Countdown to the PHA Forum 2015: Meet Christobel Selecky and Sean McNamany

by Fred Goldstein and Gregg Masters, MPH

Join our guests, Christobel Selecky, Chair of the Board and Sean McManamy Board member and Chair of the Population Health Alliance Forum Program committee as we discuss the Population Health Alliance Forum . The Forum now in its 16th year will be held November 2-4 in Washington D.C., is the ‘go to’ event in Population Health for executives, providers, physicians, researchers and population health practitioners. PHAForum_

Chris and Sean discuss the forum theme Welcome to Health: Population One, which underlines all of the presentations and tracks, introducing the concept that changes in a population occur one person at a time.

This year’s keynotes will focus on the upcoming national elections and their potential impact on health care, the 50th anniversary of Medicare and Medicaid and their future, and Consumerism in health care.

Currently announced Keynote Speakers are:

Eleanor Clift (@eleanorclift), a Washington correspondent for the Daily Beast, where she covers the White House and writes about politics and Policy. She also appears on “The McLaughlin Group” and MSNBC.

PHAForum_keynotesMark A. Siegel, (@msiegel271) former executive Director of the Democratic National Committee.  His career has spanned academics, government, politics, the private sector, print and electronic media and film-making.

Dr. William Rogers, Director of the Physicians Regulatory Issues Team at the Centers for Medicare and Medicaid Services (@CMSgov).

Sam Glick, a partner in Oliver Wyman’s Health and Life Sciences Practice (@OliverWyman).

Lucia Savage, the Chief Privacy Officer at the Office of the National Coordinator for Health IT (@ONC_HealthIT).  Her role is to foster interoperability in healthcare while ensuring security and privacy is maintained.

There will also be various tracks targeted toward supplying providers, payers and employers with practical, usable information on all aspects of Population Health. Monday afternoon will include the Executive Institute with a broad array of topics including a surprise session that will be a must attend for those in the employer wellness space.

You can learn more and register for the conference here and keep up with the conference via twitter handle @PHAVoice and conference hashtag #PHAF15. For transcripts, analtics and reach metrics check our the conference digital dashboard.

 

 

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.