Greg Peterson, MPA, PhD candidate Melissa McCarthy, PhD Presentation for 2013 AcademyHealth Annual Research Meeting
|
|
|
- David Johns
- 8 years ago
- Views:
Transcription
1 Greg Peterson, MPA, PhD candidate Melissa McCarthy, PhD Presentation for 2013 AcademyHealth Annual Research Meeting
2 Medicare Coordinated Care Demonstration (MCCD) Established in Balanced Budget Act of 1997 to test whether care management for chronically-ill Medicare beneficiaries could Improve quality of health services and health outcomes Lower Medicare expenditures 15 programs Unique populations/interventions Ran for 4 to 11 years (one ongoing) Randomized trials 2
3 Assess long-term effects of the MCCD programs on patient survival Although programs primary goal was to reduce hospitalizations, they could lengthen survival Filled gaps in self and clinical care for conditions that are lead causes of death No effects on two-year survival for any program a May be due to short follow-up and low statistical power Study s contribution: Study objective Longer follow-up for 13 programs (adding 2 to 4 years) Larger sample (from 14,069 to 20,601, treatment + control) a Peikes et al
4 The MCCD programs shared core features, but also varied Core features Care managers (typically nurses) assigned a caseload of patients Comprehensive assessments Self-management support Longitudinal monitoring Information exchange (patientsproviders, providers-providers) Variation Target population Monitoring frequency and mode Use of behavioral change models in self-management education Efforts to improve provider adherence to care guidelines Extent of transitional care 4
5 Separate analysis for each of 13 programs Compare survival in treatment vs. control groups (1:1) Sample: Enrollees through one year before program s end N ranged from 176 to 4,314 Intent to treat Outcome: Days from randomization to death or program end Follow-up period varied by program Mean: 2.5 to 5.1 years Max: 4 to 6 years Methods Data: Medicare Enrollment Database and claims ( ) linked to randomization file 5
6 Statistical analysis Cox proportional hazard model hazard ratio Control variables, measured at baseline: Demographics (age, gender) Medical conditions (using Chronic Condition Warehouse) Medicaid enrollment Hierarchical Condition Category (HCC) score Tested proportionality assumption with Schoenfeld residuals 6
7 Enrollee characteristics Diagnosis, % Baseline characteristic (Percentage unless noted) All 13 programs Medicare average (2003) Coronary Artery Disease (CAD) a Congestive Heart Failure (CHF) a Diabetes Chronic Obstructive Pulmonary Disease Hierarchical Condition Category score, mean Hospitalizations in prior year, mean a Baseline data for program enrollees are not directly comparable to Medicare average because the Medicare data are reported as heart disease, which includes CAD and CHF 7
8 Wide variation in mortality rates reflects differences in targeting Target population (number of programs) Percent of control group enrollees who died within two years of enrollment Recently hospitalized for heart failure (4) 30 Varied conditions + recent hospitalization or other high-risk filter (6) 22 Varied conditions (2) 6 Cancer under active treatment (1) 44 8
9 Evidence of survival effects for only 2 of 13 programs, but effects large No detected effect a Number of programs Low statistical power b 4 Sufficient power c 6 Lengthened survival (hazard ratio < 1) 2 Inconclusive due to violation of proportionality assumption 1 Two programs with effects reduced hazard by 18 and 37 percent. a p-value for hazard ratio > 0.05 b Less than 80% power to detect a 25% or larger decrease in the hazard of death c Greater than 80% power n.a. = not applicable 9
10 Programs that lengthened survival closely monitored CHF patients Program (N)* Telemonitor Mean # contacts per month Hazard ratio (95% CI) U. of MD (176) Yes (0.39, 1.00)* Avera (1,133) Yes (0.69, 0.99)* Georgetown (232) Yes (0.48, 1.21) CorSolutions (4,314) No (0.94, 1.13) Suggests that programs with intensive monitoring for patients recently hospitalized for CHF can improve survival Consistent with a meta analysis a * P <= 0.05 a Inglis et al
