Healthcare Executive Group HCEG. HIMSS19. 2019 HIMSS Conference. Champions of Health. Leading conferences and events for healthcare executives and thought leaders. 2019 Annual Forum. Digital Health. Transformation.

Insight from Champions of Health at 2019 HIMSS Global Conference & Exhibition

By | Conferences, HCEG Top 10, HIMSS19, Sponsor | No Comments

The 2019 HIMSS Global Conference & Exhibition adjourned on Friday, February 15th with 45,000+ professionals from 90+ countries, 1300+ exhibitors, 300+ education sessions spanning 24 topics and 100’s of special programs and networking events taking place over the nearly weeklong event. And HealthCare Executive Group (HCEG) members, sponsor partners, and other Champions of Health were in attendance.

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19.

HCEG Executive Director Ferris Taylor – A Champion of Health

This post presents a few highlights and resources from the conference including:

  • HHS/CMS Regulators Challenge Private Sector Participants
  • What Others Are Saying About the 2019 HIMSS Conference
  • Resources from 2019 HIMSS Conference & Exhibition
  • Session Presentations/Slide Decks
  • Collection of Live-Streamed Interviews & Sessions
  • Conference News & Announcements

See HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference

HHS/CMS Regulators Challenge Private Sector Participants at 2019 HIMSS Global Conference

On Tuesday, HIMSS CEO Hal Wolf chaired a fireside chat with a handful of individuals holding or who have held senior positions with the federal government.Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Seema Verma, Michael Leavitt, Dr. Karen DeSalvo, Aneesh Chopra Interoperability, Information Blocking and open API’s based on the Fast Healthcare Interoperability Resources (FHIR)

  • Seema Verma – Current Centers for Medicare & Medicaid Services (CMS) Administrator
  • Michael Leavitt – Former Health & Human Services (HHS) Secretary
  • Dr. Karen DeSalvo – Former Office of the National Coordinator for Health Information Technology (ONC)
  • Aneesh Chopra – First Chief Technology Officer of the United States

All of these Champions of Health discussed what was expected to be major HIMSS conference themes: Data Interoperability, Information Blocking and open API’s based on the Fast Healthcare Interoperability Resources (FHIR) standard. All of which got a boost on the opening day of the HIMSS conference with the CMS and ONC release of new rules intended to make data more accessible.

Among other things, the proposal mandates that FHIR will be the standard now for health plans, hospitals, vendors and others for sharing healthcare data sets. Here’s a Summary of the New ONC and CMS Notices of Proposed Rulemaking for Health IT. And the entire 742-page document. This post here by Fierce Healthcare provides additional details on the proposed rules.

See also HIMSS19 keynoters challenge private sector to keep pace with FHIR, open APIs’ for more.

Champions of Health Discuss Interoperability and Value-Based Care Delivery

On Wednesday evening, another Champion of Health, CMS’s Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation (CMMI) Adam Boehler joined John Doerr, Chairman of Venture capital firm Kleiner Perkins and Aneesh Chopra for an interesting and occasionally provocative discussion on The Intersection Between Interoperability and Value-Based Care Delivery.

As the session title indicates, the discussion centered around the topics of liberating healthcare data and addressing incentives to change payment from fee-for-service to value-based payments. This was an interesting discussion in that none of these three individuals are clinicians but rather brought what was clearly a business focus to the discussion.

Four Key Considerations for Revising Healthcare Incentives

Adam Boehler noted four key considerations for healthcare leaders to address in their quest to revise incentives and effect true change in the healthcare ecosystem

  1. Treat patients as consumers
  2. Help providers become more accountable for outcomes
  3. Adjust incentives to reward more preventive services
  4. Improve how payment policies are aligned to outcomes

Interesting Comments from Champions of Health at 2019 HIMSS Conference

A few interesting comments were made during the chat.

Aneesh Chopra, John Doerr, & Adam Boehler (R)

From John Doerr:

“There is not currently any business case for a large health system to replace their installed EHR system”

“What I believe is missing is a platform to make value-based care more successful and accelerated. We need to blow up fee-for-service to make these platforms happen”

“Artificial intelligence has been overhyped and is now underappreciated”

“On the current trajectory, the United States won’t win the artificial intelligence race”

From Adam Boehler:

“CMMI is a real treasure trove of information [regarding payment model innovations and programs] that is not being taken advantage as much as it should be by healthcare industry participants“

Learn more about the Center for Medicare and Medicaid Innovation and its resources here.

