Client News Coverage

Leveraging SDOH in Post-Pandemic Risk Modeling to Overcome Distorted Care Projections for 2021 and Beyond

Posted in Client News Coverage on Wednesday, September 08, 2021.

The uncertainty and risk created by pandemic-related disruptions in care have health plans in uncharted water when it comes to relying on claims data and utilization patterns to inform their risk models. But while these disruptions weakened the reliability of traditional risk models, they also created opportunities to deepen and enrich member data by leveraging consumer and other data related to social determinants of health (SDoH)that can deliver significant performance and accuracy benefits.

Expanding data sources and enhancing analytics capabilities allows health plans to develop the capacity for more precise, holistic member engagement while improving the most impactful health outcomes in individuals and populations. Doing so will help lift Star Ratings, improve care compliance, close gaps, enhance member satisfaction, reduce costs and drive profitability gains.

HIT Consultant»

How hc1 is generating actionable healthcare insights to support precision medicine

Posted in Client News Coverage on Monday, August 16, 2021.

At the intersection of health tech and diagnostics, hc1's CEO Brad Bostic talked about the company's origins and how it works with medical laboratories, hospitals and health plans.

MedCity News»

The Lessons of COVID-19 Must Inform a Smarter Future in Healthcare

Posted in Client News Coverage on Monday, July 19, 2021.

The healthcare industry will be discussing COVID-19 lessons learned for the foreseeable future. Yet one take-away stands out as a glaring issue that demands immediate attention: keeping critical patient and public health data locked away in disconnected databases and multiple data siloes is not only unsustainable, but potentially deadly.

From the point when COVID-19 arrived in the U.S., public health officials lacked critical information and proactive real-time insights into the ebb and flow of the virus — denying them the ability to mobilize highly effective localized responses.

Medium»

Colorado Hospital Association Dashboard Monitors Role of SDoH In Member Hospital Readmission Rates

Posted in Client News Coverage on Friday, June 25, 2021.

Typical attempts at defining, quantifying, and measuring social determinants of health (SDoH) are limited to geographic or population averages, which often mask individuals’ discrete and unique experiences. They can, therefore, lead organizations to implement costly and inefficient programs instead of addressing individuals’ actual barriers that represent the greatest potential for improving health outcomes and return on investment.

Recognizing this, the Colorado Hospital Association (CHA) sought to gain a better understanding of the unique fingerprint of risk within its members’ patient populations—knowledge that would lead to more effective strategies for its members to address emergency department (ED) super-utilization and readmission rates with interventions that would produce the greatest return on investment.

Electronic Health Reporter»

Moving Toward A High-Value Care Strategy Begins in the Lab: 3 Steps to more efficient, effective patient care

Posted in Client News Coverage on Thursday, June 17, 2021.

For healthcare organizations to succeed in an era where they are expected to deliver optimal patient results at the lowest cost, they need to abandon traditional low-value care models, which are characterized by patient care that does not lead to better outcomes. This inefficient practice can be detrimental to patients and costs the healthcare industry more than $340 billion per year.

Understanding how this process occurs — and how to eliminate it — is the first step toward implementing a high-value care strategy that works proactively toward lowering costs and improving results. And the best place to start is the lab, where blood and test utilization are responsible for most of the waste and inefficiencies that reside across the healthcare industry.

Healthcare IT Today»

The Unequal Impact of COVID-19 In Minority Communitities

Posted in Client News Coverage on Friday, May 28, 2021.

Minority communities are incredibly diverse, particularly when looking at population mix and rural vs. urban areas. From different household makeups and risk factors to varying engagement preferences, that diversity also impacts health outcomes—a reality laid bare by COVID-19.

An analysis by Carrot Health found that rural communities bear the highest burden of COVID-19, while Black and Hispanic populations are the most adversely impacted by the virus.

Electronic Health Reporter»

A Healthy Financial Outlook is no Accident

Posted in Client News Coverage on Friday, May 14, 2021.

The pace of scientific advancement moves faster than ever, and today’s providers, by and large, are open to embracing new best practices and better approaches to medicine. When it comes to optimizing the bottom line, though, many physicians are hesitant to give up traditional manual approaches to revenue cycle management and embrace forward-thinking, data-driven revenue integrity models.

Yet, the stakes are higher than ever for taking a strategic approach to financial health. Today’s practices are facing some of the tightest operational margins in modern history, amid challenges brought on by COVID-19, a continuous decline in reimbursements, and the shift from traditional fee-for-service models to value-based care.

Healthcare Business Today»

Scaling Precision Medicine for Mainstream Adoption

Posted in Client News Coverage on Thursday, April 22, 2021.

The Power of Precision Health Insight Networks

It’s safe to say the U.S. healthcare system’s inherent flaws and dysfunctions have been on full display over the past year. While healthcare stakeholders recognize the need for high-value care, the pandemic has underscored the urgency of investing in models that optimize coordinated, personalized approaches.

