Care Transformation Center Blog

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

Affected by Florence? Here are 4 ways to support chronically ill populations post-disaster.

by Praveena Fernes and Tomi Ogundimu September 20, 2018

In the wake of high-profile hurricanes that have hit the southern United States, population health leaders are increasingly interested in disaster-recovery. Looking back to 2005, when Hurricane Katrina hit New Orleans, 41% to 74% of victims had one or more chronic conditions, and continuity of care for these patients was identified as a major health care provision issue in the storm's aftermath.

Read more »

How to make the most of Medicare's CCM codes: Your top questions, answered

by Tomi Ogundimu and Abby Burns September 18, 2018

Patients with two or more chronic diseases account for 93% of Medicare spending, yet few providers have taken advantage of Medicare's fee-for-service mechanism for managing them: chronic care management (CCM) codes. In the program's first year and a half, only 4.5% of eligible primary care providers billed for CCM services. That means that many organizations continue to perform care management activities without being reimbursed.

Read more »

How States of Jersey uses postal workers to bend their cost curve

by Petra Esseling and Paul Trigonoplos September 11, 2018

This is the fourth 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 the successful partnership between the health system and postal service in States of Jersey, an island off of Great Britain.

Read more »

Here's what non-provider population health donors wish you knew

by Darby Sullivan and Tomi Ogundimu September 6, 2018

It's a difficult reality—much of population health department funding relies on external, private donors. Since the most obvious returns for investing in non-traditional, community-based interventions (e.g., housing) do not impact an organization's bottom line revenue, population health leaders must become savvy in using grants to ensure financial longevity. But for some organizations, creating an external funding strategy is still a guessing game and relies mostly on funding from government and other grants.

Read more »

Genomic medicine marks a new era for health care. Here are the 3 questions pharmacy leaders should ask—and answers they need.

by Gina Lohr and Colleen Keenan August 28, 2018

Health care is moving beyond the standard pill or IV as the primary form of medicine and into a new world of molecular medicine. Gene therapies reprogram patients' biology; nanotechnologies manipulate matter at the molecular and atomic scale; and robotics and artificial intelligence create greater than human capabilities.

Read more »

Here's how 4 organizations are leveraging IT to address social determinants of health

Petra Esseling , Peter Kilbridge August 23, 2018

Editor's Note: This blog is a rebroadcast of Here's how 4 organizations are leveraging IT to address social determinants of health, originally posted by Andrew Rebhan and Peter Kilbridge.

On Tuesday, I shared a table outlining key social determinants of health to prioritize for population health programming. When it comes to program development, knowing where to focus is only half the battle—actually identifying patients in need is the other. IT plays a critical role for providers to manage social determinants of health in their patient populations.

Read more »

The 3 non-clinical investments that deliver the highest 'bang for your buck'

Petra Esseling , Tomi Ogundimu August 21, 2018

Editor's note: This story was updated on August 23, 2018.

There are close to 30 widely accepted social determinants of health, and they are highly intertwined. But provider organizations often lack the time and resources to address them all, so any efforts must be strategically prioritized.

Read more »

Population Health Advisor's responses to the top questions of early summer 2018

by Andrew McGrath and Tomi Ogundimu August 14, 2018

Across the spring and early summer of 2018, our Population Health Advisor experts received and answered more than 240 questions on care delivery transformation. At the top of your peers' minds: How to address chronic diseases and the psychosocial needs that complicate their care.

Read more »