Founded in 2010 Scottsdale, AZ Health BI offers enterprise Population Health Software Products and Services to payers and providers for managing patient.

Slides:

Advertisements

Similar presentations

THE COMMONWEALTH FUND Enhancing Value in Medicare Stuart Guterman Senior Program Director Program on Medicares Future The Commonwealth Fund Bipartisan.

Advertisements

Health Care Reform and Its Impact on EMS: Volume to Value, Improving Population Health and Other Paradigm Shifts.

The Rhode Island Chronic Care Sustainability Initiative: Building a Patient-Centered Medical Home Pilot in Rhode Island.

DataBrief: Did you know… DataBrief Series ● August 2011 ● No. 15 Medicaid Home- and Community-Based Care Spending In 2009, Medicaid spent 45% of its total.

Access to Care in The Medicaid Program Andrew B. Bindman, MD Professor of Medicine, Health Policy, Epidemiology & Biostatistics University of California.

Aetna Medicaid Aetna Medicaid Overview Long Term Services and Supports August 2013.

Maine SIM: Part of the BIGGER Transformation Picture CDR Frances Jensen, MD Deputy Director, Medical Officer and Project Officer, ME SIM State Innovation.

1 Maryland Health Services Cost Review Commission New All-Payer Model for Maryland Population-Based and Patient-Centered Payment Systems.

Medicare Initiatives Authorized by The Affordable Care Act Nancy B. O’Connor Regional Administrator October 25, 2012 Richmond, VA.

Medicaid and Managed Care : Current Directions and Challenges Alliance for Health Reform Washington, DC October 28, 2011 Vernon K. Smith, PhD Health Management.

5/17/2015 Nutrition Services Delivery and Payment- The Business of Every Academy Member Delegate Name Contact Fall 2013 House of Delegates Meeting Dialogue.

The EMR Puzzle – Putting the Pieces Together March 10, 2015.

QuadMed Innovations in Population Health Management – Delivered On-site Raymond Zastrow, M.D. Chief Medical Officer QuadMed LLC West Allis, Wisconsin.

Patient Centered Medical Home: Bon Secours Health System’s Foundation for ACOs June 7, 2012 Aligned Incentives Panel Virginia Health Care.

Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) Source: Centers for Medicare and.

Holding Health Plans & Providers Accountable for High-Quality, Patient-Centered Care January 23, 2015.

Innovative Funding Streams Driving Health Laurel Lee - Vice President, Member & Community Engagement State of Reform January 8, 2015.

Presentation by Bill Barcellona Sr. V. P

Physician Leader Perspective of ACO Transition Scott D. Hayworth, MD, FACOG President and CEO Mount Kisco Medical Group, PC.

Deploying Care Coordination and Care Transitions - Illinois

Care Coordination What is it? How Do We Get Started?

Value & Coverage Issue Brief Slides

American Association of Colleges of Pharmacy

Foundations for a Successful Patient-Centered ACO: First Steps Frank E. Belsito, DO, MMM and James J. Dearing, DO, FAAFP, FACOFP.

Health Care Reform: Where are the Pharmacists? Opportunities and Challenges for Pharmacists in Health Care Reform Anthony D. Rodgers CMS Deputy Administrator.

DataBrief: Did you know… DataBrief Series ● January 2012 ● No. 27 Medicaid Managed Care and Long-Term Services and Supports Spending In 2009, 13 state.

1 Neva Kaye National Academy for State Health Policy SIM Annual Meeting Augusta, ME March 4, 2015 Sustaining Momentum in Multi-Payer Payment Reform.

Collaboration for Improved Clinical Outcomes Patients’ Needs Vibra, ARU, SNFs, HHA, et al Clinical/Financial Stability and Patient/Resident/Client Satisfaction.

2014 Summit Co-Convener:Founder: Patient Safety Science & Technology Summit 2014.

An Integrated Healthcare System’s Approach to ACOs Chuck Baumgart, M.D., Chief Medical Officer Presbyterian Health Plan David Arredondo, M.D., Executive.

P.J. Brennan, MD Chief Medical Officer Penn Medicine April 25, 2015

Medical Directors & Pharmacy Directors Fall 2011 Meeting.

Innovation and Health System Transformation Chisara N. Asomugha, MD, MSPH, FAAP (Acting) Director, Division of Population Health Incentives & Infrastructure,

Incentives & Outcomes Committee Draft Recommendations Public Employer Health Purchasing Committee October 25, 2010.

Accelerating Care and Payment Innovation: The CMS Innovation Center.

Addressing the Socioeconomic Stressors affecting Women through Innovative Payment Models - Patient Centered Medical Homes Andrea Galgay Blue Cross & Blue.

MA STAAR Fall Learning Session Real-Time Handover Communication 2:45-4:00PM Breakout Cape Cod Hospital, Hallmark Health System Gail Nielsen, Marian Bihrle-Johnson.

Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Tom Grote, CEBS President, North Capitol Market Aetna Virginia.

AW Medical PPS Care Team Meeting November 7, 2014.

Maine State Innovation Model (SIM) August 2, 2013.

Health IT and ONC: Furthering Transformation Across the Care Continuum in Support of People with Disabilities, Older Adults, and Caregivers Jodi Daniel,

Better, Smarter, Healthier: Delivery System Reform U.S. Department of Health and Human Services 1.

Figure 1 K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Dual Eligibles: The Basics Barbara Lyons, Ph.D. Director, Kaiser Commission on.

Department of Vermont Health Access The Vermont Approach to Building an Integrated Health System Creating “Accountable Care Partners” Based on Shared Interests.