North Carolina as a Hotbed for Healthcare Innovation

Additionally, the group discussed some of the organizations, programs and individuals working on innovative and other potentially transformational changes in various areas around the country. In particular, North Carolina was noted by all as leading the way in the area of value-based care, reimbursement, and improving outcomes.

Seemingly every speaker positively acknowledged that North Carolina is a hotbed of healthcare innovation with John Doerr stating “If what’s happening in North Carolina won’t work, we’re hosed.

More About Value-Based Care & Delivery – 2019 HCEG Top 10 Item #4Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. HCEG Top 10 list of challenges, issues, and opportunities. Digital health. Leadership.

The discussion between Adam Boehler, Aneesh Chopra, and John Doerr in the Orange County Convention Centers Chapin Theater was an insightful, entertaining, comfortable, and welcome break at the end of the 3rd day of the HIMSS conference. Sitting in those comfortable seats at the end of three days of walking, standing and talking made the information, opinion and occasional levity shared among these three healthcare leaders all the more enjoyable.

For every year since the HCEG Top 10 list of challenges, issues, and opportunities have been created by HCEG members, value-based payments have been included on the list. In 2018, value-based payment was ranked as #3 on the list – this year it’s ranked #4. One of HCEG’s members will be writing a guest post covering more of the discussion that ensued during The Intersection Between Interoperability and Value-Based Care Delivery.

Subscribe to our eNewsletter for more on this specific session and other topics of interest to healthcare executives and thought leaders.

Inspirational Stories from Champions of Health at 2019 HIMSS Conference

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Champions of Health. Digital Health. Transformation.

Not everything in Orlando was just about technology, policy and the business of transforming healthcare. There were sessions featuring inspiring, true-life stories of courage in dealing with the clinical, administrative and financial aspects of the American healthcare system.

Cris Ross, CIO of the Mayo Clinic, shared about his personal struggle with dealing with the very healthcare ecosystem in which he had a role in creating. See this account of some of the challenges Cris Ross faced.

Another story shared how HIMSS helps to support and Celebrate the Next Generation of Healthcare Leaders by providing scholarships for undergraduate and post-graduates to low-income individuals. See MSHMI Student Earns Exclusive Industry Scholarship

Resources from 2019 HIMSS Conference & Exhibition

Session Presentations/Slide Decks

HIMSSTV. Digital Health Content. Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Interoperability, Information Blocking and open API’s. educational sessions

Above the scene view of HIMSS TV crew – Monday, 2/11/19

Whether you attended the HIMSS conference or not, you can access many of the presentation decks shared in the 300+ educational sessions. For information on how to access presentations from HIMSS sessions, see this easy 3-step process here.

What are Others Saying About the 2019 HIMSS Conference?

Thankfully, there’s no shortage of recaps, summaries, post-conference analyses and opinion pieces that can serve to help cut through a lot of the hype and chaff that’s unavoidable in a large conference like the annual HIMSS conference. Here are a few summary recaps that may be of interest.

Organizations Supporting HealthCare Executive Group at 2019 HIMSS Global Conference

As noted in this earlier post HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference, nearly all of our 2019 sponsor partners were represented at the 2019 HIMSS Global Conference & Exhibition. In addition to exhibiting at the conference, our sponsor partners served as Champions of Health by participating in general sessions, educational sessions, and various formal and informal networking events.

In addition, our sponsor partners shared via HIMSS formal, live-streamed sessions, hosted luncheon session for attendees to share their experiences with blockchain technologies, offered complimentary smoothies throughout each day, and in general helped attendees to get the most out of their HIMSS conference experience.

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. HCEG Top 10 list of challenges, issues, and opportunities. Digital health. Leadership. Appian, Change Healthcare, Instamed, Surescripts, Zipari,More Opportunities for Champions of Health to Convene, Share, & Network

Events like the 2019 HIMSS Global Conference & Exhibition are great opportunities to get a feel for and gain a better appreciation for what’s going on across the entire healthcare ecosystem. There are so many challenges, issues, opportunities, and uncertainties that must be triaged on a daily basis. To many people, meeting and interacting with other individuals, communities, groups, vendor companies and other organizations in a meaningful – however brief – moment is what these conferences are all about.