11 Program with inconclusive result focused on end-of-life counseling Targeted patients with complex, advanced illnesses, but not in hospice (43% died within two years) Follow-up years Hazard ratio (95% CI) (0.78, 1.03) (1.08, 2.03)* Results may be due to Limitation in method: violation of proportional hazard assumption may bias results in later years of follow-up a End-of-life counseling: some patients may have chosen less intensive treatment, shortening survival time * P < 0.05 a Therneau and Grambsch,
12 Possible reasons for lack of measured effects for most programs Low statistical power (4 programs) Implementation barriers (1 program) Difficulty hiring care managers; fewer than 60% of enrollees ever received intervention Low mortality risk (2 programs) Lack of anticipated effects on self management (all programs) No measured changes in patient diet, exercise, or medication adherence (self reported) a May be due to high adherence rates in control group a Brown et al
13 Summary The 13 MCCD programs in this study tested a range of care management models Most (10 of 13 programs) did not have measurable effects on survival Two programs targeting CHF patients with extensive monitoring improved survival Results inconclusive for one program focusing on endof-life counseling may have increased risk in later years of follow-up 13
14 Policy implications Heart failure programs focused on monitoring and responding to warning signs may improve survival among FFS Medicare beneficiaries Survival gains may increase costs Neither of the CHF programs that improved survival decreased all-cause hospitalizations One increased costs to Medicare by 17% a Importance of shared decision-making in end-of-life care a Peikes et al
15 References Brown, R., Peikes, D., Chen, A., Ng, J., Schore, J., & Soh, C. (2007). The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years. Princeton, NJ: Mathematica Policy Research. Inglis, S. C., Clark, R. A., McAlister, F. A., Ball, J., Lewinter, C., Cullington, D.,... Cleland, J. G. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database of Systematic Reviews (Online). Peikes, D., Chen, A., Schore, J., & Brown, R. (2009). Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA, 301(6), Therneau, T., and P. Grambsch. Modeling Survival Data: Extending the Cox Model. New York, NY: Springer,
16 Acknowledgements CMS: Bill Clark, Negussie Tilahun Mathematica: Debbie Peikes, Randy Brown, Carol Razafindrakoto Dissertation committee members: Paula Lantz, Jean Johnson, Donna Infeld Note: While I work for Mathematica Policy Research, the evaluator for the MCCD, I did this study as a graduate student through a data reuse agreement with CMS. 16
The Critical Importance of Targeting (or It s the targeting, stupid. )
The Critical Importance of Targeting (or It s the targeting, stupid. ) Randall Brown NHPF Targeting High-Cost Medicare Beneficiaries to Improve Care and Reduce Spending: Finding the Bull's-Eye March 9,
Risk Adjustment in the Medicare ACO Shared Savings Program
Risk Adjustment in the Medicare ACO Shared Savings Program Presented by: John Kautter Presented at: AcademyHealth Conference Baltimore, MD June 23-25, 2013 RTI International is a trade name of Research
Lessons for ACOs and Medical Homes on Care Coordination for High-Need Beneficiaries
Lessons for ACOs and Medical Homes on Care Coordination for High-Need Beneficiaries AcademyHealth Annual Research Meeting June 2013 Randall Brown Controlling Costs Will Depend on Improving Outcomes for
Care Coordination by Means of Community-based
Care Coordination by Means of Community-based Nurse Care Management: Impact on Health, Hospital Utilization and Cost Outcomes Presented by: Ken Coburn, MD, MPH Health Quality Partners (www.hqp.org) CEO
A Comprehensive Case Management Program to Improve Access to Palliative Care. Aetna s Compassionate Care SM
A Comprehensive Case Management Program to Improve Access to Palliative Care Aetna s Compassionate Care SM Our chief want in life is somebody who shall make us do what we can. Ralph Waldo Emerson Marcia
What Really Works for High- Risk, High-Cost Patients?
