ACOs have used “old school” data sources for many years to focus coordination of care activities. Perhaps your ACO has done the same, using reports such as admissions and ER discharges, post-acute admissions, visit history and missing labs to target patients for outreach. Similarly, your ACO might use HCCs to identify patients with higher risk…
The emergency department (ED) is vital to any healthcare system, providing immediate care for acute injuries or traumatic/life-threatening health issues by a highly trained team of medical professionals. This kind of life-saving care is undoubtedly invaluable. However, there are plenty of circumstances where the ED may not be the most appropriate choice. In fact,…
Primary care is associated with improved life expectancy and reduced health care disparities. It is the frontline of our health care system, and is critical for tackling the growing behavioral health crisis and addressing social needs of patients, particularly in the wake of the COVID-19 pandemic. Despite its value, several indicators suggest that the sustainability…
Healthcare organizations are spending significant resources – time, money, and human capital – to address social determinants of health (SDoH) and health equity. Effective execution requires going upstream of the programming itself to understand the social determinants of a population. According to Data Bridge Market Research, the U.S. SDoH market is growing with a compound…
On February 1, 2023, CMS released the Medicare Advantage (MA) Advance Notice which is a document used to give notice to MA plans about upcoming changes to the model for the following performance year. As we outlined in our prior blog post, the Advance Notice contained substantial changes to the risk scoring model. CMS provided…
Seasonality—the cyclical changes that occur around the same time each year—lends a certain predictability that countless industries have learned to leverage to their benefit. One prominent example: Holiday shopping season. Every fall, shoppers have come to expect Christmas decorations lining store shelves and enticing sales to lure them in. Since retailers rely so heavily on…
Food security is perhaps one of the most commonly discussed social determinants of health, with the medical and public health industries standing poised to address it. According to Healthy People 2030, food insecurity is “a household-level economic and social condition of limited or uncertain access to adequate food.” Food insecurity has two different levels of…
Download Slides Join ATTAC experts for a discussion about the changing Health Equity & Social Determinants of Health landscape, key considerations for health plans, and planning for the future ATTAC Consulting Group Presenters:– Jennifer Venditti, SVP, Business Transformation– Lynn Kryfke MSN, RN, Senior Consultant Who should listen in:– Population health leadership and staff– Clinical…
Download Slides Discover how technology and digital trends are transforming how ACOs deliver value and minimize costs. mPulse’s very own Aram Khodiguian, Director of Value Based Care Solutions, and Greg Gould, Senior Solution Engineer, will discuss how going digital is transforming ACOs ability to scale patient outreach to drive optimal cost savings across high-value…
As more health systems are operating or planning hospital-at-home programs, leaders of some of those programs see the opportunity to improve health equity. Since the beginning of the COVID-19 pandemic, the federal government has allowed health systems to provide treatment, including acute care, in patients’ homes, with certain conditions. Health systems involved with those programs…
Download Slides Digital health platforms are a natural fit for Accountable Care Organizations given the focus on remote monitoring and behavioral change enablement that drive higher quality outcomes at lower costs of care. Yet many ACOs have not begun to leverage digital tools within their suite of offerings while payers, employers and health systems…
By the time the end of March rolls around, we will have seen just over 1,100 days of continuous Medicaid and CHIP enrollment. Federal guidance within the 2023 Consolidated Appropriations Act effectively decoupled continuous enrollment provisions from the Public Health Emergency (PHE) and will allow states to resume their redetermination process as soon as April…