Scrittura, a riflettere sul rapporto tra una fede che si attua nell’amore e il perdono come strumento di riconciliazione profonda e sincera delle ferite nostre e altrui.
Employee Engagement: Your Tool for Tackling Heath Care CostsDigital Measures
Everyone is concerned about increasing health care costs. This interactive session will review the various triggers that drive health care and insurance costs and cover the major communication and engagement strategies that companies use to reduce their trend. Case studies to be discussed include wellness, employee engagement and communication, benefit plan design and consumerism. Successful benefit incentive programs that support communication programs and have a quantifiable return on investment will also be discussed.
VBP, Delivery System Reform, and Health and Social ServicesAndré Thompson, MPA
How are the services and supports you provide related to health, how valuable are your services and interventions for maintaining health, how would your services change if you were getting paid based on value rather than fee-for-service?
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
Breaking Down Benefits: How to Leverage Data to Better Your Employees' Health...Aggregage
We need to shift away from the focus on purchasing healthcare and instead, focus on how we can create health for our employees. By incorporating dashboards in our benefits selection process, we can watch for trends in benefits and leverage that data to lower costs, retain employees, and attract new talent. Join Darrell Moon, CEO of Orriant, to learn if your benefits selection is meeting your employees' needs.
Guidelines and a case study on how marketing and communications can lead innovative business strategy that’s customer based by creating and fostering a test environment, using feedback loops for listening to feedback and driving success, and iterating and scaling in the short and long term
The changing healthcare landscape - What it means for providersWVUSA
The healthcare landscape is in great flux with unprecedented forces in consumer demands, regulatory impact, economic strain, and provider uncertainty. Add to this the PPACA law and we have the making of a new landscape, new delivery models, and possibly - optimistically - better health and health care for Americans.
THe Employee Well-Being Bootcamp for HR, Benefits and Wellness ProfessionalsWorldCongress
The conversation on employee wellness begins with the fundamentals. Through employer case studies and presentations by forward-thinking employers and industry thought leaders, this meeting delivers a fresh look at the evolution of wellness, innovative initiatives, and building programs founded on reconciling business goals with employee health accountability. Whether you are considering or are in the early stages of crafting the business plan for your employee well-being program, seeking training for new team members, or looking for a refresher, this meeting is ideal for your organization.
http://bit.ly/1p6GO2H
Presentation at national SHSMD Conference in Chicago, 2010. Jeff Segall and Marcus Gordon discuss the roles on their organizations in marketing to consumers versus physicians with examples of integrated marketing campaigns.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
1. David Vassilaros
Sr. Vice President, Operations
Benecon
Population Health
Management
The employer & broker perspective
2. population health management
2
noun; “the art and practice of getting
people to do stuff they probably don’t
really want to do because you know
stuff about their health they don’t think
you know or even know themselves”
Employer definition
4. 4
15%
85%
Small
employers
(<200)
Self-‐funded
Fully-‐insured
Employers who care the most
91%
9%
Large
employers
(5,000+)
Self-‐funded
Fully-‐insured
60%
40%
All
U.S.
employers
Self-‐funded
Fully-‐insured
5. 5
Hi, my name is Data. Big Health Data.
So a guy walks into a bar…
That’s ok, I already know who you are. And why
you went to the doctor last week.
Hi
I’m…
6. 6
Data is the new “black”
What they’re actually gettingWhat employers think they’re getting
8. 8
The 9.6% question
How much are employers willing
to invest to turn their data into
healthy employees, and
ultimately health cost savings?
9. Employers & brokers must answer these questions:
1. Do they really want to do something?
2. Are they willing to use their influence to leverage
change?
3. Do they understand data isn’t perfect?
4. What are they willing to invest?
9
11. take control of claim costs
Maximize value
11
data
repor?ng
analysis
interven?on
analysis
interven?on
repor?ng
take
control
12. howitworksBenefit informatics
value
to
you
no
addiAonal
cost
carriers
share
claim
data
with
BI
Benecon
access
via
secure
web
Benecon
runs
reports,
analysis
can’t
fix
what
isn’t
measured
focus
on
your
actual
claim
trends
savings
&
control
12
13. Unleash the power
13
data
reporAng
1
data
analysis
2
real
intervenAon
3
savings & control
14. 14
Nurse
NavigaAon
Tailored
Support
Healthy
Goals
Culture
of
Health
ConsultaAon
on
creaAng
own
healthy
culture
Research
Support
PaAent
advocacy
Set
and
achieve
healthy
goals
Diet,
exercise,
stress
relief,
sleep
&
more
CerAfied
health
coach
&
experienced
RN
Webinars
Lunch
&
Learns
WriVen
materials
15. Listening to Employers: How
health systems can support pop
health management
Health
System
PerspecAve
John
Holmes
VP
Finance,
Pop
Health
&
Payor
ContracAng
WellSpan
Health
17. SO WHAT CAN EMPLOYERS DO
ABOUT IT?
• There
are
several
conflicts
that
need
to
be
resolved/
managed:
-‐
healthcare
exp
growth
>
revenue
growth
-‐
engaging
employees
in
their
own
health
w/out
being
big
brother
-‐
finding
a
health
partner
who
can
help
you
vs
just
milk
you
• What
role
do
health
systems
have
in
all
this?