What Really Works for High- Risk, High-Cost Patients? National Academy of Medicine Workshop Models of Care for High-Need Patients Washington, DC January 19, 2016 Randall Brown, Ph.D. Mathematica Policy
Lessons from Medicare s Demonstration Projects on Disease Management and Care Coordination
Working Paper Series Congressional Budget Office Washington, D.C. Lessons from Medicare s Demonstration Projects on Disease Management and Care Coordination Lyle Nelson Health and Human Resources Division
The Early Experience of the Healthy Quality Partners Case Management Program
Contract No.: 500-95-0047 (09) MPR Reference No.: 8756-310 The Early Experience of the Healthy Quality Partners Case Management Program Final Report August 18, 2003 Nancy Archibald Jennifer Schore Submitted
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Montana Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6
Quick Turnaround with Administrative Health Data
Quick Turnaround with Administrative Health Data Katherine Giuriceo, PhD Research and Rapid Cycle Evaluation Group Center for Medicare and Medicaid Innovation, CMS October 2, 2015 1 Overview Center for
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile North Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
How To Use Lessons From Disease Management And Care Management In Building Integrated Care Programs
TECHNICAL ASSISTANCE BRIEF Using Lessons from Disease Management and Care Management in Building Integrated Care Programs N A PRIL 2014 By Jenna Libersky and Melanie Au, Mathematica Policy Research and
ISSUE BRIEF POLICY RESEARCH
MATHEMATICA ISSUE BRIEF POLICY RESEARCH T I M E L Y I N F O R M A T I O N F R O M M A T H E M A T I C A Improving public well-being by conducting high quality, objective research and surveys MAY 2010 NUMBER
Cheryl Schraeder, RN, PhD, FAAN. The demographic landscape of America is changing at an accelerated pace
Stepping up to the challenge: Changing the way we deliver care Cheryl Schraeder, RN, PhD, FAAN 1 Goals of Presentation To Identify: The key challenges in delivering evidence-based & cost-effective care
Risk Adjustment Models for Medicare Part D Capitation Payments Modeling
Risk Adjustment Models for Medicare Part D Capitation Payments Modeling John Kautter Melvin J. Ingber Gregory C. Pope Sara Freeman RTI International AcademyHealth 2011 RTI International is a trade name
High Desert Medical Group Connections for Life Program Description
High Desert Medical Group Connections for Life Program Description POLICY: High Desert Medical Group ("HDMG") promotes patient health and wellbeing by actively coordinating services for members with multiple
The Cost-Effectiveness of Homecare
The Cost-Effectiveness of Homecare Homecare Reduces Costs by 37 Percent for Heart Failure Patients The May 2004 Journal of the American Geriatrics Society reports a study conducted at six Philadelphia
Crossing the Doughnut Hole: The Effects of the Medicare Drug Coverage Gap for Patients who Require High-cost Medications
Crossing the Doughnut Hole: The Effects of the Medicare Drug Coverage Gap for Patients who Require High-cost Medications AcademyHealth Annual Research Meeting June 29, 2009 Dominick Esposito 1, Margaret
Concept Series Paper on Disease Management
Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing
Drug discontinuation and switching during the Medicare Part D coverage gap
Drug discontinuation and switching during the Medicare Part D coverage gap Jennifer M. Polinski, ScD, MPH William H. Shrank, MD, MSHS; Haiden A. Huskamp, PhD; Robert J. Glynn, PhD, ScD; Joshua N. Liberman,
Medicare Advantage coding intensity and health risk assessments. Andy Johnson October 8, 2015
Medicare Advantage coding intensity and health risk assessments Andy Johnson October 8, 2015 Presentation outline Health risk assessments (HRAs) Medicare Advantage (MA) risk adjustment Impact of HRAs on
Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare
O N L I N E A P P E N D I X E S 6 Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare 6-A O N L I N E A P P E N D I X Current quality
Elderly males, especially white males, are the people at highest risk for suicide in America.
Statement of Ira R. Katz, MD, PhD Professor of Psychiatry Director, Section of Geriatric Psychiatry University of Pennsylvania Director, Mental Illness Research Education and Clinical Center Philadelphia
Improving risk adjustment in the Medicare program
C h a p t e r2 Improving risk adjustment in the Medicare program C H A P T E R 2 Improving risk adjustment in the Medicare program Chapter summary In this chapter Health plans that participate in the
Selection of Medicaid Beneficiaries for Chronic Care Management Programs: Overview and Uses of Predictive Modeling
APRIL 2009 Issue Brief Selection of Medicaid Beneficiaries for Chronic Care Management Programs: Overview and Uses of Predictive Modeling Abstract Effective use of care management techniques may help Medicaid
Using encounter data for risk adjustment in Medicare Advantage. Andy Johnson and Dan Zabinski April 7, 2016
Using encounter data for risk adjustment in Medicare Advantage Andy Johnson and Dan Zabinski April 7, 2016 Presentation outline Medicare Advantage (MA) risk adjustment overview & current use of FFS cost
Brief Research Report: Fountain House and Use of Healthcare Resources
! Brief Research Report: Fountain House and Use of Healthcare Resources Zachary Grinspan, MD MS Department of Healthcare Policy and Research Weill Cornell Medical College, New York, NY June 1, 2015 Fountain
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES Niteesh K. Choudhry, MD, PhD Harvard Medical School Division of Pharmacoepidemiology and Pharmacoeconomics
Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group
Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Lotte Holm Land MD, ph.d. Onkologisk Afd. R. OUH Kræft og komorbiditet - alle skal
Risk Adjustment: Implications for Community Health Centers
Risk Adjustment: Implications for Community Health Centers Todd Gilmer, PhD Division of Health Policy Department of Family and Preventive Medicine University of California, San Diego Overview Program and
The Value Quadrant of Healthcare Reform. 2008 Pharos Innovations, LLC. All Rights Reserved.
