Population Health Management –Toward a Life Centric Model with Consumer as Co-Creator of Value

Rose Maljanian Chairman & CEO HealthCAWS,  Chairman of the Board Population Health Alliance

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Population Health Management strategies continue to gain recognition as must haves versus nice to haves in order to survive and thrive in a value based health care environment.  The mainstay component parts of upfront analytics, targeted and individually tailored interventions and outcomes1 continue to evolve as new science and technology becomes available.  Each member of the healthcare ecosystem has an important contribution and is poised to be appropriately compensated based on the value that they contribute.

Forward thinking health systems, ACOs and new entrants to the health care space continue to push the boundaries on moving care and support services out of the traditional hospital  environment where possible into the community where life happens.  Like time spent with an accountant filing taxes or a day in the garage getting a car fixed, as an industry we have come to accept that most always a good day for a consumer does not include a trip to the emergency room, hospital, laboratory, or doctor’s office but rather optimizing time spent doing what they like to do, feeling as good as they possibly can.

Furthermore, consumer engagement and experience has taken center stage as consumers publicly rate providers, facilities and health plans and more easily can take their business elsewhere if their needs are not being met.  In addition, the shift to value based payments has aligned incentives for providers to more proactively and effectively engage their consumer patients in their care, leveraging extender digital tools and care team members to take their reach beyond the visit time and beyond the walls of the healthcare environment.

A finer point on the need to engage consumers was made by Alan Weil in his 2016 Health Affairs editorial entitled the Patient Engagement Imperative when he stated- “There is recognition that the patient is co-producer of the outcomes for which the physician is now being held accountable”.  Translated to all stakeholders – the patient, the member, the consumer, the community resident is co-value creator and not only is the physician held accountable but the hospital, the health plan, the employer, the business associate partners all have performance targets to meet related to their roles in optimizing health, cost efficiency and the consumer experience.

As I said to a recent audience of thought leaders gathered to share innovations in population health-“think about this quote- no matter how great you are; no matter how great your programs are; you cannot produce the desired outcomes without the consumer”. 3

If all stakeholders come together around this Life Centric model and partner with consumers as co-creators of value to them and the system overall, we will see movement from a costly, mediocre quality and full of hassle system to one recognized for being a high value, desirable when needed solution, that enhances versus disrupts life.

  1. Population Health Alliance –PHA PHM Framework. http://populationhealthalliance.org/research/understanding-population-health.html
  2. Weil, A. The Patient Engagement Imperative. Health Affairs April 2016.  DOI: 10.1377/hlthaff.2016.0337.
  3. Maljanian R. Impact of Population Health in a Value-based World. SSN Population Health for Medicare Medicaid and Dual Eligible Populations. Keynote May 15, 2018 https://www.pophealthsummit.com/index.php

 

Bringing Focus to Value for Patients-Advancing Engagement in Interactive Digital Portals

Today HealthCAWS CoHosted an event entitled  “Successful Strategies for Electronic Patient Engagement” with the Massachusetts eHealth Institute.

HealthCAWS was joined by affiliates Qualidigm and Redox. Hospital systems and provider groups  gained and shared insights on patient engagement strategies to include advanced interactive patient portal features, integrated clinical workflows and technology integration through APIs.

The ultimate goal is to support hospital systems and provider groups address the growing need to drive value, improve administrative efficiency and cement consumer loyalty.

 

A Invigorating Start to 2018!

The start to 2018 has been an invigorating one.  New partnerships, special events and great attitudes spell the promise for a productive year ahead.  Emphasis on consumer need and preference, comprehensive strategies to address population health and enlightened preparedness to successfully shift to value are in the forefront.

Early year investor presentations were on track  with disciplined approaches and tax relief is freeing up capital to invest in companies, solutions and people making funding new opportunities  more in reach than ever.

Forward progress as always will not be without challenges and keeping up with the pace of change can seem overwhelming to some. Reach out for support to help overcome the challenges, expand your bandwidth and increase your speed to market by partnering with companies like HealthCAWS and others.

This year’s Call to Action –

Lead your organization with the vigor and swift  decision making required to result in a  productive and impactful 2018 for the betterment of the consumers you serve, your employees, your clients, your partners and your shareholders.

Best for success,

Rose

Rose Maljanian, Chairman and CEO HealthCAWS

 

 

 

Founder’s Circle

The holidays are upon us!

Dear Friends and Colleagues,

This holiday season is upon us and there is no shortage of end of year activity on the Hill potentially impacting the healthcare industry from tax reform including release of the individual mandate to Medicare Advantage proposed rules including redefining open enrollment windows and new programs to address the opioid crisis.

In addition, mega mergers of delivery systems, and health plan and retail giants spell new ways of addressing individuals whether referenced as consumers, patients, members or employees, the end game is the same, deliver great quality, affordably, and a great experience or risk losing their loyalty.

We are embracing this challenge. While necessary to keep an ear to the ground for additional changes and the resultant adjustments required adjustments to programs and services, we wish our clients, partners and all of you a season full of joy celebrating with family and friends.

Happy Holidays,

Rose

Welcome to the future of health!

Dear Friends and Colleagues,

Now past the  halfway mark for 2017, uncertainty remains on the policy front but no uncertainty exists in terms of the need to prevent and combat disease, equip consumers with the means to self manage where possible and address the growing senior population in ways and in environments they prefer.  The innovators committed to value and preference based individual and population health solutions will succeed in making a difference. ​

The backdrop of policy change  requires a constant  ear to the ground and much energy and application of resources to navigate.  Given this environment expertise and experience are top of the list to handle the uncertainly versus being paralyzed by it. Seasoned leaders  guiding responsive teams and systems through clearing barriers, crisp decision making and disciplined execution will be the difference between organizations that falter and those that thrive; consumers and providers who feel well supported and those that feel the strain of uncertainty around them.

From planning and design to delivery, emphasize the right guiding principles. Align strategies and tactics with the principles of the HealthCAWS Call to Action:

  • Meet the new consumer where they are on their terms, with the least costly and invasive service and environment possible to achieve their best possible outcome

 

  • Limit unnecessary burden for providers and offer supports to advance value-based care 

  • Reduce system complexity and thus volatility for all stakeholders by simplifying requirements and processes; freeing up critical resources and mind space for innovation

The HealthCAWS principles culminate in  Combining Accountability With Support-“the CAWS™” to get the job done. We invite you to be part of the HealthCAWS solution!

Best for Success,

Rose

Rose Maljanian

Chairman & CEO

 

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