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Improving Decision Support With Your Partners
Information Builder’s Healthcare Webinar Series – Part 4
1
Speakers:
Dean Hudson, President, EngageHi2
Fred Goldstein, CEO, Accountable Health
Moderator:
Frances Carroll, Healthcare Account Executive, Information Builders
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!
2
Working with partners to develop your decision support platform
Today’s Speakers
 Dean Hudson, President, EngageHi2
As 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, LLC
Fred 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.
3
Open Discussion with Fred and Dean!
4
Let’s keep this interactive
Source: Mary Meeker, USA, Inc., Page 111
US Health Care’s Quality is Sketchy
Has The Lowest Value In Industrialized World
Value Payment
Quality
Health
Sustainability
Financial
Sustainability
What everyone is striving for…
CMS Goals
Movement in Payment Structures
From Volume to Value
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.
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?
10
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.
11
Analytics Maturity Model
Anatomy of a Cost Item
12
Assignment of Costs to Cases
13
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!
14
Finding a partner to help you execute!
Questions for our Speakers…
 Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!
www.informationbuilders.com
15

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Transforming Healthcare: Improving Decision Support with Your Partners

  • 1. Improving Decision Support With Your Partners Information Builder’s Healthcare Webinar Series – Part 4 1 Speakers: Dean Hudson, President, EngageHi2 Fred Goldstein, CEO, Accountable Health Moderator: Frances Carroll, Healthcare Account Executive, Information Builders
  • 2. 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! 2 Working with partners to develop your decision support platform
  • 3. Today’s Speakers  Dean Hudson, President, EngageHi2 As 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, LLC Fred 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. 3
  • 4. Open Discussion with Fred and Dean! 4 Let’s keep this interactive
  • 5. Source: Mary Meeker, USA, Inc., Page 111 US Health Care’s Quality is Sketchy Has The Lowest Value In Industrialized World
  • 8. Movement in Payment Structures From Volume to Value
  • 9. 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.
  • 10. 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? 10 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.
  • 12. Anatomy of a Cost Item 12
  • 13. Assignment of Costs to Cases 13
  • 14. 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! 14 Finding a partner to help you execute!
  • 15. Questions for our Speakers…  Links to a recording of today’s webinar will be sent out shortly! THANK YOU! www.informationbuilders.com 15

Notes de l'éditeur

  1. Want to be the Maytag repair man with a capitated contract….