The Value Quadrant of Healthcare Reform ACOs in PPACA Provider Organizations or networked groups Accountable for quality, cost and overall care of defined population of Medicare FFS benes Key metrics to
HOW TO UNDERSTAND YOUR QUALITY AND RESOURCE USE REPORT
HOW TO UNDERSTAND YOUR QUALITY AND RESOURCE USE REPORT CONTENTS A BACKGROUND AND PURPOSE OF THE MID-YEAR QUALITY AND RESOURCE USE REPORTS... 1 B EXHIBITS INCLUDED IN THE MID-YEAR QUALITY AND RESOURCE USE
Congestive Heart Failure Management Program
Congestive Heart Failure Management Program The Congestive Heart Failure Program is the third statewide disease management program developed by CCNC. The clinical directors reviewed prevalence and outcome
5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand
Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions Kelly Brittain, PhD, RN Assistant Professor MCRH-Nursing Grand Rounds May 8, 2014 Objectives 1. Summarize previous research
THE PROMISE OF CARE COORDINATION. Models that Decrease Hospitalizations and Improve Outcomes for Medicare Beneficiaries with Chronic Illnesses
THE PROMISE OF CARE COORDINATION Models that Decrease Hospitalizations and Improve Outcomes for Medicare Beneficiaries with Chronic Illnesses A Report Commissioned by the National Coalition on Care Coordination
Dual Eligibles and State Innovations in Care Management
Dual Eligibles and State Innovations in Care Management Ann Kohler, Director of Health Services National Association of State Medicaid Directors American Public Human Services Association Ann.Kohler@aphsa.org
Measure Information Form (MIF) #275, adapted for quality measurement in Medicare Accountable Care Organizations
ACO #9 Prevention Quality Indicator (PQI): Ambulatory Sensitive Conditions Admissions for Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Data Source Measure Information Form (MIF)
A Project to Reengineer Discharges Reduces 30-Day Hospital Readmission Rates. April 11, 2014
A Project to Reengineer Discharges Reduces 30-Day Hospital Readmission Rates April 11, 2014 About the QIO Program Leading rapid, large-scale change in health quality: Goals are bolder. The patient is at
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Kentucky Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization...
DEPARTMENT OF HEALTH AND HUMAN SERVICES. Medicare Program; Request for Applications for the Medicare Care Choices Model
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-5512-N] Medicare Program; Request for Applications for the Medicare Care Choices Model AGENCY: Centers for Medicare
Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use
Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use June 23, 2011 Avalere Health LLC Avalere Health LLC The intersection of business strategy and public policy Table of
A TIME OF CHANGE STEERING THE FUTURE OF CARE COORDINATION CARE COORDINATION THE NATIONAL QUALITY AGENDA SIX PRIORITIES OF THE NATIONAL QUALITY AGENDA
A TIME OF CHANGE STEERING THE FUTURE OF CARE COORDINATION THE NATIONAL QUALITY AGENDA SIX PRIORITIES OF THE NATIONAL QUALITY AGENDA 1. Safer Care 2. Patient Engagement 3. Effective Prevention and Treatment
Medicare Physician Group Practice Demonstration
Medicare Physician Group Practice Demonstration Heather Grimsley Medicare Demonstrations Program Group Center for Medicare and Medicaid Innovation Centers for Medicare & Medicaid Services April 2011 PGP
Accountable Care Fundamentals for Medical Practice Executives
Accountable Care Fundamentals for Medical Practice Executives Nathan Anspach, FACMPE Senior Vice President and Chief Executive Officer John C. Lincoln Accountable Care Organization and John C. Lincoln
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Epidemiology Over 145 million people ( nearly half the population) - suffer from asthma, depression and other chronic
By Deborah Peikes, Greg Peterson, Randall S. Brown, Sandy Graff, and John P. Lynch
doi: 10.1377/hlthaff.2011.0593 HEALTH AFFAIRS 31, NO. 6 (2012): 1216 1226 2012 Project HOPE The People-to-People Health Foundation, Inc. By Deborah Peikes, Greg Peterson, Randall S. Brown, Sandy Graff,
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
Summary Evaluation of the Medicare Lifestyle Modification Program Demonstration and the Medicare Cardiac Rehabilitation Benefit
The Centers for Medicare & Medicaid Services' Office of Research, Development, and Information (ORDI) strives to make information available to all. Nevertheless, portions of our files including charts,
9/17/2014. Accountable Care Organizations and Population Health Management. The Affordable Care Act
