Healthcare Strategies

Pursuing Access, Affordability, Simplicity During Medicare Open Enrollment

Each year during Medicare open enrollment season, payers face both challenges and opportunities as they seek to address beneficiaries' individual needs and provide the best assistance to enrollees. Christopher Ciano, president of Aetna Medicare, divulges the key aims that payers should keep at the center of their strategies around Medicare open enrollment season and how Aetna tackles each of these goals.

Using The Provider-Sponsored Plan Model To Pursue Value-Based Care

Provider-sponsored health plans have a capacity for strong provider engagement and health plan-provider alignment. Robert Gluckman, MD, chief medical officer of Providence Health Plan, shares the ways in which the provider-sponsored health plan model can further value-based care goals.

Using Virtual Care, Digital Solutions to Address PTSD in Veterans

Veterans who have PTSD may struggle to access care due to a variety of barriers. David Shulkin, MD, the former, ninth secretary for VA, explains how the VA has leveraged digital solutions historically and what barriers remain between veterans and PTSD treatment.

Assessing Provider Strategies for Population Health, Predictive Analytics

Population health data is essential to the forward movement of value-based care. But what is the status of providers' population health strategies? Emily Sokol, director of research at Xtelligent Healthcare Media, shares the results of a recent Insights report and explains how predictive analytics capabilities play a role in the future of both population health and value-based care.
To access the report, visit our corporate website: https://www.xtelligentmedia.com/insights/population-health-and-data-analytic-strategies-for-value-based-care

Enabling Providers To Take On More Risk, Scale Value-Based Contracts

In order to move more decisively toward a value-based care system, the healthcare industry will need to scale its value-based care efforts. But it is hard enough transitioning a single provider from fee-for-service into value-based contracts, much less all of a payer’s provider partners. Troy Smith, vice president of cost of care and value programs at Blue Cross NC, explains how Blue Cross NC overcame providers’ value-based care challenges and scaled its value-based contracts across multiple lines of business.

Improving Care Quality While Reducing Costs Through ACOs, Value-Based Care

CMS uses the Medicare Shared Savings Program to encourage providers to enter into accountable care organizations, in which they take on greater responsibility for reducing low-value care and high healthcare spending. Gary Stuck, DO, chief medical officer at Advocate Aurora Health, shares how Advocate Aurora Health has leveraged the ACO model to achieve strong cost savings and high-quality performance in the Medicare Shared Savings Program.

Leveraging Acute Home Healthcare to Improve Senior Outcomes, Experience

The hospital care setting can pose many risks to seniors. To improve patient experience in acute care, some experts are urging payers and healthcare systems to facilitate moving acute care to the home. Amal Agarwal, DO, vice president of home solutions for Humana and emergency room physician, explains how acute home healthcare can reduce risks for seniors and how payer and provider organizations can expand access to these services.

Assessing, Supporting Advanced Payment Model Adoption among Providers

Advanced payment model uptake received a boost from the coronavirus pandemic as providers shifted away from wholly volume-based, fee-for-service models into value-based care contracts. However, fee-for-service remains strongly present in the healthcare system today and, according to some healthcare professionals, it will persist as a key reimbursement model for the foreseeable future. Emily Sokol, director of research at Xtelligent Healthcare Media, provides an overview of providers' advanced payment model adoption and offers strategies for shifting away from fee-for-service reimbursement models.
To access the report, visit our corporate website: https://www.xtelligentmedia.com/insights/choosing-the-right-alternative-payment-model

Reducing Mental Health Stigma With Evidence-Based Practices, Language

Americans are experiencing a spike in mental health diagnoses. However, even as mental health challenges become more visible and widespread, mental health stigmas remain. Lana Seiler, LCSW, primary therapist at All Points North Lodge, shares how healthcare stakeholders can combat mental health stigmas and encourage treatment among patients, within their own communities, and within themselves.

Improving Health Equity for Black Mothers by Lowering Preeclampsia Risk

The lack of health equity in the current healthcare system is starkly evident in maternal care. Black patients who are pregnant are at higher risk than their White counterparts for a highly preventable disease called preeclampsia. Joanne Armstrong, MD, executive medical director and chief medical officer for women’s health and genomics at CVS Health, explains how provider and payer organizations can improve patient education to combat care disparities in maternal care.