18. HEALTH SYSTEMS & POP HEALTH
• TradiAonal
health
care
vs.
pop
health
–
electrician
example
• Health
systems
learning
how
to
get
paid
for
value
&
keeping
folks
healthy
-‐
complete
retooling
necessary
• Having
skin
in
the
game
-‐
financial
risk
(follow
the
money)
• Intended
result
-‐
consistent
alignment
of
objecAves
w/
employers
19. ENGAGING YOUR HEALTH SYSTEM
• Need
to
define/explain
our
pop
health
journey
&
how
it
impacts
community
• What
are
we
doing
to
accomplish
the
Triple
Aim:
-‐
Improving
paAent
experience
-‐
Improving
employee
health
-‐
Reducing
cost
of
health
care
• What
insurers
are
we
partnering
with?
• Engaging
employers
to
reduce
their
healthcare
costs
20. POP HEALTH ISSUE: ACCESS
• Provider
access
&
pop
health
are
a
conundrum
-‐
Employees
want
complete
provider
access
-‐
Employers
want
to
control
costs
(unAl
they
are
the
employee!)
-‐
Health
systems
need
to
manage
care
within
their
span
of
control
• Suggested
soluAon:
employee
choice
w/product
offerings/benefit
design
-‐
IncenAves
for
narrow
network
(with
access)
-‐
Unlimited
access
will
cost
employees
more
21. POP HEALTH ISSUE: COST
• Narrow
network
trade-‐off
s/b
lower
employer/employee
cost
(codeword:
bigger
discounts
vs.
tradiAonal
network)
• Status
of
our
system’s
clinical
transformaAon
–
where
are
we
with
retooling?
How
does
this
help
keep
healthcare
costs
down?
• What
is
being
done
to
promote
price
transparency
(ease)
to
protect
health
systems
from
niche
retail
providers?
• How
are
our
providers
incented
to
work
(volume
or
value)?
Is
there
(their)
skin
in
the
game
financially?
22. Clinical TransformaCon
LIFT-‐PCMH
(by
prac?ce)
Quality
Improvement
Teams
Care
CoordinaAon
Teams
PracAce
Specific
ReporAng
Case
Management
(care
of
the
individual)
Rising
risk
and
high
uAlizer
populaAons
U?liza?on
Management
(op?mal
use
of
services)
System
UM
CommiVees:
Pharmacy
Laboratory
Imaging
Procedural
emerging
technology
Hospital
UR
Disease
Management
(focusing
on
the
care
con?nuum)
Service
Line
Projects
23. POP HEALTH ISSUE: QUALITY
• Need
to
define
what
consAtutes
quality
in
your
health
system
–
you
can’t
do
it
all
• Avoid
cycling
thru
quality
measures
as
flavors
of
the
month
–
sAck
with
them
• Look
to
be
as
consistent
in
your
P4V
opportuniAes
as
much
as
possible
• Make
quality
a
gateway
to
financial
reward
vs.
an
amerthought
28. Listening to Employers: How Health Systems Can Support
Population Health Management
Employer Coalition Perspective
Diane N. Hess, CLU CEBS
Interim Executive Director
29. Business Group on Health
Vision – To provide a forum and a voice for the
business community on healthcare through
collaboration among stakeholders
Mission – To promote continuous improvement in
the quality and cost of healthcare for our
member companies, their employees and
dependents
31. What we know about healthcare
cost drivers
— Statistically 80% of claims come from less than
20% of covered population
— Who is in the 20% can change from year to year
— A large portion of healthcare costs could be
avoided
— It is difficult to get people’s attention until they
need care and then it may be too late!
— Managing health is a long term process
32. BGH members and healthcare
— Costs have continued to escalate and in our market now
exceed the national average
— Employers continue to look for tools to help mitigate
cost increases
— Many are using wellness programs to engage employees
and covered dependents in the efforts to stem the tide
of ever-increasing costs
— Obesity/Diabetes is a major driver of costs in our
market
— Plan designs and procedures have become increasing
complicated
35. How does ‘population health’ fit
into the conversation?
1. What are we trying to manage - health or sick care?
2. How do we get employees engaged in the process?
3. Since population health management is a long term
strategy, how do we get short-term buy-in from the
C-Suite?
4. How do all the new delivery models impact
employee behavior and the overall health of the
population?
36. The challenge - the new ‘divide’
Before ACA, coverage is all we talked about -
Insured Uninsured
37. The challenge - the new ‘divide’
After ACA?
Gov’t mandated, fully insured plans
controlled by few carriers /
providers
Value-designed, self-funded plans
using open markets, innovative
providers, products and services
Small Group / Individual
Large Group
38. What the market looks like
Carrier Provider
Provider
Gov’t
Carrier
Gov’t
Before ACA After ACA
$
$
39. Current Outcomes
(Industry sectors will dominate)
— Market consolidation of both carriers and health
systems: (less choice)
— Economies of scale
— Market power and influence (narrow networks)
— Protect current industry players
— Providers absorb more financial ‘risk’
— More Gov’t regulation / refinements
— Wellness regulation: EEOC, ACA, ADA
— Compliance requirements / reporting
— Medicare/Medicaid payment changes
40. Where we need to go
“Free markets will always undermine central planning.”
Alan Greenspan, former Federal Reserve Chairman
Disintermediation: disˌin(t)ərmēdēˈāSH(ə)n/
— reduction in the use of intermediaries between
producers and consumers
— The opportunity to deliver a product or service to a
consumer with a higher perceived value than the
incumbent by changing the delivery method
41. Resulting Outcomes
(The market will dominate)
— Personalized technology (me-centered)
— Crowd sourcing
— Retail health / specialty niche players
— Smaller, patient-centered facilities with lower overhead
— Use of lower priced labor (PA’s, certified nurse practitioners)
— Concierge services (peer-to-peer)
— Alternative convalescent care (home, rehab, self-monitoring)
— Data & price transparency
42. BGH Initiatives
— ACTRx Diabetes Management Program
— CoActive
— Wellness education
— Data Initiative