Commitment to improving care needs to be matched by ongoing efforts to understand the results of our efforts and continued redeployment of resource investments to scale what works. Nascate is focused on both providing insights, and working with partners to scale what works. Unfortunately improving care delivery – requires ongoing management and portfolio adjustment. This is a reality that program staff tend to resist – if you are motivated by doing good – and you see results, it is hard to move on even if greater good can be achieved.
For this article here is the punchline – “findings suggest that program participants who are proactively targeted via predictive stratification and consistently engaged with high-value program activities experience postprogram cost reductions that are nearly 2 times greater than average” We have seen similar results … so I like the confirmation.
But what I most appreciated were the detailed methods to sort through the confounders that many, if not most, explorations of interventions tend to ignore. The authors did a nice job here.