u Accountable Care Organizations and Population Health Management Tom Pianta, MPT Director, AAMC Collaborative Care Network The Affordable Care Act The ACA, CMS, the MD HSCRC and other payers are shifting
Integrating Data to Support Care Management Transformation
Integrating Data to Support Care Management Transformation The Washington State Experience David Mancuso, PhD Director, Research and Data Analysis Division Washington State Department of Social and Health
Analysis of Care Coordination Outcomes /
Analysis of Care Coordination Outcomes / A Comparison of the Mercy Care Plan Population to Nationwide Dual-Eligible Medicare Beneficiaries July 2012 Prepared by: Varnee Murugan Ed Drozd Kevin Dietz Aetna
Vermont ACO Shared Savings Program: Recommendations for Year 2 Quality Measures
Vermont ACO Shared Savings Program: Recommendations for Year 2 Quality Measures Green Mountain Care Board October 9, 2014 10/9/2014 1 ACOs & SSPs Accountable Care Organizations (ACOs) are composed of and
Main Effect of Screening for Coronary Artery Disease Using CT
Main Effect of Screening for Coronary Artery Disease Using CT Angiography on Mortality and Cardiac Events in High risk Patients with Diabetes: The FACTOR-64 Randomized Clinical Trial Joseph B. Muhlestein,
Service delivery interventions
Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P
caresy caresync Chronic Care Management
caresy Chronic Care Management THE PROBLEM Chronic diseases and conditions, including heart disease, diabetes, COPD and obesity, are among the most common, expensive, and preventable health problems in
Telehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney,
Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine Telehealth an overview Professor Brian McKinstry GP and Professor of Primary Care E-Health University of Edinburgh Dr Richard
Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year
Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year Release Notes/Summary of Changes (February 2015): Issued correction of 2015 benchmarks for ACO-9 and ACO-10 quality
Limiting the Duration of Medication Assisted Treatment for Opioid Addiction: Will New State Policies Help or Hurt?
Limiting the Duration of Medication Assisted Treatment for Opioid Addiction: Will New State Policies Help or Hurt? Medicaid Evidence-Based Decisions Project June 25, 2014 Supported by National Institute
HealthCare Partners of Nevada. Heart Failure
HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with
Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population
Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population November 18, 2013 Diana Dennett EVP, Global Issues and Counsel America s Health Insurance Plans (AHIP) America
Idaho Health Home State Plan Amendment Matrix: Summary Overview. Overview of Approved Health Home SPAs
Idaho Health Home State Plan Amendment Matrix: Summary Overview This matrix outlines key program design features from health home State Plan Amendments (SPAs) approved by the Centers for Medicare & Medicaid
CMS Innovation Center Improving Care for Complex Patients
CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for
Ron Stock MD MA Oregon Rural Health Conference October 24, 2013
Ron Stock MD MA Oregon Rural Health Conference October 24, 2013 Provide a historical context for healthcare reform including the 2010 Patient Protection & Accountable Care Act Connect what is known to
MODULE 11: Developing Care Management Support
MODULE 11: Developing Care Management Support In this module, we will describe the essential role local care managers play in health care delivery improvement programs and review some of the tools and
A Population Health Management Approach in the Home and Community-based Settings
A Population Health Management Approach in the Home and Community-based Settings Mark Emery Linda Schertzer Kyle Vice Charles Lagor Philips Home Monitoring Philips Healthcare 2 Executive Summary Philips
Innovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation
How Does CMS Measure the Rate of Acute Care Hospitalization (ACH)? Until January 2013, CMS measured Acute Care Hospitalization (ACH) through the Outcomes Assessment and Information Set (OASIS) reporting
How To Track Spending On A Copay
Accountable Care Organizations & Other Reimbursement Reforms: The Impact on Physician Practices Martin Bienstock, Esq. Wilson Elser Martin.Bienstock@WilsonElser.com The New York Times Take... For the first
Virginia s Healthy Returns Alternative Benefit Design
Virginia s Healthy Returns Alternative Benefit Design Presentation to the: National Governors Association s Center for Best Practices: State Defined Benefit Package Workshop Patrick W. Finnerty, Director
Medicare Advantage Stars: Are the Grades Fair?
