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.

 

 

Meet Steven Blumberg AtlantiCare Health Solutions

by Fred Goldstein

This week on PopHealth Week oPopHealthWeek-logo-TWTTR-squr special guest is Steven Blumberg, Senior Vice President and Executive Director of AtlantiCare Health Solutions, AtlantiCare’s accountable care organization. A member of AtlantiCare’s executive leadership team, he has responsibility for development of population health models, programing and delivery. Blumberg works with payors and employers to bring value-based purchasing of health services to the marketplace. Blumberg’s more than 25 years of health care leadership experience includes strategic planning, business development, joint ventures, group practice leadership, risk model development and operational integration. He has worked with both large group practices as well as major health systems.

AtlantiCare, located in New Jersey is the region’s largest healthcare organization and largest non-casino employer with more than 5,170 employees and 600 physicians in nearly 70 locations.atlanticare

AtlantiCare Health Solutions is an accountable care organization (ACO). Services offerd through their ACO includes Primary Care Plus, data analytics and information sharing through an EMR, integrated care managers, a hospitalist program and an employee engagement, prevention and wellness program.  The program also offers a patient portal, mobile app and Well4Life, whose mission is to build healthy communities.  So join PopHealth Week as we discuss ACO’s, population health and some of the innovative services offered by AtlantiCare Health Solutions.

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Frederic S. Goldstein is President and Founder Accountable Health, LLC, Past Board Chair, Board of Directors, Population Health Alliance, and co-founder of PopHealth Week.

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.