transforming healthcare: improving decision support with your partners
TRANSCRIPT
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Improving Decision Support With Your PartnersInformation Builder’s Healthcare Webinar Series – Part 4
Speakers:Dean Hudson, President, EngageHi2Fred Goldstein, CEO, Accountable Health
Moderator:Frances Carroll, Healthcare Account Executive, Information Builders
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Focus of Today’s Webinar
Open Discussion with our speakers: What are we all striving for? Quality vs Costs: which one wins? Looking at the wins/losses of coordinated care since 2012 How analytics have matured in healthcare
Value of getting to, understanding and monetizing your data Anatomy of cost items
What all should be included in your models? Your knowledge/data + experience of partners = winning scenario!
Working with partners to develop your decision support platform
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Today’s Speakers
Dean Hudson, President, EngageHi2As president of EngageHi2, Dean works with organizations to build lasting relationships – working with a variety of companies to create high-level strategies that support their overall corporate objectives and accelerate them into the future.
Fred Goldstein, Founder and President, Accountable Health, LLCFred is founder and president of Accountable Health, LLC, a consulting firm providing expert guidance in population health program design and development. He is a Certified Professional by the Validation Institute and founder and co-host of PopHealth Week, a weekly podcast.
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Open Discussion with Fred and Dean!Let’s keep this interactive
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Source: Mary Meeker, USA, Inc., Page 111
US Health Care’s Quality is Sketchy Has The Lowest Value In Industrialized World
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Value PaymentQuality
Health Sustainability
Financial Sustainability
What everyone is striving for…
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CMS Goals
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Movement in Payment StructuresFrom Volume to Value
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How ACO’s Measured up in 2015
Combined total program savings of $466 million
Includes: All Accountable Care
Organizations’ experiences for 392 Medicare Shared Savings Program participants
12 Pioneer Accountable Care Organization Model participants.
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Recent Announcement from CMS
Affordable Care Act Accountable Care Organization initiatives put patients at the center of their care while generating more than $1.29 billion in total Medicare savings since 2012
BUT…How much did the winners save – and how much did the losers lose?
Number (%) Number of Beneficiaries Total Savings (Losses)
Winners 203 (51.8%) 3,572,193 $1,568,222,249
Losers 189 (48.2%) 3,698,040 -$1,138,967,553
Total 392 (100%) 7,270,233 $429,254,696
Define winners as those organizations that spent less than their benchmark. Losers were organizations that spent more than their benchmarks.
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Analytics Maturity Model
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Anatomy of a Cost Item
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Assignment of Costs to Cases
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Ready to Take Action?!
What a good partner will help you do; Leverage your internal knowledge
You know YOU best! Take advantage of their experience
Outside assessment of how you can meet your goals Hold each other accountable for success
Must be a joint partnership! Develop an agreed upon plan of action EXECUTE! MEASURE! ADJUST! SUCCEED!
Finding a partner to help you execute!
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Questions for our Speakers…
Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!www.informationbuilders.com