Douglas Holtz-Eakin Conor Ryan July 16, 2015 Medicare Advantage Stars: Are the Grades Fair? Executive Summary Medicare Advantage (MA) offers seniors a one-stop option for hospital care, outpatient physician
Chart 11-1. Number of dialysis facilities is growing, and share of for-profit and freestanding dialysis providers is increasing
11 0 Chart 11-1. Number of dialysis facilities is growing, and share of for-profit and freestanding dialysis providers is increasing Average annual percent change 2014 2009 2014 2013 2014 Total number
Handling the Handoff: Rural and Race-Based Disparities in Post-Hospitalization. Follow-up Care Among Medicare Beneficiaries with Diabetes.
Handling the Handoff: Rural and Race-Based Disparities in Post-Hospitalization Follow-up Care Among Medicare Beneficiaries with Diabetes South Carolina Rural Health Research Center At the Heart of Health
Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013
Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013 http://berkeleyhealthcareforum.berkeley.edu 1 Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) See Appendix
David Mancuso, Ph.D. Greg Yamashiro, M.S.W. Barbara Felver, M.E.S., M.P.A. In conjunction with the DSHS Aging and Disability Services Administration
June 29, 2005 Washington State Department of Social and Health Services Research & Data Analysis Division PACE An Evaluation Report Number 8.26 Program of All-Inclusive Care for the Elderly David Mancuso,
Introduction to Risk Adjustment Programs for Medicare Advantage and the Affordable Care Act (Commercial Health Insurance Exchange)
Introduction to Risk Adjustment Programs for Medicare Advantage and the Affordable Care Act (Commercial Health Insurance Exchange) November, 2014 An independent licensee of the Blue Cross and Blue Shield
With Big Data Comes Big Responsibility
With Big Data Comes Big Responsibility Using health care data to emulate randomized trials when randomized trials are not available Miguel A. Hernán Departments of Epidemiology and Biostatistics Harvard
Survey of Nurses. End of life care
Survey of Nurses 28 End of life care HELPING THE NATION SPEND WISELY The National Audit Office scrutinises public spending on behalf of Parliament. The Comptroller and Auditor General, Tim Burr, is an
National Medicare Readmission. Centers for Medicare and Medicare Services
National Medicare Readmission Findings: Recent Data and Trends Office of Information Products and Data Analytics Office of Information Products and Data Analytics Centers for Medicare and Medicare Services
Randall Brown and David R. Mann Mathematica Policy Research
OCTOBER 2012 Best Bets for Reducing Medicare Costs for Dual Eligible Beneficiaries: Assessing the Evidence Randall Brown and David R. Mann Mathematica Policy Research EXECUTIVE SUMMARY In response to concerns
CareManagement. Care You Can Count On. Pearson Benefits FOR TODAY AND TOMORROW BE INFORMED. GET CONNECTED. FOR YOUR BENEFIT.
