Healthy Aging, One Conversation at a Time

I’m sure we all know that 10,000 Americans turn 65 day every day. For many, this “event” passes with little fanfare, with little notice other than the fact that they are now eligible for Medicare or that they need to start thinking about when to start taking Social Security. However, whether it happens when they turn 65, 70, 75 or …

adminHealthy Aging, One Conversation at a Time

Specialized Networks Open Broad Opportunities for Patient Engagement

You initiate an information search on Google. You find an article, click on it, and low and behold, an advertisement embedded in the article is related to a search you did on Amazon just the other day! Stranger yet, a coupon book from Target shows up in your mailbox featuring a deal on just the product you’ve been thinking about. …

adminSpecialized Networks Open Broad Opportunities for Patient Engagement

Wapping it All Up: The Member Engagement Program for Medicare Advantage Plans

In a previous post, we explored the imperative that Medicare Advantage plans build a trusting relationship with members. But trust is earned, so MA plans must become member-centric. Building better, more authentic relationships with members, introducing services, information and education that support the members’ goals of better health is the way to win their trust. In turn, members respond by …

adminWapping it All Up: The Member Engagement Program for Medicare Advantage Plans

Getting Practical on Member Engagement

Last week, we met Sally. In our discussion about Sally, we determined that the motivations behind most Medicare Advantage member engagement strategies—namely, reduced cost via lower utilization—have little appeal to the average member. Unless the member is recently discharged from the hospital due to a recent health scare, they may not be as motivated by a program that is designed …

adminGetting Practical on Member Engagement

Setting Goals for Member and Patient Engagement

Meet Sally. Sally was diagnosed with congestive heart failure several years ago. Now 80 years old, she lives alone, making ends meet with income from Social Security and the pension she earned after teaching in public schools for over thirty years. She is generally self-sufficient, although she occasionally forgets to take her medicine or monitor her weight. Most days, she …

adminSetting Goals for Member and Patient Engagement

Medicare Advantage: Improving the Member Experience Through Patient Engagement

At the end of each year, Medicare Advantage members come to a fork in the road: stay with their current Medicare Advantage provider or find a new option. For the MA plan, this is a critical moment. The plan spent money to attract and enroll this member. The plan invested time, energy and resources to pay and provide care for …

adminMedicare Advantage: Improving the Member Experience Through Patient Engagement

MSSP 2014 Results Analysis: Learning from the Winners, Losers & Savers

by Dr. Randall Williams, MD CMS reported the results of the 2014 performance year for its MSSP program during the summer recess, with little fanfare or media critique. By publishing an organization-by-organization dataset, CMS has given us the opportunity to crowdsource the analysis. The basic facts CMS released the 2014 financial and quality data for 333 MSSP ACOs. These organizations were …

Dr. Randall Williams, MDMSSP 2014 Results Analysis: Learning from the Winners, Losers & Savers
social determinants of health

Social Determinants of Health, Part 4: All the Lonely People

by Dr. Randall Williams, MD The Beatles were onto something with their song “Eleanor Rigby”. The loneliness of Eleanor Rigby and Father McKenzie strike a chord with us because we humans are social creatures—it’s woven into our DNA. From our hunter-gatherer ancestors who moved in clans to the complex, fast-moving communities we live in today, we are all dependent on …

Dr. Randall Williams, MDSocial Determinants of Health, Part 4: All the Lonely People
Image credit: Little Neighborhood by Rachel Elaine at Flickr

Social Determinants of Health, Part 3: Where Patients Live

by Dr. Randall Williams, MD In the new world order of value-based care delivery, healthcare providers cannot afford to be unaware of, or choose to ignore, the major drivers of healthcare utilization that fall outside of “traditional” clinical care. These areas, called Social Determinants of Health (SDHs) include some natural and actionable categories like: Timely, convenient and affordable access to …

Dr. Randall Williams, MDSocial Determinants of Health, Part 3: Where Patients Live

Social Determinants of Health, Part 2: Access to care, health literacy and patient engagement.

by Dr. Randall Williams, MD Readers of this blog know that the most basic actions influence health in powerful ways. Some of these simple but profound health actions include: eating nutritious food; being physically active; avoiding high-risk behaviors (like smoking); receiving recommended immunizations and screenings; and scheduling an appointment with a provider when needed. Yet, while we know these things, …

Dr. Randall Williams, MDSocial Determinants of Health, Part 2: Access to care, health literacy and patient engagement.