Care Transformation Center Blog

The insights, tools, and resources you need to take on population health management

The Esther Model: How one patient redefined an entire system vision in Sweden

by Petra Esseling, Ashley Ford, and Paul Trigonoplos June 21, 2018

This is the third blog in a series about care transformation around the globe, where we look at successful population health managers outside the United States. In this post, we highlight how a Swedish regional authority culturally aligned providers around care transformation.

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How pharmacists saved Kaweah Delta almost $2M in one year

by Rebecca Tyrrell and Colleen Keenan June 19, 2018

U.S. medical schools have historically provided minimal training in pain management—despite the fact that more than 100 million American adults suffer from chronic pain. According to one study, 80% of U.S. medical schools had no formal pain education in 2011, and only 16% offered elective pain management courses. As a result, many clinicians are likely underprepared to appropriately manage and treat complex pain.

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Medicaid work requirements are becoming law—here's how providers can help maximize coverage for at-risk populations

by Darby Sullivan and Tomi Ogundimu June 14, 2018

Last week, Virginia became the 33rd state to expand Medicaid under the Affordable Care Act, covering an additional 400,000 low-income residents. Expansion didn't come easy: After five years of effort, lawmakers were only able to pass the bill with a work requirement provision, making Virginia one of five states—joining Arkansas, Indiana, Kentucky, and Michigan—to add controversial work requirements to the entitlement. Introducing these provisions can negatively impact around 1.7 million beneficiaries, including those currently working blue-collar jobs.

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Get at the root cause of your primary care access problem. It may not be what you think.

by Clare Wirth, Tomi Ogundimu, Darby Sullivan June 12, 2018

One of the core strategies of driving ROI in risk-based contracts includes reducing unnecessary utilization by trading high-cost care for lower-cost services. For this shift to occur, patients must have access to a consistent source of care—but data show that many vulnerable populations do not. With 25% of low-income patients missing or rescheduling appointments, providers need to have a clear sense of the root cause of primary care underutilization. In our research, we found three reasons why inactivated patients may not make it to their appointments: 

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5 steps to rein in unwarranted opioid prescribing

by Rebecca Tyrrell and Colleen Keenan June 7, 2018

Although recent evidence suggests that opioid prescribing volumes are on the decline, experts agree that nationally we are still vastly overprescribing and suffering the consequences. Every day, nearly 115 Americans die from an opioid overdose.

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Don't miss these 5 opportunities to reduce readmissions

Rebecca Tyrrell June 5, 2018

For years, experts have cited poor care transitions as a major contributor to waste and less-than-optimal clinical outcomes. So while efforts to improve the post-discharge process and prevent readmissions aren't new, the urgency to improve is growing, given increased regulatory scrutiny, financial penalties, and enhanced data transparency and accountability measures.

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Think again about where to find value in your value-based care assets

by Laurie Sprung and BJ Millar May 31, 2018

Across the past several years, health systems have invested in early-stage value-based care capabilities. Across the country, organizations have committed substantial time and resources to assemble and deploy value-based care assets, typically with the aim of gaining market share through risk contracts and improving outcomes through aligned incentives.

But many organizations have seen little material benefit to date. Market share gains have been underwhelming, and securing enough lives at risk to meaningfully change outcomes still seems like a distant goal for many.

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Don't overthink your specialty pharmacy strategy. Get 2 keys to incremental success.

by Anjana Sreedhar and Gina Lohr May 29, 2018

A recent report calculated that specialty pharmaceuticals are a $180 billion national market with more than 10% annual growth. Many health systems are investing in their own specialty pharmacy capabilities to better coordinate patient care, manage drug costs, and generate revenue for the system. In fact, provider-owned specialty pharmacies are the fastest-growing category of accredited specialty pharmacy locations.

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