Care Transformation Center Blog

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

Show care management value in a few key metrics

Christina Wild July 21, 2016

In part 1 of this series, we explained why physicians need a better understanding of the responsibilities of care managers, and showed you how to design an effective care management onboarding process for primary care clinics. But demonstrating care management value goes beyond onboarding. Care management programs can turn to data analysis and case review to both quantify and clarify their value.

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The first step toward engaging PCPs in care management

Christina Wild July 14, 2016

Not all primary care physicians understand the responsibilities of care managers, the services they provide patients, or the benefits they bring to a primary care office.

In order to maximize the value of care management in your primary care practice and achieve system-wide quality standards, care management leaders should first aim to implement a standardized, system-wide education program. This education program should be geared toward familiarizing primary care physicians and staff with care management services and establish care managers as key members of the practice's team.

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Just the FAQs: Biosimilars

by Samm Freedman July 13, 2016

The biosimilar market has just started to take shape in the United States, but according to Express Scripts, biosimilars could reduce drug spend by up to $250 billion over the next decade. However, there remain significant obstacles to FDA approval and widespread use in clinical practice.

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4 tactics for reducing readmissions and health disparities

Catherine Castillo , Rebecca Tyrrell July 6, 2016

CMS recently released a guide to reducing readmissions in racially and ethnically diverse populations. The guide contains many tactics commonly seen in readmissions reduction programs across the country, such as early discharge planning, patient education, depression screening, care transitions support, and timely PCP follow up.

While these strategies work and target risk factors that can disproportionately affect minorities—lack of care continuity, health literacy, mental health comorbidities, and more—these tactics alone are not enough. Here are four ways providers can adapt their approach to meet the unique needs of diverse populations.

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Philanthropy: Your untapped resource for financing population health

Nicholas Cericola June 27, 2016

Philanthropy is often used to support service line priorities and capital construction needs, but more and more provider organizations are using it to advance their population health strategy. From funding nurse navigator programs to building medical homes, fundraising revenue is being applied in varied and creative ways, and leading philanthropists increasingly look to inflect transformational change. Some institutions are even bundling their new care transformation priorities together and launching multi-million dollar fundraising campaigns.

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How pharmacy is blazing the trail for precision medicine

by Samm Freedman June 23, 2016

As we develop a better understanding of the genetic and molecular factors underpinning disease, pharmacogenomics can improve patient outcomes by reducing the use of ineffective medications and enhancing treatment response.

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Take a two-step approach to reducing health disparities

by Matt Gayer June 21, 2016

Cultural competency—the ability to work effectively in cross-cultural situations—isn't a new concept in health care; in fact, it's been widely discussed for more than a decade. However, many health care organizations are still determining how to ensure culturally competent care.

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How do you stack up on population health readiness?

Dennis Weaver, MD, MBA June 2, 2016

Many ACO and network leaders have made investments galore in population health management, yet struggle to articulate their progress. They wrestle with questions like how the mix of investments matches up to their risk profile, if their strategy is right for the market, what the ROI is across efforts, or how their overall approach compares to similar organizations.

But while there's no such thing as a linear path to value-based care success, there are iterative milestones that allow organizations to plot themselves along a spectrum.

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