Karin VanZant Explains How CareSource Fills the Gaps in Coordinated Care
October 2nd 2016CareSource is helping to bridge the gap in a patient’s care by working within that space to pull together the various stakeholders and put the patient’s care needs at the forefront of the conversation, said Karin VanZant, executive director of Life Services at CareSource.
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Susan Dentzer on Digital Medicine's Progress and Potential
September 30th 2016Digital health programs like telehealth have already made progress in fields like mental health by expanding access and lowering costs, but there are opportunities to achieve much more in the future, according to Susan Dentzer, president and CEO of The Network for Excellence in Health Innovation.
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Dr Leonard Fromer on Personalized Versus Precision Medicine
September 29th 2016Personalized medicine looks at a patient’s genome, but precision medicine takes more of their social and individual determinants into account, said Leonard M. Fromer, MD, FAAFP, executive medical director of the Group Practice Forum.
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Dr Ashish K. Jha Discusses the Controversial Medicare Hospital Star Ratings
September 27th 2016CMS' star ratings for hospitals have been controversial because they penalize hospitals that disproportionately care for the poor and the sick, and efforts by CMS to adjust the methodology haven't really addressed the concerns, explained Ashish K. Jha, MD, MPH, the K.T. Li Professor of Health Policy at the Harvard T.H. Chan School of Public Health and the director of the Harvard Global Health Institute.
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Lidia Fonseca Explains Ways Data Analytics Improves Patient Outcomes
September 25th 2016The integration of data analytics into everyday use has allowed physicians to better engage in the patients care by intervening and taking action early, which ultimately improves quality of life and outcomes, said Lidia Fonseca, senior vice president and chief information officer of Quest Diagnostics.
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Mike Payne on Behavior Change and Modification in Diabetes Care
September 23rd 2016While Omada Health’s Prevent program is designed for individuals with prediabetes, it can be adapted to patients who already have diabetes, because the program is built on behavior change and modification, explained Mike Payne, MBA, MSci, former chief healthcare development officer at Omada Health.
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Dr Roger Kathol Explains the Integration of Behavioral Health
September 22nd 2016The integration of behavioral healthcare into a medical setting is being delayed by resistance from those benefiting from the current payment model, said Roger Kathol, MD, president of Cartesian Solutions, Inc., and adjunct professor of psychiatry at the University of Minnesota.
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Dr Janine V. Kyrillos Discusses Stigmas Around Obesity
September 21st 2016The commonly held perception of obesity as a personal failing on the part of the patient is outdated and unhelpful, said Janine V. Kyrillos, MD, FACP, of Thomas Jefferson University Hospitals and the Sidney Kimmel Medical College.
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Jay Sheehy on the Future of a Consumer-Driven Healthcare Industry
September 20th 2016Ideally, the healthcare industry needs to be more consumer driven, so that solutions and programs are built with the patient in mind, said Jay Sheehy, senior vice president of product innovation at EmblemHealth.
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Linda Schwimmer Explains NJ Health Care Quality Institute's Role
September 19th 2016Since the implementation of the Affordable Care Act, more and more individuals are gaining access to insurance. Therefore, part of the New Jersey Health Care Quality Institute's responsibility is to make the complexities of the healthcare industry more easily understandable for members, according to Linda Schwimmer, JD, president and CEO of the New Jersey Health Care Quality Institute
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Dr Patricia Salber Explains the Disparities Affecting Healthcare Today
September 18th 2016Patricia Salber, MD, MBA, of The Doctor Weighs In, said that geographic location is one of the largest disparities impacting healthcare today, for it affects not only the types of plans available to individuals based upon where they live, but it also has an impact on the actual health outcomes of communities across the nation.
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Dr Alan Balch Explains the Difference Between Various Value Frameworks
September 16th 2016Different value frameworks offer different things, as Alan Balch, PhD, CEO of the Patient Advocate Foundation, explained that each framework has various other objectives in mind. Balch differentiates frameworks based upon whether their objectives reach individual or population-based levels.
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Dr Lonny Reisman Discusses Big Data's Untapped Potential
September 15th 2016Academic work has the potential to demonstrate positive outcomes for patients, but practically speaking, Lonny Reisman, MD, CEO of HealthReveal, said physicians simply don’t have the time to read, comprehend and apply the data when they are seeing and treating patients continuously all day.
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Mark Lovgren Explains Project ECHO's Telementoring Program
September 14th 2016Project ECHO works as a telementoring program with a team of specialists consulting with primary care physicians and sharing their knowledge, explained Mark Lovgren, director of Telehealth Services at Oregon Health and Science University.
