Care Transformation Center Blog
The insights, tools, and resources you need to take on population health management
by Darby Sullivan, Praveena Fernes, and Tomi Ogundimu June 11, 2019
Many provider organizations tell us about how they're addressing social determinants of health to reduce total cost of care, improve patient outcomes, and advance health equity. However, few of those we talk to understand the extent of the impact trauma has on many medically and socially complex patients. Here's what you need to know.
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by Tomi Ogundimu and Abby Burns June 5, 2019
This spring, CMS thrust primary care into the spotlight. The same day CMS announced its new Primary Cares Initiative, a third-party research institution it hired to evaluate the Comprehensive Primary Care Plus (CPC+) initiative released its First Annual Report of the ongoing primary care transformation program. Before we start drawing comparisons between the two programs, here are four things we learned from the first year of CPC+:
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by Helen Wieffering, Praveena Fernes and Tomi Ogundimu May 30, 2019
Provider organizations must bring the same strategic rigor to community health investments as they do to traditional hospital programming. Otherwise, efforts stand to lose leadership buy-in, funding, and momentum before they get off the ground. To make the most of limited resources, provider organizations must take a data-driven approach to identifying target patient populations and community health gaps.
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by Tomi Ogundimu and Clare Wirth May 28, 2019
Editor's note: A version of this post previously ran in the Daily Briefing.
Systems view Hospital at Home (HaH) with renewed enthusiasm. These programs can improve patient satisfaction and total cost of care. CMS may approve HaH as an alternative payment model under MACRA, making it more financially feasible.
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by Abby Burns and Tomi Ogundimu May 22, 2019
Editor's note: This story was updated on May 28, 2019.
The health effects of being overweight or obese have been well studied, but adults in the United States currently weigh more than they have at any point since 1999. However, while providers often seek out methods to help patients address their underlying weight issues in order to treat their presenting conditions, few providers actually offer their patients distinct weight management services. Faced with an endless list of competing priorities and a market saturated with commercial weight-loss programs, providers may be tempted to outsource this service to the Jenny Craigs or Atkins Incs of the world.
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by Hamza Hasan and Clare Wirth May 8, 2019
Editor's note: A version of this post previously ran on Practice Notes.
According to the CDC's latest data release, ED visits hit a record high in 2016. Patients covered by Medicaid and other state-based programs make up 38% of the 146 million visits across the United States—the highest of any payer type.
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by Emily Johnson, Samara Ford, and Abby Burns May 2, 2019
Editor's note: This story was first published on The Growth Channel and has been modified for a care transformation audience.
Maternal mortality rates in the United States continue to rise, even as they decline in other developed nations. Equally alarming are the high rates of pre-term birth and low birth weight infants.
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by Clare Wirth and Tomi Ogundimu April 30, 2019
Earlier this month, Center for Medicare and Medicaid Innovation's (CMMI) top deputy Adam Boehler announced he may be looking to a bundled payment model for post-acute care (PAC) to save money and improve care. While actual implementation is far from imminent, CMMI's interest in PAC bundles underscores the opportunity to better manage populations with enhanced acute care-PAC partnerships.
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