Care Transformation Center Blog

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

2 big new ways to fund your population health investments

by Darby Sullivan and Tomi Ogundimu March 21, 2019

We've reported widely on the creative ways provider organizations have been addressing social determinants of health. After our countless conversations with leaders in the field, we know there's no limit to ideas of how to address psychosocial needs. However, the health care industry isn't designed to make it easy or financially viable for organizations to make serious investments in this space.

Read more »

Massachusetts General's 3-step approach that cut readmission risk for substance use disorders by 25%

by Clare Wirth and Tomi Ogundimu March 14, 2019

Of the 20 million Americans with a substance use disorder (SUD), only about 2.1 million suffer from opioid use disorder (OUD) specifically. In contrast, nearly 15 million have alcohol use disorder, which kills around 16,000 more people each year than opioids and is at least three times more expensive to treat. These statistics do not argue that providers should stop focusing on opioids. However, with only 12% of patients with a SUD receiving treatment, providers need a comprehensive strategy to increase access to a broader suite of services.

Read more »

Q&A: Patients want convenience. Here's how you can deliver—before the competition does.

by Clare Wirth and Hamza Hasan March 5, 2019

Half of patients say convenience and access to care are the most important factors influencing their decision-making—and investors are looking to capitalize on this demand for convenience. Last year, venture capital investors poured $1.4 billion into on-demand health care services, including telemedicine companies (e.g., Doctor on Demand) and patient-centered drug delivery (e.g., Nurx and Hims).

Read more »

New research confirms seniors have unique needs. Specializing their emergency care may be the answer.

by Clare Wirth and Tomi Ogundimu February 28, 2019

New research published in Annals of Emergency Medicine evaluated ED utilization patterns and clinical needs among geriatric patients in California. Their findings show that patients over the age of 65 who frequently use the ED:

Read more »

Overcome these 5 barriers to a successful community health worker program

by Darby Sullivan and Tomi Ogundimu February 25, 2019

Community health workers (CHWs) are not a new role in health care. However, in the last several months, we've received more questions about how to start CHW programs than ever since launching this blog. Whether it's because of Medicaid expansion taking hold across the country or an increasing awareness of social determinants' impact on outcomes, provider organizations are getting serious about addressing complex patients' holistic needs in a sustainable way. CHWs, the non-clinical staff type specializing in community knowledge and patient trust, have potential to meet this need—and generate a positive ROI.

Read more »

HHS' new payment model recognizes the value of community paramedicine. Here's what it means for population health providers.

by Clare Wirth and Tomi Ogundimu February 21, 2019

Last week, HHS' Center for Medicare and Medicaid Innovation announced the launch of a new voluntary payment model for emergency ambulance services (EMS), called the Emergency Triage, Treat, and Transport (ET3) model. ET3 will allow Medicare to reimburse first responders for care delivered on-site or via telemedicine, even if patients are not taken to a hospital.

Read more »

Three strategies that reduce infant mortality—and one that doesn't

by Tomi Ogundimu and Abby Burns February 14, 2019

We talk a lot about managing high-risk Medicare patients. Or addressing social determinants of health for Medicaid patients. But what about patients just beginning their lives? In the United States, there are 5.9 infant deaths per 1,000 births—and most of the major contributing factors present clear opportunities for population health intervention: preterm birth and low birth weight, sudden infant death syndrome (SIDS), maternal pregnancy conditions, and injuries.

Read more »

Your burning population health questions at the tail end of 2018

by Andrew McGrath, Darby Sullivan, and Tomi Ogundimu February 7, 2019

Throughout 2018, we unveiled the most pressing population health questions across our membership. Some topics signified interest in newer trends, such as addressing the social determinants of health or reducing behavioral health care stigma. However, we're still getting questions about foundational topics in care management and population health. Here are a couple of responses we shared with your peers on optimizing care transitions and annual well visits.

Read more »