Got Data! Plenty of It. How can I use it?

PHA Forum 2014 Educational Sessions 

Analytics to Action for Providers and ACOs 

If you are a population health vendor, care management company, health care provider or an accountable care organization (ACO) you have plenty of data already, and more is on the way.

A clear indication of the industry wide interest in this issue was the number of related proposals we received for the PHA Forum 2014, Population Health Alliance’s annual conference. We have devoted a scientific track to data and analytics.

The Analytics to Action for Providers and ACOs track shows examples of how to turn big data into better health outcomes. It showcases real world examples of how the appropriate use of data and analytics is transforming the way healthcare is provided in a multiplicity of settings.

Presenters from Kaiser Permanente, Indiana Lakes ACO, Tonic Health, Predilytics, U.S. Medical Management, 3M and Wellmark Blue Cross Shield will show attendees how to go far beyond the basics of identification and risk stratification, to be able to use data for the new levers of population health, such as provider and consumer engagement, payment methodologies, care settings.

Learn more

Register today for the PHA Forum 2014

Presentations

See track presentations

Digital Surveys and Actionable Data to Engage ACO Stakeholders in Population

Speakers

Kathryn VanOsdol, BSN 

ACO Clinical Informatics, Indiana Lakes ACO, LLC

Sterling Lanier, BA, MBA 

Chief Executive Officer, Tonic Health

Leveraging Analytics to Improve Identification of Individuals with Advanced Illness Who Will Be Receptive to Hospice

Speakers

Kevin Murphy 

Chief Operating Officer U.S. Medical Management

Hariharan V. Sundram, MD

Chief Medical Officer, Predilytics

Lessons Learned from Adoption of Outcomes-Based Payment 

Speakers

Gerry Tracy, JD, MPH

Manager, State and Payer Initiatives, 3M Health Information Systems

Michael Fay, HIA, MPH

Vice President, Health Networks, Wellmark Blue Cross Blue Shield

Home or Nursing Home? How Kaiser Permanente Is Keeping People Home

Speakers

Martha Shenkenberg, BSN, MBA

Manager, Consulting Services, Medi-Cal and State Programs, SCAL, Kaiser Permanente

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A Must Read: Article on Population Health and Health Care Consumerism

The latest issue of the Health Care Consumerism Outlook 2013 includes an article by members of the Care Continuum Alliance’s team discussing how population health management and health care consumerism have a symbiotic relationship.

HCCS-13Outlook-cvr4in

The Future for Population Health Relies on Three Key Consumer-Centric Features: Health Data, Care Coordination, and mHealth” is an excellent read, if we may say so ourselves.

Consumerism and its impact on health often move faster than the health care industry. At CCA we have worked to keep pace with this market movement and respond appropriately. In 2013 our research and advocacy priorities, which are driven by our members through their participation in our Quality and Research committees, focus on the understanding of how incentives work, not merely to move consumers into wellness programs, but to engage them in community wellness, that is, incentives that inspire the consumer to transcend the health of self to move into a community health mindset.

Improving the health of populations starts by building a healthy shield around one individual consumer at a time. CCA’s population health framework, an outcome of our committees’ work puts the consumer at its very center.  We use the term consumer, not patient, because the health continuum encompasses services beyond those of “health care” and being a “patient” to include wellness and prevention, and the engagement of the individual. Lifestyle issues such as exercise and diet have been one of the initial foci of consumerism as it entered the health care space.

Read the article the full article, “The Future for Population Health Relies on Three Key Consumer-Centric Features: Health Data, Care Coordination, and mHealth”, on the magazine HealthCare Consumerism Outlook 2013.

News from CCA Quality and Research

CCA Forum Program Committee

With more than 90 proposal submissions received last month, the Program Committee has a multitude of high quality presentations from which to choose for CCA Forum 2013 in Scottsdale, AZ, on October 23-25, 2013. Through a process of online review and scoring along with an in-person meeting and conference call, the Committee is making final selections for the educational program. Themes for 2013 will include collaborative strategies for practice transformation, Big Data, and employer strategies for employee health, to name a few. And the traditional session format of the past will be transformed into more engaged presentations, working sessions, and workshops.

Walking Learning Labs and a pre-conference workshop on program evaluation are new offerings for 2013, providing additional opportunities for attendees to gain hands-on learning. The walking learning labs will guide attendees through a mini-tour of The Solutions Zone exhibit hall and demonstrate how, for example, a health care provider might use population health management strategies to better care for his patients. The half-day program evaluation workshop, on Wednesday afternoon (Oct. 23), will interest employers (HR and benefit managers) who want to better understand their wellness programs and what they should measure, resulting in “take back to the office” information. Forum attendees will need to register separately for these opportunities.