To continue our mission of convening and supporting Champions of Health, the HealthCare Executive Group offers the following opportunities to healthcare executives and other leaders:

16th Annual World Healthcare Congress – Washington, DC – April 28 – May 1, 2019

We’re partnering with the World Healthcare Congress to present the ‘CIO & CTO Strategy Track’ at this year’s 16th Annual World Healthcare Congress. Learn more about the agenda here – including a list of speakers in the CIO & CTO Strategy Track.

Use HCEG2019 for a special HCEG-only discount to this important annual event. Feel free to contact us for more information.Healthcare Executive Group HCEG at HIMSS Conference. WHCC. World Healthcare Congress. 'CIO & CTO Strategy Track' Digital Health. Transformation. 16th Annual World #Healthcare Congress: Apr 28- May 1

Our 2019 Annual Forum – Boston, MA – Sep 9-11, 2019

HCEG’s 2019 Annual Forum takes place in Boston, Massachusetts on September 9 – 11, 2019. Our planning of the agenda, speakers and special networking events continues and we are close to opening up registration.  To learn a bit about last year’s annual forum and see some pictures, check out this recap. And click here to be added to a list to receive the latest information on our 2019 Annual Forum as it becomes available.

Healthcare Executive Group HCEG. Leading conferences and events for healthcare executives and thought leaders. 2019 Annual Forum. Digital Health. Transformation.

HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference

By | Conferences, HCEG Top 10, HIMSS19, Social Determinants of Health | One Comment

The 2019 HIMSS Global Conference & Exhibition kicks off this coming Sunday in Orlando, FL and runs through Friday, February 15th. 45,000+ professionals from 90+ countries, 1300+ exhibitors, 300+ education sessions spanning 24 topics and 100’s of special programs and networking events will converge to offer comprehensive insight into the current state of the healthcare industry. In addition to many of our members and sponsor partners in attendance, board members of the HealthCare Executive Group (HCEG) and a couple support staff will be gathering content of interest to share, networking and supporting our sponsor partners.

Items on the 2019 HCEG’s Top 10 List Dominate

Not long after last year’s HIMSS Conference came to an end, industry thought leaders, prominent analysts, and media outfits covering the digital healthcare space started predicting the major themes and top trends expected to dominate this year’s HIMSS conference.  These themes and trends include…HCEG Top 10. Industry Pulse Survey. Challenges, issues, opportunities healthcare industry. Data & Analytics, Total Consumer Health, Population Health Services, Value-based Payments, The Digital Healthcare Organization, Rising Pharmacy Costs, External Market Disruption, Operational Effectiveness, Opioid Management

Not surprisingly, these major themes closely align with the challenges, issues, and opportunities ranked by HCEG’s members in the 2019 HCEG Top 10 list:

Learn more about themes and trends addressed at the HIMSS Conference in this 2019 Healthcare Trends Forecast.

HCEG Members & Sponsor Partners at the 2019 HIMSS Conference

If you’re at the HIMSS Conference, be sure to check out our sponsor partners exhibits, sessions and the special events they’re hosting. Here are those we know about at this time.

Appian

Visit Booth 6543 to learn about Appian’s leading platform for low-code enterprise development. Appian will be providing live demos of their platform HCEG Healthcare Executive Group. Appian. Enterprise low-code. industry-leading intelligent automation. Digital Transformation Patient, member, and provider data. healthcare payers and providers innovation, consumers, healthon Tuesday, February 12th at 11:30 am – addressing topics such as Clinical Trials Intake, Clinician Onboarding and Credentialing, Home Health Manager, Provider Payment Reconciliation, Utilization Management, and more!

Be sure to Refresh and Rejuvenate Yourself – and your phone – as Appian will be offering complimentary healthy smoothies throughout booth hours each day, along with a relaxing device charging station area for you to take a break. And while you’re at the Appian booth, be sure to have your badge scanned for a chance to win a Vitamix to create your own smoothies at home or an Apple Watch Nike Plus Series 4 to track your healthy habits.

For more information and to schedule a meeting with Appian at HIMSS, contact Appian

SurescriptsSurescripts. HCEG Healthcare Executive Group. Health plan health system payments pharmaceutical pharmacy member engagement

Visit Booth 6158 to learn about the offerings of our newest sponsor partner Surescripts. Surescripts will also be sharing information on their products and services in Booth’s 9100-44 and VHQ8659

On Wednesday, February 13th at 8:30-9: 30 am, Tom Skelton, Surescripts CEO will participate in an event titled “Transparency in Prescription Drug Costs to Help Patients Save Money.” Attendees can participate in this event in room W304A. It will also be one of this year’s live-streamed events.

