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Leveraging innovative health technology solutions to combat social determinants of health

June 9, 2021Garrett SchmittNo CommentsChronic Care Management, COVID-19, Data, EMRs, health disparities, health technology, information sharing, remote patient monitoring, SDOH, technology, Telehealth

Nearly every chronic health condition has an increased prevalence with declining income; in fact, the life expectancy of the wealthiest American is ten to fifteen years longer than that of the poorest. Health disparities negatively affect people who experience larger obstacles to achieving optimal health due to lack of access to care. Healthcare systems face…

UN calls for private sector to play its part in beating health inequality

June 9, 2021Garrett SchmittNo CommentsCOVID-19, Data, health inequality, patient access, SDOH, UN

Dr Ahmed El Saeed, Focal Area Lead at the United Nations Global Pulse Finland, Executive Office of the UN Secretary-General, said: “International development is everybody’s business. You can do business and do good, and this is a message to the private sector, there is a very important role for the private sector to play in…

The Crucial Role of SDOH Data in Value-Based Care

June 8, 2021Garrett SchmittNo CommentsData, SDOH, value-based care, vbc

Roughly $4 trillion is spent on healthcare annually in the U.S.  Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral and environmental factors, known as social determinants of health (SDOH). What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the…

4 SDOH Driving Health Disparities in Patient Portal Use

June 8, 2021Garrett SchmittNo Commentshealth IT use, patient portals, SDOH, technology

As patient portal use and access become more commonplace in healthcare, it would be prudent for health IT leaders and clinicians alike to understand the health disparities that can also emerge with patient portal use. The latest data shows that patient portal offerings are near universal. 2019 data from the Office of the National Coordinator…

Softer Alignment of Medicare ACOs May Still Lead to Higher Prices for Office Visits

June 7, 2021Garrett SchmittNo CommentsACOs, Medicare ACOs, MSSP

A softer form of health care consolidation, where independent primary care practices align in certain Medicare accountable care organizations (ACOs) to negotiate with payers, may lead to higher prices, but not to an overwhelming extent, according to a new study published Monday in Health Affairs. Researchers focused their work on independent practices joining ACOs led by…

Building a social determinants of health strategy: data is the key

June 7, 2021Garrett SchmittNo CommentsData, managed-care plans, SDOH

For managed-care plans focused on improving population health and reducing overall costs, the goal has to be on prevention, not just treatment. One increasingly popular strategy is targeting members based on social determinants of health (SDOH), which accounted for around $2.5 billion in spending between 2017 and 2019, according to a 2020 study. But how…

Managing the Financials of Population Health: Challenges and Solutions

June 7, 2021Garrett SchmittNo CommentsPopulation Health, value-based care, value-based payment, vbc

Providing timely, high quality, patient care is no easy feat. In fact, as the healthcare industry continues the shift toward value based care, this job becomes more complex, with growing requirements to monitor the outcomes of both individual patients and the greater patient population into which they fall. The movement away from fee-for-service, however, doesn’t have to…

Solving SDOH by Building a Path to Payment

June 3, 2021Garrett SchmittNo CommentsAHIP, American Rescue Plan, COVID-19, SDOH

The COVID-19 pandemic exposed many health equity gaps that have long existed. The long-term impact of the pandemic on low-income communities has yet to be fully realized. As a result, the demand for social services will continue to rise. Currently, federal and state government, payers, and providers are responsible for funding the community organizations that deal…

Lawmakers call for CMMI to be more transparent and accountable as model review continues

June 3, 2021Garrett SchmittNo CommentsCenters for Medicare & Medicaid Services, CMMI, DHHS, HHS

A group of bipartisan lawmakers wants the Center for Medicare and Medicaid Innovation (CMMI) to be more transparent in its handling of value-based care models as the center continues a major overhaul of its demonstrations. The 24 lawmakers sent a letter to CMMI Director Liz Fowler on Wednesday seeking for more insight into the center’s…

CMMI director: Expect more mandatory value-based care payment models

June 3, 2021Garrett SchmittNo CommentsCMMI, mandatory models, payment models, risk selection, value-based care, voluntary models

The Biden administration is exploring making more payment models mandatory in the future as it implements a more patient-centric vision for value-based care. Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler detailed parts of this vision on Thursday during an interview with Health Affairs Editor-in-Chief Alan Weil. Fowler said voluntary models come with major…

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