value-based care

Industry Leaders In Specialized Care for Older Adults

Leslie Pelton, senior director of innovation, Institute for Health Improvement (IHI)

Health care spending for older adults is disproportionately higher than for other age groups. According to 2016 research from the Kaiser Family Foundation, the 65 and older group — 16 percent of the population — consumes 36 percent of health spending. The cost of care for older adults is higher, but reimbursements are lower. “It Read More

Is Your Health System Age-Friendly? Join the Movement

Lil Banchero, MSN, RN, senior director, Anne Arundel Medical Center’s Institute on Healthy Aging

// By Jane Weber Brubaker // Health care spending for older adults is disproportionately higher than for other age groups. According to 2016 research from the Kaiser Family Foundation, the 65 and older group — 16 percent of the population — consumes 36 percent of health spending. The cost of care for older adults is Read More

Why Health Systems Must Tackle Behavioral Health

With the shift toward value-based care and the assumption of risk, many health care organizations are beginning to understand that they must address behavioral health in conjunction with physical care for patients. In our new story, Howard Gershon, a founding principal of New Heights Group, discusses the business case. Here’s an excerpt. Behavioral health issues Read More

Laying the Groundwork for Value-Based Care

Andy Grimm, CEO of Northeast Missouri Health Council

One of the keys to success in preparation for value-based health reimbursement models is the use of technology to identify opportunities to close gaps in service, improve cost-effectiveness of treatments, improve outcomes, and enhance preventive care services. In Missouri, three Federally Qualified Health Centers serving more than 53 counties and 107,000 patients in mostly rural Read More

The Business Case for Behavioral Health

// By Howard Gershon, LFACHE // With the shift toward value-based care and the assumption of risk, many health care organizations are beginning to understand that they must address behavioral health in conjunction with physical care for patients. Behavioral health issues are in the news every day, whether it’s a national sports figure who has Read More

View From the C-Suite: Andy Grimm, CEO of Northeast Missouri Health Council

Sheryl S. Jackson

// By Sheryl S. Jackson // A newly formed alliance of three Federally Qualified Health Centers provides an example of how shared expertise and pooled resources are laying the groundwork for value-based care, with the ultimate goal of driving better outcomes and lower costs in Medicaid managed care contracts. One of the keys to success Read More

Value-Based Care: A Win-Win Integrated Approach

Jordan Pisarcik is vice president of growth and customer engagement at DocASAP

“Value-based care models are on the rise, and health care providers and payers are increasingly aligning to control costs while providing quality care,” says Jordan Pisarcik, vice president of growth and customer engagement at DocASAP. Here’s an excerpt from Pisarcik’s new article: According to a recent report by Humana, value-based care initiatives are proving to Read More

Looking at Population Health Through a Marketing Lens

Susan Dubuque, principal at NDP Agency

“Population health is a hot topic in our industry,” says Susan Dubuque of ndp. “But let’s be honest. As health care marketing professionals, we may have a difficult time getting our heads around this complex, multifaceted concept. There is lack of clarity about even the most basic issues like: What is population health? Who is Read More

Health Care Organizations Succeeding with Medicare Advantage Plans

John Lovelace, president of government programs at UPMC Health Plan

Hospital and physician-owned Medicare Advantage (MA) plans have seen double-digit growth since 2015. Axios, which tracks membership data from the Center for Medicare and Medicaid (CMS), reports that the largest organization in this category, Kaiser Permanente, grew 23 percent from 2015 to 2018, to almost 1.6 million members. The other 40 or so hospital- and Read More

Is a Hospital-Sponsored Medicare Advantage Plan Right for Your Organization?