Click here for more information on Surescripts at HIMSS – and click here to schedule a meeting with Surescripts at HIMSS.

Change Healthcare

Visit Booth 3679 to meet with Change Healthcare to learn about their wide range of products and services.HCEG Healthcare Executive Group. Change Healthcare consulting. value-based healthcare system. healthcare technology company. software, analytics, network solutions, and technology-enabled services.

On Wednesday, February 13th at 12:30-1:30pm, Change Healthcare hosts a Blockchain in Healthcare Luncheon where like-minded health information and technology professionals can better understand and share their experiences with blockchain technology. This event takes place in Room W110A and separate registration is required.

For more information, contact Change Healthcare

InstamedHCEG Healthcare Executive Group. InstaMed healthcare payments experience. Consumers, providers and payers. payment transaction. private cloud-based technology electronic transactions

Visit Booth 1987 to learn more about InstaMed’s healthcare payments products and services.

For more information, contact Instamed

ZipariZipari. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions. Customer Relationship Management CRM

Visit Booth 5483 to learn more about how Zipari’s has pioneered consumer experience technology exclusively for health carriers.

For more information, contact Zipari

Other HCEG Sponsors & Partners at 2019 HIMSS Conference

In addition to the above, our other sponsors and partners will be represented at the 2019 HIMSS Conference & Exhibition in some capacity. Check out their leading healthcare products/services and reach out to them for more information.

Solera Health Network. HCEG Healthcare Executive Group. Network partners preventing and managing chronic disease. Health plans, payers securely efficiently network of community-based digital health solutions. Diabetes.HealthEdge. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions.HCEG Healthcare Executive Group. RedCard health plans TPAs secure data communication members providers.
Contact SoleraContact HealthEdgeContact Redcard
HCEG Healthcare Executive Group. Softheon. cloud-based solutions. retail-like, user-friendly experience. personalized communication. Real-time support member engagement. enrollment, member billing, ACA. Direct EnrollmentEQ Health Solutions. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions. Customer Relationship Management CRM
Contact SoftheonContact EQHealth

Resources to Help Conquer the 2019 HIMSS Conference & Exhibition

Live-Streamed Sessions

This year, HIMSS will be live-streaming a number of sessions. Whether you’re attending or not, consider checking out these live-streamed sessions.

Vendor/Exhibitor Search

Learn more about the companies exhibiting at the conference here. Also, HIMSS has a comprehensive list of all the vendor/exhibitor categories and subcategories to help you refine your list of must-see vendors and exhibitors.

Popular Hashtags at the 2019 HIMSS Conference & Exhibition

Whether you’re attending the 2019 HIMSS Conference or not, you can stay connected with the popular themes and topics – and general HIMSS19 subject by using the following hashtags:

#HIMSS19 = The official hashtag for the 2019 HIMSS Conference

#Analytics, #BigData, #AI, #artificialintelligence#machinelearning

#PatientEngagement, #DigitalHealth, & #healthtech

#sdoh

HIMSS has also defined some HIMSS and conference-specific has tags in The Official #HIMSS19 Hashtag Guide

Special ‘HIMSS19-edition’ eNewsletter

Keep your eyes peeled for more information, insight, and ideas that HCEG members, sponsor partners, and advisors will be gathering from Orlando this coming week. A special ‘HIMSS19-edition’ eNewsletter will be shared later next week including major takeaways, insights from conference thought leaders and some pictures capturing HCEG member and sponsor partners experiences at the conference. If you aren’t already a subscriber to our newsletter, you can sign up here.

Save the Date – 2019 HCEG Annual Forum – Boston, MA

HCEG’s 2019 Annual Forum takes place in Boston, Massachusetts on September 9 – 11, 2019. We’re working on developing an interesting agenda and lining up some great speakers. To learn a bit about last year’s annual forum and see some pictures, check out this recap. And click here to be added to a list to receive the latest information on our 2019 Annual Forum as it becomes available.

HCEG Healthcare Executive Group

Special Thanks to HealthCare Executive Group’s 2018 Sponsor Partners

By | Executive Leadership Roundtable, Sponsor | No Comments

As America celebrates Thanksgiving, the HealthCare Executive Group (HCEG) is honored to thank our sponsor partners and acknowledge the support these leading healthcare companies have provided and continue to provide to our healthcare executive members, industry advisors, and associates throughout the year. Through the support of the companies highlighted below, HCEG is able to provide a comprehensive package of information, insight, and networking opportunities.

