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ClinOps I.M.P.A.C.T. Summaries: Trends in Value-Based Healthcare - JUNE 2019

 

JUNE 2019 ISSUE - In this issue, learn about the following Trends, Entrants, and Developments that I.M.P.A.C.T. and Contribute to VBHC:

 

 

  1.    INFRASTRUCTURE

 

DETAILS

 

Telehealth, Urgent Care, Retail Clinics Getting More Popular

The use of alternative places of health service, such as telehealth, retail clinics, urgent care clinics, and emergency rooms, has grown rapidly over the past decade but a very low percentage of the care delivered in the US healthcare system is provided in these venues. Learn More

 

Alphabet is funding a new way to reduce heart disease, the leading cause of death in the US

Alphabet has been pouring money into life sciences research through its venture investing arm GV and through Verily, its experimental health-technology division. Learn More

 

Physicians call for Digital Health Scorecard to validate products

The proposal grew out of recognition that physicians, payers and other healthcare players need a better way to find quality products in the crowded, hype-driven digital health market. Learn More

 

Express Scripts to launch digital health

The digital health market continues to grow exponentially with apps that promote fitness, wellness and the prevention of chronic conditions as well as telehealth solutions and remote monitoring tools. But currently, there is no standard way to validate the hundreds of thousands of digital tools available. Learn More

 

Apple's immediate plans rumored to include hearing health, period tracking, medication adherence

With Apple’s Worldwide Developers Conference less than month away, speculations about what will be unveiled are starting to emerge. Citing unnamed inside sources, Bloomberg has reported a list of features the company is planning to roll out, and health will continue to be a focal point. Learn More.

 

 

2.    MEMBER EXPERIENCE

 

DETAILS

 

Health plans improve on coverage, benefits but lag on costs, member expectations​

Americans with commercial health insurance are more satisfied today with their health plans, but payers still lag in meeting financial and personal health expectations of their plan members, a new J.D. Power study finds. Learn More

 

Can the time of day patients see their doctor impact their cancer care?

Researchers looked at 33 physician practices with patients who were eligible for either breast or colorectal cancer screening. They found the chances the doctor would recommend screening were highest at 8 a.m. and lowest at 5 p.m. Learn More.

 

Why cost must become part of the care conversation

Patient Advocate Foundation Vice President Rebekah Angove discusses the difference between patient engagement and patient experience and how patients and providers can more effectively navigate the complexity of healthcare costs.

 

Learn More. 

 

 

 

70% Of Patients Call Online Reviews Crucial in Selecting Healthcare Providers

The primacy of online reviews in the marketing of medical practices is the 'new normal,' according to a recent survey. Learn More

 

How conversational AI, voice and chatbots will transform patient and consumer engagement

The addition of machine learning and deep learning to natural language processing has the potential to transform patient interactions, from calls to health plans to remote monitoring for clinical trials. Learn More

 

 

3.    PEOPLE

 

DETAILS

 

Is the Healthcare Delivery Workforce Nearing a Meltdown?

Friday, the U.S. Department of Labor released its April jobs report, citing a seasonally adjusted gain of 263,000 jobs. It marks the 103rd successive month of gains and resulted in a 50-year low unemployment rate of 3.6%. This report, along with government data showing steady economic growth (1Q GDP growth + 3.2%) and a manageable rate of inflation (+2%), was received favorably, muting fears of a major economic downturn in 2020. Learn More. 

 

Addressing Medication Costs During Primary Care Visits: A Before–After Study of Team-Based Training 

Medications contribute to patients' out-of-pocket costs, yet most clinicians do not routinely screen for patients' cost-of-medication (COM) concerns. A single 60-minute training session for clinicians and staff from each practice on COM importance, team-based screening, and cost-saving strategies. Learn More.

 

Why Your Best Employees Are Losing Motivation

There are many ways leaders unknowingly diminish the motivation and enthusiasm of employees. Here are 5 ways you may be destroying the morale of your people. Learn More. 

 

 

4.    POLICY

 

DETAILS

 

House releases measure to end surprise medical bills

House Energy and Commerce Committee released a discussion draft of a measure to protect patients from getting massive, unexpected medical bills, a sign of bipartisan momentum on the issue. Learn More.

 

CMS mulling outcomes-based ways to address expensive specialty drugs

As the Trump administration continues to spotlight drug price reform, Centers for Medicare & Medicaid Services Administrator Seema Verma said it will be crucial to have more conversations on how to address emerging—and expensive—therapies. Learn More.