Healthcare’s outdated one-size-fits-all, trial-and-error model was performing unacceptably even before the pandemic, wasting up to $935 billion and racking up the highest rate of preventable deaths when compared to peer nations. Notably, research reveals that more than 128,000 people in the U.S. die each year from taking medications as prescribed—four times the number of people killed by prescription painkillers and heroin combined, as reported by the Centers for Disease Control and Prevention.

PSQH»

COVID’s Impact on Healthcare Organizations’ Revenue and Reimbursement: The Lessons We Learned

Posted in Client News Coverage on Tuesday, April 13, 2021.

It has been more than a year since the start of COVID-19 pandemic. While it will be years before we truly know the effect it will have on our overall health, economy and society, there are a lot of things we do know about the impact on health systems.

Healthcare systems stepped up in a heroic way. They managed to test, treat and cure millions of patients. We went from having no standard test for COVID-19 to being able to test more than 2 million people in a single day. (Data from the Covid Tracking Project).

Health IT Answers»

Establishing Long-Term, Cost-Effective Test and Blood Utilization Programs

Posted in Client News Coverage on Tuesday, April 13, 2021.

In today’s quality-driven, outcomes-focused landscape, it is important for healthcare organizations to strike the proper balance between driving better patient outcomes and enhancing efficiencies while still controlling overhead costs. A growing number of forward-thinking organizations are accomplishing this by implementing utilization programs that put operational processes under a microscope and turn lagging, outdated workflows into lean, money-saving activities.

It is a wise target, because unnecessary testing and blood waste put a huge financial strain on health systems. More than $340 billion is spent every year on excessive and inefficient care services, while nearly 50% of all blood transfusions and lab tests run across the continuum of care are unnecessary.

Health IT Answers»

PHINs: Addressing the Fundamental Flaws that Have Broken Healthcare

Posted in Client News Coverage on Tuesday, April 13, 2021.

The fundamental problem with healthcare can be summed up in one sentence: We expect healthcare services that cater to our individual needs, yet the health care system operates under a one-size-fits-all, trial-and-error model. It is a model that results in missed diagnoses, protracted illnesses, and even premature death and wastes $935 billion annually.

The financial toll of this outmoded approach pales in comparison to the human toll. More than 128,000 people in the U.S. die each year from taking medications as prescribed—four times the number of people killed by prescription painkillers and heroin combined, as reported by the Centers for Disease Control and Prevention.

HIT Consultant»

Healthcare’s Precision Medicine Imperative

Posted in Client News Coverage on Thursday, April 08, 2021.

When it comes to healthcare in the U.S., we expect services that cater to our individual needs from a system that operates under a one-size-fits-all, trial-and-error model — one that results in missed diagnoses, protracted illnesses, and premature death while wasting up to $935 billion annually.

The financial toll of this outmoded approach pales in comparison to the human toll. More than 128,000 people in the U.S. die each year from taking medications as prescribed — four times the number of people killed by prescription painkillers and heroin combined, as reported by the Centers for Disease Control and Prevention.

Medium»

MSPBJ Announces First-Ever Health Care Heroes Honorees

Posted in Client News Coverage on Monday, April 05, 2021.

2020 was an unprecedented year. Health care workers have gone above and beyond in their efforts to fight a global pandemic while continuing to provide care for non-Covid patients. Meanwhile, researchers, entrepreneurs and manufacturers specializing in the health care sector continue to develop new products and services to improve access and outcomes.

To honor their work, the Minneapolis/St. Paul Business Journal has launched our Health Care Heroes awards, recognizing individuals in the Twin Cities for putting innovation, care, dedication and compassion to work to improve the human condition. We received over 115 inspiring and impressive nominations for the inaugural year of this project, making the judging extremely difficult.

Minneapolis/St. Paul Business Journal»

Carrot Health Using Voting Records, Home Data to Gauge Health

Posted in Client News Coverage on Monday, April 05, 2021.

The secret to good health? Get enough sleep, eat well — and maybe vote regularly, according to Carrot Health, a Minneapolis firm that's working to better understand what are often called the social determinants of health and has collected data on millions of Americans.

The firm's approach is attracting attention: Carrot has already landed four of the country's top 10 health plans as its clients, CEO Kurt Waltenbaugh said.

The firm seeks to better understand the social factors that make people unhealthy and the barriers that prevent them from getting well. To do that, it needs a whole lot of data.

Minne Inno»

Self-Scheduling and COVID-19: Necessity Adds to Health Care’s Patient Matching Woes

Posted in Client News Coverage on Friday, March 26, 2021.

The explosive popularity of telehealth to ensure ongoing access to care as COVID-19 ravages the nation brings with it an equally rapid rise in patient self-scheduling—an upward trajectory accelerated by the need for streamlined methods of scheduling vaccinations.

Born of necessity, self-scheduling has nonetheless added to the already dismal state of patient matching. Desperate for appointments, many patients inadvertently create multiple medical record numbers as they work through the schedule system, wreaking havoc on health care organizations’ electronic master patient index (EMPI) and EHR systems, as well as the ongoing quest for a 1% or lower duplication rate.

For The Record»