HealthCare Executive Group (HCEG). sponsor partners Appian, CareCentrix, Solera, Change Healthcare, Cumberland Consulting Group, HealthEdge, HighPoint Solutions, InstaMed, Redcard, Softheon

HealthCare Executive Group – Gold Sponsors

HCEG Healthcare Executive Group. Appian. Enterprise low-code. industry-leading intelligent automation. Digital Transformation Patient, member, and provider data. healthcare payers and providers innovation, consumers, healthHCEG Healthcare Executive Group. CareCentrix purpose-built technology, analytics, experience, post-acute care, patients and caregivers, coordinate care transitions, improve clinical outcomes, and do all we can to help patients heal or age at homeHCEG Healthcare Executive Group. Network partners preventing and managing chronic disease. Health plans, payers securely efficiently network of community-based digital health solutions.
Appian delivers the speed of enterprise low-code and the power of industry-leading intelligent automation. It’s the secret weapon to put your Digital Transformation on the fast track.

Improve decision-making with real-time access to patient, member, and provider data. Appian helps healthcare payers and providers speed innovation, help consumers take control of their own health, and simplify the healthcare journey.

CareCentrix has developed purpose-built technology, analytics, and experience to guide care that keeps patients on the path to the ultimate site of care: home. To address the complexities of post-acute care, CareCentrix engages patients and caregivers, coordinate care transitions, improve clinical outcomes, and do all we can to help patients heal or age at home.

By finding new ways to break down the silos across the continuum of care, CareCentrix is able to identify and capture savings health plans can count on.

Solera connects patients, payers, and physicians to a network of partners who are preventing and managing chronic disease.

Working with Solera, health plans and other payers securely and efficiently leverage a network of community-based and digital health solutions.

Solera helps employers identify and engage those in their workforce with the greatest opportunity for obesity-related chronic disease prevention.

WebsiteWebsiteWebsite
BlogBlog
LinkedInLinkedInLinkedIn
Twitter – @AppianTwitter – @carecentrixTwitter – @soleranetwork
FacebookContactContact
Contact

HealthCare Executive Group – Silver Sponsors

HCEG Healthcare Executive Group. Change Healthcare consulting. value-based healthcare system. healthcare technology company. software, analytics, network solutions, and technology-enabled services.HCEG Healthcare Executive Group Health insurers, new offerings. member populations. government program, commercial or individual product, or dental or TPA offering,
Change Healthcare consulting is a catalyst for your value-based healthcare system. Change Healthcare is a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. Change Healthcare helps deliver measurable value not only at the point of care, but also before, after, and in between care episodes.Cumberland Consulting Group is a leading healthcare consulting firm providing strategic advisory, implementation, optimization and outsourcing services to some of the nation’s largest payer, provider, and life sciences organizations.Health insurers must act quickly to launch new offerings targeted at member populations in specific market segments. Whether a government program, commercial or individual product, or dental or TPA offering, HealthEdge works with transformative health plans to create and maintain a competitive advantage.
WebsiteWebsiteWebsite
BlogBlogBlog
LinkedInLinkedInLinkedIn
Twitter – @Change_HCTwitter – @CumberlandCGTwitter – @HealthEdge
FacebookFacebookFacebook
ContactContactContact
HCEG Healthcare Executive Group. InstaMed healthcare payments experience. Consumers, providers and payers. payment transaction. private cloud-based technology electronic transactionsHCEG Healthcare Executive Group. RedCard health plans TPAs secure data communication members providers.
HighPoint implements effective IT solutions for payers and providers. HighPoint Solutions tunes out the noise so you can focus on improving healthcare delivery.InstaMed powers a better healthcare payments experience on one platform that connects consumers, providers, and payers for every healthcare payment transaction. InstaMed’s patented, private cloud-based technology securely transforms healthcare payments by driving electronic transactions, moving money and healthcare data seamlessly and improving consumer satisfaction.RedCard helps health plans and TPAs use the power of secure data to build stronger, more effective communication with your members and providers.
WebsiteWebsiteWebsite
BlogBlogContact
LinkedInLinkedIn
Twitter – @HighPtSolutionsTwitter – @InstaMed
FacebookFacebook
ContactContact
HCEG Healthcare Executive Group. Softheon. cloud-based solutions. retail-like, user-friendly experience. personalized communication. Real-time support member engagement. enrollment, member billing, ACA. Direct Enrollment
Overview
Softheon delivers cloud-based solutions that create a retail-like, user-friendly experience and provide personalized communication and real-time support to boost member engagement. Cost effective, and configurable software that supports health plans and states with enrollment, member billing, and reporting for over 3.2M Americans.
Website
Blog
LinkedIn
Twitter – @Softheon
Facebook
Contact

