Sun Health, CMS, Population Health and Jennifer Drago

by Fred Goldstein

PopHealth Week will be featuring Jennifer Drago EVP of Population Health at Sun Health. This week’s show will focus on some of the innovative programs that Sun Health offers in the seniors market including their Care Transitions Program  which has a CMS Community-based Care Transitions Program (CCTP) contract. CMS just  Community-based Care Transitions Programrenewed the Sun Health CCTP contract and increased the number of patients to be managed.

The CCTP  “tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries.”  There are currently 72 sites participating in the CCTP pilot.

Per CMS:

  • Approximately 2.6 million seniors, or 1 in 5 are readmitted within 30 days
  • The cost of these readmissions is over $26 billion per year
  • The goal is to reduce readmission 20% per year
  • The program is to run for 5 years
  • The budget was estimated at $300 million over 5 years

To date 29 of the total 101 CCTP-funded sites have withdrawn or been ended.

The CMS First Annual Report stated that of the 48 programs started in 2012 only four programs made statistically significant gains in reducing the ratio of readmissions to discharges from the participating hospitals.

PopHealthWeek-logo-TWTTR-sqBut there is more to this story.

As with other CMS programs there are some concerns regarding the study methodology. The argument against the current methodology, which measures re-admissions within 30 days as a percent of discharges may penalize hospitals, or communities that have worked to reduce hospital discharges in total. Because of the reduction in discharges, these initiatives may not show a reduction in 30 day readmits as a percent of discharges but would better reflect this changes by looking at a population based measure of re-admissions.

Some reference posts on the program are noted below:

  • http://www.medicaringcommunities.org/medicaring-blog-cms-cctp-metrics-have-seious-flaws/
  • http://medicaring.org/2014/12/16/protecting-hospitals/
  • http://www.n4a.org/blog_home.asp?display=16

Join us as we discuss Sun Health and their innovative approach to Senior Health, Care Transitions and the CCTP program.

From This Week in Accountable Care to PopHealth Week

By Gregg A. Masters, MPH

Accountable Health, LLC in association with Health Innovation Media the producer of three Internet radio shows focused on innovation in health[care] delivery, finance and business model re-design including This Week in Health Innovation, This Week in Oncology and ‘This Week in Accountable Care are collaborating to re-brand and re-launch This Week in Accountable Care as ‘PopHealth Week’.

Accountable Health LLC

The PopHealth Week Internet radio show will focus on the emerging Population Health issues, trends and key developments. Fred Goldstein (@fsgoldstein), CEO Accountable Health, LLC and Gregg Masters, MPH (@2healthguru), Founder and CEO Health Innovation Media serve as principal co-hosts of each the show and tap thought leaders, entrepreneurs and academicians pioneering the continued development (both practice and theory) of this emerging space and any derivative plays they in turn stimulate. We’ll be joined periodically (on our month end wrap-up shows ofHealth Innovation Media what’s hot in the news) by our co-host Douglas Goldstein aka @eFuturist.

Our first show ‘Population Health or Population Medicine: What Gives?‘ is scheduled May 20th 2015 at 12 Noon Eastern/9AM Pacific Time with the Founding and current Dean of the Jefferson School of Population Health David Nash, MD, MBA. All future shows are scheduled and will be available via www.pophealthweek.com.

The radio show is accessible both live and on demand. The latest episode ‘Population Health or Population Medicine: What Gives’? is available here:

For more information or to schedule participation on air contact gregg@pophealthweek.com or fgoldstein@pophealthweek.com; and do follow us on Twitter via @PopHealthWeek for real time program announcements and newsworthy tweets.

Some thoughts about this venture:

“Population health while a buzzword meaning different things to different people,, is in fact a defined approach that can have a profound positive impact on health care quality and costs.  I am excited to be working with Gregg to provide listeners with knowledge, actionable advice, news and trends to move this field forward.”

Fred Goldstein @fsgoldstein

“Merging our curated content focus on accountable care and the ACO industry with the broader environment of population health and medicine markets only makes sense as we continue to move from a volume driven to value and outcomes oriented culture of healthcare delivery and finance. I am thrilled to work with Fred Goldstein at Accountable Health, LLC to launch this timely joint venture.”  

Gregg Masters @2healthguru

Join us for an entertaining and informative series about the emergence of the population health, its associated derivatives, including documented best practices as we collectively pursue a sustainable healthcare economy.