Value-based success,

The ideas outlined here … apply to all plans, but the authors emphasis on provider led is well articulated. The lack of strategic clarity; are we in the member business or the patient business? is a significant issue. But I would suggest that this headline/takeaway – Integrated delivery networks (IDNs) can generate more than twice

I think United “gets it” — whether they are the best solution is another story. Nascate is built upon the premise that value comes from successfully de-fragmenting care. We see substantial performance differences (that can be exploited) based on our measurements of the strength of relationships, Social Determinants, etc… the “people” factors that are under

Post-acute care (PAC) is one of the fastest growing areas of US healthcare spending. Hospitals must identify ways to decrease PAC spending, but they’re overlooking crucial factors responsible for variation in spend. Nascate looks backward (and beyond the clinical data) to predict needs moving forward.Chrissie Classen is our Education Lead and Head of Content Creation.

There’s no way to avoid transitioning to value-based care, but there are ways to make it easier. At Nascate, we have the tools and expertise to make the transition smoother and more effective. Check out this article on other best practices to enhance value-based care. Chrissie Classen is our Education Lead and Head of Content Creation.

The challenge of shared savings is the need to continually find performance opportunities. Our work with ACOs on Post Acute Care indicates that it can represent such an opportunity. The Nascate data science team has developed predictive tools that can be used to make the most of those opportunities, meet emerging CMS PAC referral requirements

Check out the ROI on “connecting” consumers to the right primary care providers. Organizations only need 15% engagement to capture millions in savings!Chrissie Classen is our Education Lead and Head of Content Creation. She has extensive experience including roles at Treo Solutions/3M HIS, Autotask Corporation, and Datto, Inc. Her incredible work has been incorporated in

I want to re-emphasize the importance of attribution to all value based and pop health efforts. You can not have “accountability” if no one is accountable – and that for better or worse needs to be based on some agreed to attribution or assignment – by the person, by choice, by utilization (not my favorite)

If you are not UnitedHealthcare but want the same capabilities that are being outlined here reach out to our team here at Nascate. We have independently developed capabilities that match what is outlined here. The business rationale is similar but we need independent payers and provider partners to make our insights and capabilities change healthcare!

I liked this article. But I think there could be more in terms of simply defragmenting the delivery system. Treatment complexity was not identified.  Most integrated delivery systems don’t fully live up to the name — it is a work in progress. At Nascate, we are working hard to provide the insights to achieve these

This is a nice UnitedHealth report highlighting the importance of person-provider relationships … At Nascate we have studied the importance of connecting with the right provider and how it is associated with better outcomes, we’ve also found that as the numbers healthcare services a person requires increases so does the benefit of being connected. For

Our employees do some pretty incredible things, whether it’s creating a new way to interpret data, or representing Nascate at an event with industry leaders. Our Principal Data Scientist, Kevin Buchan Jr., had the opportunity to introduce Hearst Health’s president, Dr. Gregory Dorn, at the University at Albany, SUNY’s Cancer Research Center on September 19.Kevin

Medicare Advantage enrollment is steadily growing. Constructing a high-performing network of providers is critical for ACOs preparing to grow in this market, but successful network curation requires more than looking at traditional provider performance. Nascate’s Medicare Explorer solution combines public and client data to provide necessary insight into how people and providers behave, existing relationships

The complexity of life is impacting how Sam, Bob, and Ted each interact with the healthcare system. Things like family dynamics, geography, the choices a person makes in how they receive care- all give us the full picture of a person and what drives their utilization, or lack thereof. Better healthcare, unlocking value, managing cost

There is much to sort through in this… but the blog did again raise what I consider to be an important point. Any of the Value Based initiatives of CMS (and other payers) put forth are based on two seemingly innocuous bits of math/method — Attribution  and Risk Adjustment. All the evaluation work of the

Data liquidity and access leads to innovation. I ran across this resource and thought — that could be really powerful if put to use. But as I delved deeper it seems my hopes may need some time to become reality. I would love to learn more from anyone who has made some progress with this

Healthcare organizations need to target resources on those whom would benefit the MOST from timely intervention. We optimize the entire process by providing the insight needed to identify people early on, and give them viable and local options.Chrissie Classen is our Education Lead and Head of Content Creation. She has extensive experience including roles at

I think “value-based” does work. Let’s face it, it has to. The challenges are more around the journey than the destination. The emerging obstacles are around scaling and accelerating the maturing process at a local level. Outstanding issues persist around; attribution, defining the right metrics and value, the influence of SDOH, and the importance of

I believe Human Capital is the key differentiator in our cloud based and virtualized world. So success in any endeavor is predicated on recruitment and retention. Both need to be attended to, but if you cannot retain the best you will be spending way too much time on the recruitment treadmill. We make a significant

Getting to people early, instead of chasing dollars that have already been incurred, has major advantages for healthcare payers, providers, and most importantly- the person. Nascate Early Action means intervening “before”, and micro-targeting action/intervention on a very small group of people, but with substantial results. The power of these results continues to surprise me (I