CareManagement Care You Can Count On Pearson Benefits FOR TODAY AND TOMORROW BE INFORMED. GET CONNECTED. FOR YOUR BENEFIT. Live your healthiest life by taking advantage of the care management programs
Tips for surviving the analysis of survival data. Philip Twumasi-Ankrah, PhD
Tips for surviving the analysis of survival data Philip Twumasi-Ankrah, PhD Big picture In medical research and many other areas of research, we often confront continuous, ordinal or dichotomous outcomes
The ROI of Palliative Care. James Mittelberger, MD MPH March 22, 2104
The ROI of Palliative Care James Mittelberger, MD MPH March 22, 2104 Provide the evidence and tools to develop the most effective palliative care program possible Purpose Palliative Care Financial Return
Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital
Mahidol University Journal of Pharmaceutical Sciences 008; 35(14): 81. Original Article Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital
White Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors
White Paper Medicare Part D Improves the Economic Well-Being of Low Income Seniors Kathleen Foley, PhD Barbara H. Johnson, MA February 2012 Table of Contents Executive Summary....................... 1
The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary http://www.nap.edu/catalog/12750.html
CARE CULTURE AND SYSTEM REDESIGN 301 Healthcare information technology (IT) Although significant investment is being directed toward clinical IT, we should not lose sight of what can be achieved by focusing
The Medical Care Development Medicare Coordinated Care Demonstration Program After One Year
Contract No.: 500-95-0047 (09) MPR Reference No.: 8756-320 The Medical Care Development Medicare Coordinated Care Demonstration Program After One Year Final Report July 29, 2005 Arnold Chen Karen Sautter
CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS
CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS Dept of Public Health Sciences February 6, 2015 Yeates Conwell, MD Dept of Psychiatry, University of Rochester Shulin Chen,
OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION
OBJECTIVES Kimberly S. Hodge, PhDc, MSN, RN, ACNS-BC, CCRN- K Director, ACO Care Management & Clinical Nurse Specialist Franciscan ACO, Inc. Central Indiana Region Indianapolis, IN By the end of this session
Telehealth Solutions Enhance Health Outcomes and Reduce Healthcare Costs
Text for a pull out can go heretext for a pull out can go heretext for a pull out can go Text for a pull out can go here Text for a pull out can go here Telehealth Solutions Enhance Health Outcomes and
What Would Strengthen Medicaid LTSS?
What Would Strengthen Medicaid LTSS? Melanie Bella Director Medicare-Medicaid Coordination Office Centers for Medicare & Medicaid Services August 1, 2013 Medicare-Medicaid Coordination Office Section 2602
Population Health Management & the Medical Neighborhood. Patient Centered Primary Care Collaborative Monthly National Briefing September 26, 2013
Population Health Management & the Medical Neighborhood Patient Centered Primary Care Collaborative Monthly National Briefing September 26, 2013 Outline What is Population Health Management? Registries
Abstract. Introduction. Number 84 n September 28, 2015
Number 84 n September 28, 2015 Hospitalization, Readmission, and Death Experience of Noninstitutionalized Medicare Fee-for-service Beneficiaries Aged 65 and Over by Yelena Gorina M.S., M.P.H.; Laura A.
Medicaid Health Plans: Adding Value for Beneficiaries and States
Medicaid Health Plans: Adding Value for Beneficiaries and States Medicaid is a program with numerous challenges, both for its beneficiaries and the state and federal government. In comparison to the general
Medicare-Medicaid Coordination Office
Increasing Access to Seamless, Quality and Person Centered Care Programs for Dual Eligibles Edo Banach Senior Advisor Medicare Medicaid Coordination Office Centers for Medicare & Medicaid Services March
Medicare Advantage Plans: An Overview
Medicare Advantage Plans: An Overview June 2014 Prepared by: Penny Finch, Benefits Consultant Copyright 2014 by The Segal Group, Inc. All rights reserved. 5432273.1 CONTENTS Medicare 101 Understanding
The Effects Of Cash And Counseling On Personal Care Services And Medicaid Costs In Arkansas
DataWatch The Effects Of Cash And Counseling On Personal Care Services And Medicaid Costs In Arkansas Arkansas experience shows that states can develop consumerdirected services at no greater cost than
Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure
Table 1 Performance Measures # Category Performance Measure 1 Behavioral Health Risk Assessment and Follow-up 1) Behavioral Screening/ Assessment within 60 days of enrollment New Enrollees who completed
Can I have FAITH in this Review?
Can I have FAITH in this Review? Find Appraise Include Total Heterogeneity Paul Glasziou Centre for Research in Evidence Based Practice Bond University What do you do? For an acutely ill patient, you do
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION NEW ENGLAND JOURNAL OF MEDICINE 2011; DOI: 10.
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION NEW ENGLAND JOURNAL OF MEDICINE 2011; DOI: 10.1056/NEJMSA1107913 Niteesh K. Choudhry, MD, PhD, 1 Jerry Avorn, MD, 1 Robert J. Glynn,
Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244
March 7, 2014 Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 Re: Dear Sir or Madam: On behalf of the American Heart Association (AHA), including the American Stroke
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Medicare Quality Management Program Overview Quality Improvement (QI) Overview At Coventry, we