HealthCare Executive Group Sponsorship

Unlike what many organizations allow, our sponsor partners must check their sales and marketing interests at the door. HCEG sponsors participate as supportive thought leaders to HCEG members and associates. HCEG events and content exclude advertising and marketing-speak and participants at our events will never encounter vendor exhibits. Those reading our content and attending our webinars will not be bothered by sales pitches, pop-ups and banner ads.

For more information on the benefits of becoming an HCEG Sponsor in 2019, check out our Sponsorship Prospectus.  

Join Digital Healthcare Leaders & AHIP Forum Attendees in Nashville

If you’re attending the  2018 AHIP Consumer Experience & Digital Health Forum on December 10th – 13th or happen to be in Nashville on December 13th, consider attending HCEG’s next Executive Leadership Roundtable held at Music City Center at 1:00 pm CT.

In addition to lunch and networking opportunities, participants will enjoy the unique perspective and long-running insight of two distinguished panelists: Brian Lobley, President, Commercial and Consumer Markets at Independence Blue Cross and Stuart Hanson, Managing Director, Head of Healthcare Payments at JPMorgan Chase & Co.  HCEG’s Executive Director Ferris Taylor will moderate the roundtable.

This event is complimentary but registration is required. More information here.

Total Consumer Health & The Digital Healthcare Organization in Nashville

HCEG Attends the 2017 Healthcare Summit & CMA Celebration in Nashville

By | AHIP, Annual Forum, Executive Leadership Roundtable | No Comments

Source: emids

After helping host the 29th Annual Forum of the HealthCare Executive Group held last September in Nashville, our board chair Ferris Taylor returned to Nashville last week to attend emids 2017 Healthcare Summit & CMA Celebration. And if those two trips to Nashville weren’t enough, HCEG will be returning to Nashville to host one of our Executive Leadership Roundtable events on Thursday, December 7th – immediately following AHIP’s 2017 Consumer Experience & Digital Health Forum. Nashville really does live up to its moniker of “The Healthcare Management Capital of the United States.”

More About the 2017 Healthcare Summit & CMA Celebration

The 4th Annual Healthcare Summit & CMA Celebration sponsored by emids was an invitation-only event that brought together CEOs and leading executives from the healthcare industry to discuss how they are balancing provider, payer and patient accountability to provide more value and better outcomes for the future healthcare consumer. In this post, we’ll share a short recap of the summit proceedings and set the stage for a following post where we’ll share specific information, ideas and opinions from four panels moderated by industry leaders Justin Roth of TripleTree Investments, Russ Thomas of Availity, Dr Emad Rizk of Verscend and Glen Tullman of Livongo.

Dominant Themes at the Summit

Summit keynotes and sessions addressed opportunities, challenges and issues that healthcare executives and industry leaders must individually and collectively address during this period of uncertain reform and digital transformation of the healthcare industry. These included:

Impact and Continued Entrance of “Outsiders”

There are a whole bunch of companies outside of healthcare looking at the industry and saying, “We can do it better!”  Tomorrow’s healthcare innovations may very well come from outside of the industry… not just Amazon, Google, Lyft, Nike, Apple, etc.… but even other firms likely germinating in someone’s garage or one of the seeming 100’s of accelerators, incubators, or co-working spaces.

Importance of Data Liquidity and Exchange

Click for more info

Data and strategies for using data to drive new modes of thinking for the entire ecosystem of healthcare were a common point of discussion. Advances in artificial intelligence and machine-learning algorithms that tap into unstructured data were a promising area widely discussed.

Engaging Healthcare Consumers & Patients

Just as successful innovations for providers need to fit into their existing “workflow,” consumer solutions need to fit into the consumer’s “Life Flow.”  Consumers don’t want to be more engaged with their chronic conditions – they want to address their chronic conditions and get more engaged in living their lives.

