Welcome to Intelligent Healthcare Insights

Treo Solutions’ Intelligent Healthcare Insights Blog provides the latest information on healthcare policy, administration, analytics and research to provide you with insight and information on the changes, challenges and opportunities presented by healthcare transformation.

Our authors provide perspective for providers, payers, intermediaries and patients on topics that include Total cost of care, population health management, meaningful use, predictive modeling, accountable care, ACOs and Medicaid and Medicare.

Posted in:
October 30, 2014

APCDs and More: 8 Key Takeaways from the NAHDO Annual Conference

Health data organizations reveal the opportunities, changes and challenges brought on by the surge of healthcare data

The 2014 National Association of Health Data Organizations (NAHDO) 29th Annual Conference and APCD Workshop was recently held in downtown San Diego. With over 200 attendees and speakers from government, research and healthcare institutions, the event explored the current challenges and discoveries related to healthcare data and reform. Here are some key takeaways from the three-day event:

1. APCDs are not going away.

Posted in:
September 30, 2014

The Future Is Now: Transformation To Value-Based Care Is Underway

New York and other states speak out on what they need for success with value-based care

Over 85 attendees at 3M’s healthcare conference in New York City heard from the payer, government and provider speakers on how the ground is shifting from underneath us all. Value-based care is no longer the new frontier; it is right where we are standing. Linking payment to performance is here to stay. Financial incentives that reward high volume are going away; they are part of a model that is on its way to becoming the exception rather than the rule. Consider that:

Posted in:
September 29, 2014

New Partnerships and New Metrics for Better Population Health

Minnesota health care executives discuss emerging lessons for better population health

“How do we achieve better population health?”

This is the question on the minds of health care leaders across the country today.

At a recent 3M health care executive conference in Saint Paul, Minnesota, representatives from health plans, hospitals, Medicaid and several non-profit organizations gathered to discuss patient-centered models of care as a way to achieve better population health outcomes.

Posted in:
September 29, 2014

Transparency: Insurers’ New Technology Investment

The need for transparency tools replaces “buy versus build” as insurers’ top investment concern

As long as health plans have purchased information technology (IT), the “buy versus build” debate has raged. Plans that favor in-house development have brought innovative solutions to market, custom tailored to their business. To be sustainable, the advantages of a custom solution needed only to outweigh the costs of development, testing, maintenance and future upgrades to keep up with the market. Some plan executives preferred adding IT staff over adopting technology partners, and practically grew software companies within their healthcare organizations.

But things have changed.

Posted in:
September 3, 2014

What Can Go Wrong with PCP Attribution and How It Can Be Prevented

A collaborative effort to improve PCP attribution can impact population health efforts

Attributing a person to a primary care physician (PCP) is an essential feature of population health management because it enables an accurate and fair assessment of the quality of care a provider delivers. Attribution is based on the concept that a PCP is responsible to a person across time and the entire continuum of care. It establishes this responsibility, creating a relationship between a person and his or her PCP.
Posted in:
August 22, 2014
Posted in:
August 13, 2014

The Greatest Opportunity for Value Happens When Incentives Align with Cost and Quality

Data from early-adopter ACOs proves that incentive alignment is key to achieving high-value health care

We have been working with clients engaged in accountable care initiatives for several years now. As the early adopters are becoming seasoned veterans, we are able to derive lessons learned from those initial experiences. One lesson is clear: provider incentives must align with both cost and value.

Four Things Providers Need Before They Can Embrace Value-Based Payment

Success with value-based payment models means preparing providers for the transition

The concept that payment for health care should be based on quality and clinically meaningful outcomes is not new; but the current breadth, variety and rapid adoption of value-based models is unprecedented. Value-based payment models now include accountable care organizations (ACOs), patient-centered medical homes (PCMHs), bundled and episode-based payments, and pay for performance structures.

The Untapped Savings Opportunity for ACOs: Engage Specialists in Your Total Cost of Care Program

To sustain success, ACOs should incorporate episodes to measure specialist value

A recent article in Health Affairs discussed how early Medicare ACOs have largely ignored the role that surgeons and other specialists contribute to the total cost of care (TCC) for their patients. The results of the survey are not surprising. We see ACOs across our client base focusing on the same low-hanging opportunities to create savings: improving care coordination in an effort to reduce preventable initial admissions, readmissions and ER visits. The good news is that this approach works, at least in the beginning.
Posted in:
July 25, 2014

Will the “Quantified Self” Change Health Care?

Yes. To achieve real success in population health we need health care consumers to actively engage in the behaviors necessary to secure their health. “Patient” engagement is the holy grail of health care. However, despite decades of research into health behavior and ways to change it, we don’t seem to be any closer. I think that is about to change.