Currently Viewing:
The American Journal of Accountable Care June 2018
Amazing Grace: A Free Clinic's Transformation to the Patient-Centered Medical Home Model
Jason Alexander, BS, PCMH CCE; Jordon Schagrin, MHCI, PCMH CCE; Scott Langdon, BA; Meghan Hufstader Gabriel, PhD; Kendall Cortelyou-Ward, PhD; Kourtney Nieves, PhD; Lauren Thawley, MSHSA; and Vincent Pereira, MHA, PCMH CCE
Lessons Learned in Implementing Behavioral Screening and Intervention
Richard L. Brown, MD, MPH
The Intersection of Health and Social Services: How to Leverage Community Partnerships to Deliver Whole-Person Care
Taylor Justice, MBA, President of Unite Us
Case Study: Encouraging Patients to Schedule Annual Physicals
Nicholas Ma
Effects of an Integrated Medication Therapy Management Program in a Pioneer ACO
William R. Doucette, PhD; Yiran Zhang, PhD, BSPharm; Jane F. Pendergast, PhD; and John Witt, BS
Are Medical Offices Ready for Value-Based Reimbursement? Staff Perceptions of a Workplace Climate for Value and Efficiency
Rodney K. McCurdy, PhD, and William E. Encinosa, PhD
Currently Reading
Utilizing Community Resources, New Payment Models, Technology to Deliver Accountable Care
Laura Joszt, MA

Utilizing Community Resources, New Payment Models, Technology to Deliver Accountable Care

Laura Joszt, MA
At the Accountable Care Delivery Congress, speakers discussed ways to address social determinants of health, use payment mechanisms as levers, and forge connections through technology.
Payment Models as Levers
To make sustainable changes in care delivery, the payment mechanisms need to be there. During the second panel, David Muhlestein, PhD, JD, of Leavitt Partners; Michael Funk, FACHE, CMPE, of Humana; John McConnell, PhD, of Oregon Health & Science University; and Tim Gronniger, MPP, MHSA, of Caravan Health, noted that with so much of the health system still in fee-for-service models, there is no business case for organizations to move fully to value-based care.

The panelists agreed that the federal government has to be involved to drive the shift. Muhlestein noted that HHS Secretary Alex Azar has changed gears from his predecessor, Tom Price, MD, and is more in line with how former President Barack Obama’s HHS secretary, Sylvia Mathews Burwell, viewed Medicare and Medicaid as policy levers.

McConnell and Funk have been encouraged by what they’ve seen so far. Although McConnell said the coordinated care organizations in Oregon, which are similar to accountable care organizations, are “here to stay,” Funk believed that current models and payment structures probably won’t be around at the end of the transformation.

Facilitating Use of Technology
The final panel of the day highlighted technology innovations in healthcare, with 3 panelists discussing how their organizations are leading the field. Taylor Justice, of Unite Us, explained that his company uses software to address social determinants of health by connecting patients to appropriate resources. The software creates a single record for each patient that follows him or her regardless of the care setting. Each new care organization is given access to the parts of the record that it needs.

Arien Malec of Change Healthcare, highlighted the fast-changing technology landscape in healthcare, with artificial intelligence and machine learning starting to be used to relieve administrative burdens.

“What we’re doing is not the holy grail of replacing the physician and having the computer do everything for you,” Malec explained. “We’re trying to automate a lot of the routine activities of healthcare,” she said, to have people work at the top of their licenses.

Aledade is working with 22 accountable care organizations across the country, helping providers who want to make the shift to value-based care but need help with things like regulatory issues, technology, and data analytics that must be addressed during the transformation. Edwin Miller, of Aledade, explained that providers are having trouble getting access to the information that health systems and hospitals have.

“The data blocking is real,” he said. “We have trouble getting information. We struggle to get those connections.”

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