Trust Among All Healthcare Constituents

All healthcare stakeholders – health plan members, patients, providers, and payers must work toward addressing the “trust” issue.  Consumers don’t necessarily care about how much you know as much as how much you care.

Source: emids

Come Back for More – And Going Back to Nashville

Be sure to check back for our next post where we’ll share information gleaned from the four panels presenting at the summit. And more about HCEG’s return to Nashville in December for our Executive Leadership Roundtable and how you can join other healthcare leaders after the AHIP Consumer Experience & Digital Health Forum on Thursday, December 7th.

In the meantime, consider connecting with us on our social channels: Twitter, LinkedIn and Facebook. And subscribe to our eNewsletter so we can push worthwhile information to you on a regular basis.

Recap of Webinar: ‘Care Redesign: Lowering Costs While Improving Patient Outcomes’

By | HealthEdge, Sponsor, Value-Based Care, Webinar Series | No Comments

As more Accountable Care Organizations (ACO) are formed and as value-based reimbursement arrangements between payers and providers expand, the need for assessing non-traditional drivers of health outcomes, leveraging payer, provider and community resources and enhancing collaboration between patients, providers and payers are becoming key to improving outcomes and managing costs.

Our Thursday, October 26, 2017, Harry Merkin, VP of Marketing at our sponsor partner HealthEdge teamed up with Barbara Berger, VP of Care Management at First Care Health Plans, to present “Care Redesign: Lowering Costs While Improving Patient Outcomes,” HealthEdge’s entry in this month’s HCEG Webinar Series.  The webinar presented innovative, real-world examples of how First Care Health Plans is improving member outcomes and lowering their cost of care via three primary approaches:

  1. Collaborating with providers and health systems
  2. Partnering with community resources
  3. Making critical information available to key stakeholders

Addressing Discontinuances of Care

Barbara shared that, while the high volume, time-sensitive nature of healthcare delivery often leads to a discontinuance of care delivery and management between the silos in which payers and providers often operate, the increased data sharing associated with the emergence of ACO’s and value-based reimbursement and care models are helping to align care provided by providers and health plan payers. Examples of balancing the proper people, processes and technologies were shared.

Population Assessments and Social Determinants of Health

Barbara emphasized the importance of carefully and thoroughly assessing an individual’s health care, behavioral and social needs as part of a periodic, recurring population assessment and how doing so can have a key, beneficial impact to healthcare outcomes.  And with “Social Determinants of Health” forming the basis (bottom) of Maslow’s Triangle of Needs, First Care is starting to include an assessment of member’s social determinants of health in their population assessment program. Factors such as the following are included in the population assessment:

  1. Access to Healthcare Services
  2. Access to Food
  3. Access to Local Community Resources
  4. Access to Transportation Options
  5. Public Safety
  6. Financial Status

After Barbara shared her insight on this currently popular topic, Harry Merkin stated: “The phrase ‘social determinants of health’ is no longer a buzzword!”

Addressing Social Determinants of Health

Barbara shared an overview about First Care’s “Expecting the Best Maternity Program” that combines case management and utilization management to complement care provided by physicians while guiding and supporting members – and their family – through member pregnancies; particularly high-risk pregnancies.

Besides services such as assistance with locating medical providers, toll-free 24/7 access to a clinician and a package of select products and services aimed at supporting pregnant women, the program also includes an innovative “Nurse-Family Partnership” where a First Care nurse is paired with an expecting family to help the patient and her immediate family members understand and manage the pregnancy. First Care nurses regularly reach out to ask questions on how the pregnancy is progressing and answer any questions the patient and family may have.

The program has resulted in a significant per decrease in NICU maternity admissions.

The Recording, The Content and More Insight from HealthEdge

The webinar presented three considerations for payer-provider population health programs:

  1. Be methodical about population assessment
  2. Integrate People, Process and Technology with Providers
  3. Use value-based contracts to align vision of member/patient care

You can learn more about how collaborating with providers and health systems, partnering with community resources and making critical information available to key stakeholders can improve outcomes and lower costs by checking out this recording of the webinar and these few slides from the presentation. If you would like more information or if you have any questions on the content of this webinar, please feel free to contact HealthEdge too.

More Information

HealthEdge Website

HealthEdge on Twitter

First Care Website

First Care on Twitter

If you’re not a HCEG member and would like more information on becoming a member, please see this page or email Juliana Ruiz.