For the third year, the International Symposium on Wellness & Chronic Care will demonstrate the application and success of a variety of population health management strategies around the globe. This half-day conference will take place on Friday afternoon (Oct. 25) and will bring new perspectives from countries/regions that have not been represented at past conferences.

Our sincere appreciation goes to the Program Committee, reviewers, and their associated organizations for the commitment of time and resources: Greg Berg (McKesson Health Solutions), Suzanne Duda (Healthways), Neil Gordon (INTERVENT International), Cynthia Hallam (Blue Cross Blue Shield Louisiana), Nancy Hedstrom Wigley (Cigna), Natalie Heidrich (Ethicon), Iver Juster (ActiveHealth Management), Craig Keyes (Alere), Rose Maljanian (HealthCAWS), Michael Taylor (Accenture), and Mike Van Den Eynde (Deloitte).

Stay tuned as we begin to release more details on the CCA Forum program within the next month. Those who submitted proposals can expect to receive notification of the Committee’s decision by the end of May.

Population Health Management in Health Insurance Exchanges

A 2013 research initiative, the Population Health Management in Health Insurance Exchanges has kicked off with two work groups: HIX Assessment and Exchanges 101. We are conducting an environmental scan of the state exchanges to better understand the variety in structure, design decisions, measurement, etc. We are also using past CCA research to build the value proposition for population health management and communicate that value to the exchanges. If you have resources or expertise to share in these areas, please contact Karen Moseley, KMoseley@CareContinuumAlliance.org.

CCA Quality & Research Update – Focus on Partnerships

Quality & Research March Update

Population Health Management in Health Insurance Exchanges

The Affordable Care Act requires health insurance exchanges (HIX) to be established and working by 2014 in every state. Currently, 17 states are pursuing a state-run marketplace, while the remaining 33 states will allow a federally facilitated marketplace or partner for a state-federal marketplace. These exchanges will function as a transparent and competitive marketplace where buyers of health insurance, mainly individuals and small businesses, can buy affordable and qualified health benefit plans.

This move toward increased health care access for broader populations provides an opportunity to apply population health management (PHM) beyond Medicare and Medicaid populations to the commercial market. As employers shift the ways in which they provide health benefits, this work will be applicable to any population health model trying to gain access to broader populations through broader access models such as state and private exchanges.

CCA and its members have already laid the groundwork for population health management as the cornerstone for this broader access model. PHM strategies and tactics will be important to the success of the health insurance exchanges. As the voice of population health, CCA will develop tools and guidance to address three main objectives: 1) help PHM vendors to understand the health insurance exchanges and the opportunities that may exist in these new markets; 2) demonstrate the value of PHM to the health insurance exchanges; and 3) inform policy makers about the value of PHM for the HIX and differentiate the payment models used.

The Quality & Research Committee has formed two work groups for this effort. If you are interested in participating, please contact Karen Moseley, kmoseley@carecontinuumalliance.org.

  1. HIX Assessment. This work group will perform the environmental scan of HIX, including participating states, design decisions, product offerings, populations served, measurement, health information technology, and other exchanges such as private exchanges and state-federal marketplaces.
  2. Exchanges 101. This work group will develop guidance around the value proposition of HIX as a new business opportunity for PHM organizations as well as the value proposition of PHM for the success of HIX.

HERO-CCA Employer Dashboard

CCA’s collaborative effort with HERO is progressing and will be in the final stages of review within the next few months. The project leadership group plans to meet for a full-day working session in April to finalize the document for review by experts in the industry and stakeholder groups within HERO and CCA. If you have expertise in measures for employee health management programs—specifically the domains of health impact, satisfaction, participation, financial outcomes, productivity, organizational support, and value of investment—please contact Karen Moseley, kmoseley@carecontinuumalliance.org, if you would like to serve as a reviewer of the work prior to release. The final review will include public comment, so stay tuned.

Workplace Wellness

The CCA data aggregation buzz has been quiet for several months, but it is becoming louder as we await the release of RAND’s Report to Congress on the effectiveness of wellness programs in the workplace, including factors such as the incentives offered, the impact participation has on employee behavior, and programs’ ultimate impact on employees’ health. We expect to have the full report in April, and RAND has offered to brief the CCA data advisory board as well as the data contributors on the report findings post release.

On a similar note, CCA Quality & Research is collaborating with CCA Advocacy to develop a detailed, comprehensive, and evidence-based response to a recent article in Health Affairs titled, Wellness Incentives In The Workplace: Cost Savings Through Cost Shifting To Unhealthy. The authors draw several conclusions that merit a response, and CCA members are called to submit case studies to increase the evidence. Read the Call to Actionand act now!

 

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