Wendy Stark Healy

// By Wendy Stark Healy // Medicare Advantage Plans have become a popular choice among Medicare recipients, and health systems are staking their claim to the market. Some health systems have had insurance arms for years, and others are just launching their plans. Done correctly, hospital-sponsored Medicare Advantage plans offer an attractive opportunity for health Read More

New Research: Exploring the State of Population Health

Susan Dubuque, principal at NDP Agency

Marketers envision playing a leading role in population health activities. // By Susan Dubuque // Population health is a hot topic in our industry. But let’s be honest. As health care marketing professionals, we may have a difficult time getting our heads around this complex, multifaceted concept. There is lack of clarity about even the Read More

View from the C-Suite with Dr. Tony Slonim, CEO of Renown Health

A vision for population health through community partnerships and innovation // By Jane Weber Brubaker // Under Dr. Tony Slonim’s leadership, Renown Health has forged strong connections with the community, acting as a catalyst for change. “If you want to improve the health of your community, engage the people who are most likely to be Read More

Book Takes a Positive View of Health Care Achievements

Michael J. Dowling, president and CEO of Northwell Health

There are many reasons to write a book, but Michael J. Dowling, president and CEO of Northwell Health, identifies the need for an objective look at health care that takes positive achievements into account as well as challenges as his reason for co-authoring Health Care Reboot: Megatrends Energizing American Medicine. “I was growing increasingly frustrated Read More

Technology, Community are Keys to Solving Opioid Epidemic

“There are about 2.5 million people addicted to opioids, but only 10 to 20 percent of them get help,” says Andrey Ostrovsky, MD, chief medical officer at Solera Health (and former CMO of Medicaid). Solera Health is an “integrated health network” that “connects patients, providers, and physicians to a network of partners who are preventing Read More

5 Key Dynamics for Health Care Marketers in 2019

Linda MacCracken, senior principal at Accenture

“In my ongoing conversations with industry leaders about what’s shifting in health care, five factors rose to the top of the list for 2019, as marketing moves to new dimensions, and closer to health system collaborative scaling of smart pilots.” In our new article, Linda MacCracken, senior principal, customer engagement at Accenture Health, and Strategic Read More

Health Care Value: Moving Toward Affordable, Sustainable Care Delivery Models

Jane Weber Brubaker

We recently sat down with Priya Bathija, vice president of AHA’s Value Initiative, and Brian Griffin, SHSMD’s senior editorial specialist, to learn about the program, its scope, and its goals. Launched in December 2017, the Value Initiative’s mission is to be a change agent and provide thought leadership to the hospital industry as it moves Read More

Position Your Health System for Success in 2019

Linda MacCracken, senior principal at Accenture

Five Key Market Dynamics for Marketers to Manage  // By Linda MacCracken // “In my ongoing conversations with industry leaders about what’s shifting in health care, five factors rose to the top of the list for 2019, as marketing moves to new dimensions, and closer to health system collaborative scaling of smart pilots.” In this Read More

AHA’s Value Initiative: Convener and Catalyst for Change

Jane Weber Brubaker

// By Jane Weber Brubaker // At the 2018 SHSMD conference in Seattle, we sat down with Priya Bathija, vice president of AHA’s Value Initiative, and Brian Griffin, SHSMD’s senior editorial specialist, to learn about the program, its scope, and its goals. Launched in December 2017, the Value Initiative’s mission is to be a change Read More

Length of Stay: An Increasingly Obsolete Metric?

Jessica Farrar, director of strategic planning and decision support, Anne Arundel Medical Center

Length of stay (LOS) is the duration of an inpatient episode of care, calculated from day of admission to day of discharge, and based on the number of nights spent in hospital. By tracking LOS, hospitals seek to improve processes and prevent errors, which ultimately lowers costs. But for Anne Arundel Medical Center, a 350-bed Read More

Is Length of Stay Still a Valid Measure in a Value-Based World?

Althea Fung

// By Althea Fung // At the 2018 SHSMD Connections conference in Seattle, SHSMD convened a series of presentations on value as part of its “Value Initiative.” What does value mean for health care organizations? How can they achieve it? One of the presenters, Jessica Farrar, director of strategic planning and decision support at Anne Read More

How Health Care Marketers Can Boost Population Health Efforts

“As health care marketers, we are keenly aware of the rampant changes taking place in our industry — unforeseen mergers and consolidations, aggressive competitors entering the marketplace, pressures to demonstrate measurable ROI, and reorientation from delivering acute or episodic care to managing the health of a population with the goals of improving health and reducing Read More