 

 

5.  PERFORMANCE

 

DETAILS

 

Majority of avoidable patient deaths occur in hospitals with 'C' grade or below: Leapfrog

Patients treated at hospitals that earned "D" or "F" grades when it comes to patient safety face a 92% higher risk of death from avoidable medical errors than at hospitals with an "A" grade, according to a new report from The Leapfrog Group. Learn More.

 

CMS home-based primary care model yields mixed results

A CMS innovation center demonstration that pairs payment incentives with a home-based primary care delivery model showed mixed results in terms of Medicare cost savings for chronically ill beneficiaries, according to data from the first four years of the test. Learn More.

 

 

6.    AFFORDABILITY AND VALUE

 

DETAILS

 

The RAND study: Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely

Findings from an Employer-Led Transparency Initiative. Learn More.

 

AHA responds to RAND study on prices paid to hospitals by private health plans

The AHA today responded to a RAND Corporation study that found that certain prices paid to hospitals by private health plans are high relative to Medicare and vary widely. The study examined hospital prices for a limited number of employers and health plans covering 25 states in 2017. Learn More. 

 

Most Americans grateful for their job's health coverage, but still struggle with healthcare costs

Most people with employer-sponsored insurance are generally happy with their health plans, but many still struggle with healthcare affordability, according to a Kaiser Family Foundation. Learn More

 

This app has saved Americans $10 billion on prescriptions so far

GoodRx partners with pharmacy chains and drug companies and pharmacy benefits managers such as Express Scripts and Caremark to offer real-time pricing at 70,000 locations nationwide. It ranks No. 6 on the 2019 CNBC Disruptor 50 list and claims that since it launched in 2011, it has helped Americans save $10 billion on prescriptions. Learn More

 

Reducing price variation for diagnostic tests could save billions

Consumers could have saved billions in 2017 if price variation for certain services was addressed, according to a new report. Learn More

 

 

7.    COMMUNITY

 

DETAILS

 

Solera Health raises $42M to help integrate social determinants into healthcare

Solera Health CEO Brenda Schmidt said the company's differentiator is in payment system, which allows health plans to pay social services providers through same pathway that other healthcare providers are reimbursed. Learn More.

 

Many Americans Will Need Long-Term Care. Most Won’t be Able to Afford It.

A decade from now, most middle-income seniors will not be able to pay the rising costs of independent or assisted living. Learn More.

 

How Roanoke, Virginia, Is Addressing Income Disparities and Their Impact On Health Outcomes

The link between poverty and health outcomes is well recognized. Recent Health Affairs Health Policy Briefs on these trends have shown a strong connection between people’s income and their health. Learn More.

 

Cardinal Innovations Healthcare lowers costs, boosts outcomes through housing program

The country’s largest managed care organization has reduced costs and improved member outcomes by focusing on housing. Learn More.

 

AMA, UnitedHealthcare Tackling Social Determinants of Health

UnitedHealthcare and AMA are launching a collaborative effort to more effectively identify and address social determinants of health. Learn More.

 

 

 

8.    TRANSFORMATION

 

DETAILS

 

Civica's first 2 drugs: IV antibiotics

Civica Rx, the hospital-funded generic drug company, has signed an agreement with drugmaker Xellia Pharmaceuticals to make and supply the IV antibiotics vancomycin and daptomycin. Why it matters. Learn More.

 

Accelerating Primary Care Redesign: CMS’ Innovation Center Announces Five New Transformative Primary Care Models

Centers for Medicare and Medicaid Services (CMS) announced the Primary Cares Initiative (PCI), a suite of five voluntary payment models aimed at overhauling primary care. Learn More.

 

Mayo Clinic Expands Deeper Into Worksite Care With New Partner

The Mayo Clinic is partnering with Premise Health to improve healthcare for workers at large companies that already receive Premise’s primary care, occupational health and pharmacy services at its wellness centers. Learn More.

 

Talking to a therapist through Alexa could make mental health care more accessible

Starting this summer, you’ll be able to talk to a therapist through Amazon Alexa. For the many people who struggle with anxiety and depression, it’s a huge challenge to find an affordable therapist. Now, a growing group of apps, including Talkspace and The Difference, are looking to solve the problem by using technology to improve access. Learn More.

 

 

 

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