Countdown to PHA Forum 2014: The Employer Perspective

On a special broadcast Tuesday, October 7th, 2014 at 12 Noon Eastern and 9 AM Pacific we continue the 2nd installment in the series Countdown to the Population Health Alliance PHA Forum 2014.

Listen here: http://www.blogtalkradio.com/healthtechmedia/2014/10/07/countdown-to-pha-forum-the-employer-perspective

The PHA Forum is an annual ‘go to’ industry standard for the entire ecosystem of population health management stakeholders including innovators in accountable care, care management and the general pursuit of the triple aim – better care, improved outcomes and lower per capita cost. This dynamic community gathers in Scottsdale, Arizona from December 10th – 12th.

On this broadcast we hear from Brian Klepper, health care analyst and the CEO of The National Business Coalition on Health (NBCH) who will supply an overview of the large employer persepctive and by proxy the essence of the purchaser communities message to the domestic provider community writ large.

More about NBCH:

The National Business Coalition on Health (NBCH) is a national, non-profit 501(c)6, membership organization of purchaser-led health care coalitions. NBCH and its members are dedicated to value-based purchasing of health care services through the collective action of public and private purchasers. NBCH seeks to accelerate the nation’s progress towards safe, efficient, high-quality health care and the improved health status of the American population.

NBCH has a membership of 53 coalitions across the United States representing over 4,000 employers and approximately 35 million employees and their dependents.

A detailed agenda for the PHA Forum 2014 is available here. For more information, or to register click here.

Guest Post: Regardless what the Supreme Court Rules: Technological Innovations Are the Future of Health Care

The Healthcare Industry waits today for the decision of the U.S. Supreme Court to determine the fate of the Affordable Care Act (ACA), no doubt the single greatest change to the nation’s health care system since the creation of Medicare and Medicaid Programs in 1966. A ruling on its constitutionality, therefore, will likely have a considerable impact on the state of the healthcare industry for years to come.

While the judges argue their positions and write opinions, and opponents and supporters stake out the Court’s steps with chants and signs, there is a long term and much less conspicuous movement that has been shaping the health care industry through innovation, collaboration and adoption and adaptation of cutting edge technology.

In a recent report[i], Ernst & Young declared that health care is shifting to a new level of consumer centricity and moving to a “Third place of delivery”.

“To address the challenge of behavior change, the epicenter of health care system – how health care is produced, delivered, consumed, and paid for – will move beyond the two places in which it has traditionally been delivered, the hospital and doctor’s office,” the report says.

“The third place is wherever the patient happens to be.  It is both every place and no place.  For health care, the third place is the patient,” it concludes.

The Population Health Management industry has long understood the need for coordinating and providing care for the patient outside the traditional delivery settings.  Our members have been developing the innovative technologies, approaches, strategies and methods for reaching and engaging the individual as patient and health consumer.

I am here to extend you an invitation: Come to have a taste of what the future of patient-centered, value-driven and technology-supported health care looks like at the:

Population Health Innovations Showcase

Wednesday, July 11th, 2012

11 am – 7 pm

Rayburn House Office Building – Rayburn Foyer

Washington DC

This Showcase brings an elite group of ten health care innovators to Capitol Hill for live interactive demonstration of cutting-edge health tools, services and programs.

Regardless of what the Supreme Court decides, we know that the innovations we are seeing in 2012 are the foundations of the health care delivery system of the future.  CCA staff had a hard time selecting only ten among the many potential participants and it was clear that there is a plethora of innovation and companies investing in Population Health Management.

Join us on July 11 to glance into the future of health care.

– Chris Coloian, Chair, CCA Board of Directors


[i] Ernst & Young, Progressions Global Life Science Report 2012

Guest Blog Post Disclaimer

CCA invites guest bloggers to post on Voice on Population Health Blog as a benefit for our members and the industry and to allow for exchange of ideas and information regarding population health.

The views, opinions and positions expressed within these guest posts are those of the author alone and/or of the company the author represents and do not represent those of the Care Continuum Alliance (CCA), its members, or the industry as a whole. CCA is not responsible for the accuracy, completeness and validity of any statements made within this guest post article. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author(s) and any liability with regards to infringement of intellectual property rights remains with them.

Guest Post: Reimbursement Policy Needs to Join the 21st Century

Imagine a banker making a loan without knowing the precise interest rate.  Imagine a drone flyer dropping a bomb without knowing the exact coordinates.  Imagine a doctor prescribing hypertension medication based on one data point – the blood pressure score recorded in the office after the patient fought through rush hour traffic, in a panic, fearing being late for the appointment.

Of those three scenarios, one happens hundreds of times a day in America, and the others almost NEVER happen.

Wouldn’t it be great if your primary care physician could look at your last 30 blood pressure scores, recorded over the last 2 months?  Well…it is happening today, but it doesn’t happen with nearly enough frequency because the old, tired, inaccurate “one data point” process gets reimbursed; whereas, contextual, longitudinal trends on blood pressure don’t.

At Healthrageous, we witnessed the positive benefits of empowering people with hypertension through the use of wireless blood pressure cuffs.  In a random controlled trial conducted in 2008 with 404 employees of the EMC Corporation in Eastern Massachusetts, those in the intervention group who used their wireless cuffs ended up receiving twice as many medication consults as the control group – leading to more precise titration of their blood pressure medications.

We are talking about a disease that is called the “silent killer” and which affects one in three adults in our country.  Yet, reimbursement policy for wireless devices that yield meaningful clinical biometrics remains stuck in the 1950s.  Back then, a farmer with high blood pressure paid for his doctor’s visit with a dozen eggs and a quart of milk.  Surely health care reform can include accountable, self-managing consumers sharing their BP scores with their doctors.  Yet, we don’t allow reimbursement for wireless blood pressure cuffs.  We don’t reimburse physicians for interpreting treasure troves of accurate hypertension data collected over time.  We simply shrug when patients find it too difficult and disruptive to visit their doctors in order to get medication for the silent killer.  Hence, they don’t see the doctor and are “silently” being killed by our stuck-in-time reimbursement policies.

And hypertension is but one example of wireless biometrics better informing overworked doctors and giving them the necessary information to effectively prescribe for our growing, mobile population.

Rick Lee is the CEO of Healthrageous, a CCA member.  He has made a career in the creation and sales of specialty health care applications and companies.  Prior to founding Healthrageous in 2009, he ran the largest EAP in the country for Magellan, was a founder of Quality Oncology, a disease management company, and was on the founding team of Value Health, with his specialization mostly in behavioral health.

Guest Blog Post Disclaimer

 CCA invites guest bloggers to post on Voice on Population Health Blog as a benefit for our members and the industry and to allow for exchange of ideas and information regarding population health.

The views, opinions and positions expressed within these guest posts are those of the author alone and/or of the company the author represents and do not represent those of the Care Continuum Alliance (CCA), its members, or the industry as a whole. CCA is not responsible for the accuracy, completeness and validity of any statements made within this guest post article. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author(s) and any liability with regards to infringement of intellectual property rights remains with them.

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