Improving Patient-Centered Care in Maryland—Hospital Global Budgets

State Trends in Premiums and Deductibles, : Eroding Protection and Rising Costs Underscore Need for Action Cathy Schoen Senior Vice President.

Population Health Overview Macro View of Population Health 3 David A. Kindig, MD, PhD.

Community Paramedic Payment Reform December 2 nd,2015 Terrace Mall- North Memorial.

Integration of Hospitals and Primary Care. 2 About Providence Health Care Core Strategy: Creating healthier communities, together Achieving the Triple.

State Innovation Model (SIM) Sustaining Healthcare Transformation Craig Jones Director, Vermont Blueprint for Health December 8, 2015.

Vantage Care Positioning System®: Make Your Case with Medicare Spending Data November 2014 avalere.com.

Safiah Mamoon HTM 520. INTRODUCTION U.S. healthcare sector– very large with fragmented care High spending for poor outcomes Care not coordinated Providers.

Bundled Payments for Care Improvement (BPCI) Alliance for Health Reform Capitol Hill Briefing Jim Garnham Dir. Contracting & Payment Innovation.

PATIENT CARE NETWORK OF OKLAHOMA (PCNOK) Oklahoma Healthcare Authority ABD Care Coordination RFI Response August 17, 2015.

3M Global Information Technology 11 © 3M. All Rights Reserved. 3M Global Information Technology Florida Hospital Association 3M Health Information Systems.

Definitions of Integrated Delivery System. Integrated care  Well-planned and well-organized set of services and care processes, targeted at the multidimensional.

Welcome to Learning 2: Care Management October 2011 Connie Sixta, RN, PhD, MBA.

CMS Innovation and Health Care Delivery System Reform Matthew Press, MD, MSc Senior Advisor Office of the Director Center for Medicare and Medicaid Innovation.

Overview of OHIC’s Care Transformation & Payment Reform Initiatives KATHLEEN C. HITTNER, MD. HEALTH INSURANCE COMMISSIONER NOVEMBER 12 TH, 2015.

Challenges to integrating technology in healthcare settings

Session Overview - Introduction - Significance of Post‐Acute Care - Impacts of Post‐Acute Care Performance - Mandatory Elements of Reform - Understanding.

Patient-Centered Medical Home: From Concept to Reality

Alliance Complete Care Model

Dual Eligibles Across the States

State Ranking on Quality Dimension

Optum’s Role in Mycare Ohio

Current State of the Sector

Value-Based Healthcare: The Evolving Model

Cost and Performance Management Under Alternative Payment Models

Presentation transcript:

Founded in 2010 Scottsdale, AZ Health BI offers enterprise Population Health Software Products and Services to payers and providers for managing patient population from acute to various community settings. SaaS-based, EMR/EHR-agnostic application provides single platform to coordinate, manage and monitor a patient’s entire care transition. No cost of ownership. Industry-leading technology and expertise Solutions for both payers and providers Rapid deployment and scalable Cutting-edge technology and world class development team 2015 – CIO Review – Top 50 Promising Companies in Healthcare 2015 – Scottsdale Best Software Company About Health BI

CMS support of health care Delivery System Reform Key characteristics  Producer-centered  Incentives for volume  Unsustainable  Fragmented Care Systems and Policies  Fee-For-Service Payment Systems Key characteristics  Patient-centered  Incentives for outcomes  Sustainable  Coordinated care Systems and Policies  Value-based purchasing  Accountable Care Organizations  Episode-based payments  Medical Homes  Quality/cost transparency Public and Private sectors Evolving future state Historical state

Improving the way providers are incentivized, the way care is delivered, and the way information is distributed will help provide better care at lower cost across the health care system. Source: Burwell SM. Setting Value-Based Payment Goals ─ HHS Efforts to Improve U.S. Health Care. NEJM 2015 Jan 26; published online first. } “ { Pay Providers Deliver Care Distribute Information FOCUS AREAS Focus

Patient-centric and Intuitive but…. State / Payer / Health Plans / IPA / ACO

EHR/EMR/HIE Platform Agnostic Solution Core Services Real-time Data Sharing Patient/ Provider Master Indices Evidence Based Protocols Opportunity Identification Efficiency Increase Medical Cost Reduction Notification Services MOBILE/IVR/SMS/FAX/ InterfacesHL7/SIU/CDA/837/835/277Proprietary Rule-Based Engine Care Coordination Care Transitions Assessment Engine Clinical facing Patient Facing BI and Analytics … Very Powerful Available to all Community Care Teams in Various Locations

Intelligence and Actionable Data

Battle Tested, National Deployment 8 AZ, CA, FL, HI, IL, KS, LA, MA, MD, MI, MO, MS, NC, NJ,NV,NY,OH,OK,RI,TN, UT, WA, WI, WY

Benefits 21% increase in primary care visits 14-26% decrease in readmits within 30 days 12-16% reduction in hospital admissions per 1,000 8% reduction in ER admits per 1,000 No-show Decrease Avg. follow-up from 27 days post discharge to 4 days

Pillars 10

HealthCollaborate

CareCommit

PopHealthPlatform

HIE Hospitals Payers / Health Plans HIE Plug-in Mental Health Rehab / SNF Facilities In-Home Care PCP / Specialty ACO/ACC Transportation Health Plan Care Managers Discharge Nurses FQHC / PCMH Secure and Intuitive Tablet Friendly Mobility Support BI and Analytics EMR/EHR Connectivity Actionable/Timely Data