The challenge of scaling care coordination.

by Dr. Randall Williams, MD The past few weeks have been a whirlwind. My colleagues and I attended conferences hosted by the World Healthcare Congress, NAACOS, AMGA and the CMR Institute (where I spoke). Although the agendas differed slightly, each event focused on the overall potential and challenges inherent in the shift to value-based care. One challenge we heard repeatedly …

Dr. Randall Williams, MDThe challenge of scaling care coordination.

Gap analysis: Care coordination and the patient centered medical home (PCMH)

by Dr. Randall Williams, MD Last week, the Journal of the American Medical Informatics Association published an interesting article on the challenges facing primary care medical home (PCMH) models as related to care coordination technology. Researchers attempted to answer the question: “How can health information technology (HIT) better serve the care coordination needs of the PCMH model?” After conducting a …

Dr. Randall Williams, MDGap analysis: Care coordination and the patient centered medical home (PCMH)

8 important questions (and answers) that will help your ACO win with value-based contracts.

by Dr. Randall Williams, MD Winning with value-based contracts and care models requires everyone in healthcare to “think differently”. Unfortunately, we humans are no more immune to running in herds than any other group of mammals. Despite our best intentions, we slide easily into old patterns of thinking and acquiesce to the common viewpoints held by our peers. Even the …

Dr. Randall Williams, MD8 important questions (and answers) that will help your ACO win with value-based contracts.

The Next Generation ACOs: boldy going to value based purchasing (with a few tweaks based on others who have gone before).

by Dr. Randall Williams, MD This week, the CMS Innovation Center unveiled its plan for the Next Generation ACO payment model. With apologies to Gene Roddenberry, the new crew of this Enterprise will be pushing the boundaries of healthcare cost, quality and delivery, just like the Pioneer and MSSP ACOs. But the Next Generation ACOs will have to work under …

Dr. Randall Williams, MDThe Next Generation ACOs: boldy going to value based purchasing (with a few tweaks based on others who have gone before).

In the doctor shortage drama, patient engagement plays a crucial role.

by Sara Aldworth This week, the Association of American Medical Colleges released their final report projecting a doctor shortage between 2013 and 2025. Among the key findings: The U.S. population is expected to grow by 10% over the next decade The population aged 65+ is expected to grow 46% Demand will outstrip supply, creating a shortage between 46,000 – 90,000 …

Sara AldworthIn the doctor shortage drama, patient engagement plays a crucial role.

Succeeding with value-based care: lessons from the CMS Physician Group Practice Demonstration

by Dr. Randall Williams, MD In 2005, we at Pharos Innovations were presented with a unique opportunity: Park Nicollet Health System (now part of HealthPartners) asked for our help. As one of the 10 CMS Physician Group Practice Demonstration organizations, they had a goal to achieve shared savings through improving the coordination of care for their assigned beneficiaries living with …

Dr. Randall Williams, MDSucceeding with value-based care: lessons from the CMS Physician Group Practice Demonstration
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Value based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.

by Dr. Randall Williams, MD “The definition of insanity is doing the same thing over and over again and expecting different results.” — Albert Einstein If you want to lead your organization to success with value based care, I’d like to help you avoid the mistake of committing organizational insanity. As I’ve written before, all value based contracting will require …

Dr. Randall Williams, MDValue based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.
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The promises and pitfalls of remote patient monitoring: it’s all in the model.

by Sara Aldworth Do you remember the story of Sisyphus? In Greek mythology, he was doomed to roll a boulder up a hill for all of eternity. Sometimes, leading an ACO seems eerily similar. You’ve got to roll a boulder up the hill of value-based care and it can feel like there’s no end in sight. Not only are you …

Sara AldworthThe promises and pitfalls of remote patient monitoring: it’s all in the model.
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Want to win with value based purchasing? Start with the fundamental challenge.

by Dr. Randall Williams, MD So you want to thrive (or even just survive) under value based contracting? Here’s a little advice: get your organization focused on cost. Definition of value Ask any economist what value means and they’ll tell you this: Value = Quality ÷ Cost In the era of value based purchasing in healthcare, we’d do well to …

Dr. Randall Williams, MDWant to win with value based purchasing? Start with the fundamental challenge.
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The Patient Engagement Journey: Part 5

by Dr. Randall Williams, MD From the start of this series, I’ve shared my view that patient engagement is a destination and we’re all on a journey to reach it. Together, we looked at: where it all started what we can learn from other industries what patients themselves tell us Then, I proposed this definition: So let’s finish up this …

Dr. Randall Williams, MDThe Patient Engagement Journey: Part 5