Care Transformation Center Blog

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

How the Amazon-PillPak deal will change retail pharmacy

by Lindsay Conway July 17, 2018

Rising drug spending is drawing attention to the pharmacy business and attracting new players to the market. Most recently, Amazon made a splash with its acquisition of mail order pharmacy PillPak.

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Why population health leaders should care about oral health

by Tomi Ogundimu and Clare Wirth July 12, 2018

Provider care teams are becoming increasingly more integrated—engaging nontraditional roles such as behavioral health specialists, pharmacists, and pain management experts to help execute patient care plans. But oral health care professionals largely remain isolated or completely missing from medical care. In fact, even though 96% of health care executives believe the integration of dental benefits in medical plans is imminent, few hospitals and health systems have established relationships with dentists or oral surgeons.

This gap is an untapped opportunity to better manage the total cost of care for population health managers. Here are three reasons why:

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What Humana and Walgreens' new geriatric clinics mean for you

by Anna Yakovenko, Emily Heuser, and Petra Esseling July 10, 2018

Walgreens recently issued a seemingly minor news release: It will add two new Kansas City health clinics to its national retail chain of 400+ "Take Care Clinics" this fall. But these new clinics are significantly different from other retail clinics:

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Here's why your CHF management program isn't sufficient

by Darby Sullivan and Tomi Ogundimu June 28, 2018

Beginning in 2012, the Hospital Readmissions Reduction Program (HRRP) put provider organizations on the hook for 30-day congestive heart failure (CHF) readmissions penalties, launching nationwide efforts to smooth transitions of care. But from before HRRP implementation to today, we've only reduced 30-day heart failure readmissions by less than two percentage points (20.0% to 18.4%). CHF management has turned out to be a lot easier said than done.

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Primary care transformation is hard. New York State wants to make it easier.

by Tomi Ogundimu and Abby Burns June 26, 2018

Providers pursue primary care "transformation" to move primary care delivery away from the traditional fee-for-service model and toward a model that supports value-based, patient-centered care. A common first move for provider organizations is to have their primary care practices recognized as Patient-Centered Medical Homes (PCMH).

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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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