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Dr Michael E. Chernew: ACA Exchanges Are Far From Failure, but Success Not Guaranteed
September 13th 2016Large insurers reducing their involvement in the Affordable Care Act health insurance exchanges doesn't necessarily indicate failure, but success is not guaranteed, said Michael E. Chernew, PhD.
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Dr Scott Breidbart Explains the Concerns With Paying for Adherence
September 12th 2016Scott Breidbart, MD, MBA, chief clinical officer of EmblemHealth, explained that paying patients for adherence could be efficient when the payment initiatives are targeted towards members who have not shown to be adherent; however, he added that there are several limitations in paying for adherence, including the sustainability of the system and whether it will incentivize patients who are adherent to stop taking their medications.
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Karin VanZant Discusses CareSource's Life Services Program
September 11th 2016CareSrouce’s Life Services program is a voluntary program in which individuals can decide on their own whether they would like to participate, a feature that Karin VanZant, executive director of Life Services at CareSource, said is especially appealing to their members.
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Lidia Fonseca on the Evolution of On-Demand Data in the Healthcare System
September 8th 2016The use of on-demand data in the healthcare setting has gone through an evolution from the beginning, which was about pulling information into 1 pool and then understanding how to analyze it. The next step in this process is integrating this technology into the workflow of physicians and using the information in a real time and impactful way, according to Lidia Fonseca, senior vice president and chief information officer of Quest Diagnostics.
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Kristen McGovern Discusses Exciting Innovations in Diabetes Care
September 7th 2016Remote patient monitoring is one of the most exciting innovations in diabetes care, as it allows both the patient and the physician access to real-time data that wouldn’t have been accessible in the past when patients only went to see their doctor once every couple of months, said Kristen McGovern, JD, partner at Sirona Strategies.
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Dr Andrew Pecora Discusses Socioeconomic Disparities and Payment Reform
September 6th 2016Payment reform's impact on socioeconomic disparities may not matter if the growth in healthcare expenditures in the United States means the government or payers can’t afford to pay for the medicines, said Andrew L. Pecora, MD, FACP, CPE, chief innovation officer professor and vice president of cancer services at the John Theurer Cancer Center.
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Stephen Nuckolls Emphasizes Importance of Care Coordinators in an ACO
September 5th 2016While speaking at the National Association of Accountable Care Organizations Spring 2016 Conference, Stephen Nuckolls, CEO of Coastal Carolina Quality Care, said that care coordinators have played an important role in his ACO to reach out to the patient and motivate them to become more engaged in their care. What makes a difference is showing the patient how much you care, he added.
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Dr Marcia Wilson Discusses Quality Measures in the Transition to Value-Based Care
September 5th 2016Performance measurement is at the heart of improving healthcare, and part of this transition to value-based payment means creating measures that track the improvements of quality care, said Marcia Wilson, PhD, MBA, senior vice president of quality measurement at The National Quality Forum.
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Ted Kyle on the Impact of the Diabetes Prevention Program
September 4th 2016Ted Kyle, RPh, MBA, principal at ConscienHealth, explained that in order to prevent diabetes, a patient’s health-related risks needs to be addressed, and part of these risks stem from obesity. He added that a program like Medicare’s diabetes prevention program is exactly the tool the curb this progression.
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Marilyn Tavenner Discusses Her Transition from HHS to AHIP
September 2nd 2016Marilyn Tavenner, president and CEO of America’s Health Insurance Plans (AHIP), explains some of the biggest transitions she faced in moving from the public sector of working with HHS to the private sector of now working with AHIP.
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Stephen Rosenthal Explains Ways Hospitals Can Shift from Volume to Value
September 1st 2016Rethinking the ways in which hospitals get reimbursed and removing barriers to patient centered care are just 2 ways in which hospitals can consider moving from volume to value, said Stephen Rosenthal, senior vice president of population health management at the Montefiore Health System.
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Jay Sheehy Explains the Importance of Understanding the Consumer
August 31st 2016Jay Sheehy, senior vice president of product innovation at EmblemHealth, explained that improving customer experience is important in engaging the individuals, which can only be done if the health plan thinks more like a consumer and less like a healthcare company. Research and analysis as well as figuring out what is most important to the consumer is critical in engaging patients with their care.
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Dr Patricia Salber Discusses the Growing Unaffordability of Drug Prices
August 30th 2016While the implementation of the ACA helped to manage healthcare costs in the beginning, Patricia Salber, MD, MBA, of The Doctor Weighs In, said that there are just certain factors that will always make dealing with growing costs very difficult.
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