A Year of Deeper Understanding on the Value of Care Coordination and Management
Saying that 2017 was a busy and consequential year in healthcare would be an understatement. Digital health technology proliferated at an incredible rate. Providers are still figuring out how to adjust to the new mandates for physician reimbursement in Medicare Access and CHIP Reauthorization Act’s (MACRA). The Affordable Care Act was under constant fire from the new administration, with the Republican tax plan effectively eliminating the individual mandate. And value-based care continued to dominate discussions about the future of treatment.
But with all the chaos, there have been plenty of innovative developments, primarily a wealth of research and advancements concerning the benefits of care coordination. We’ve seen that value is the name of the game for healthcare in the U.S., and care coordination is driving value – that is, improving both clinical and financial outcomes – across many specialties.
We’ve collected some of the biggest news stories from the past year highlighting care coordination across the healthcare spectrum. Whether it’s studying the effects of coordination on population health outcomes or implementation within a value-based framework, these pieces provide many useful insights and address many of the most exciting developments of the past year.
A study published in the American Journal of Accountable Care reveals that email-based coordination efforts improve care transition and follow-up adherence, as well as reduce readmissions.
December, 2017 - Medicaid Program’s Care Coordination
The Bridges-to-Care program, developed by the Camden Coalition of Healthcare Providers, brings primary care physician access to Medicaid patients who are frequent emergency department utilizers.
November, 2017 - Care Coordination Across Provider Networks Creates Patient Trust
Recent research reveals that coordinating care for patients with multiple providers improves trust and plan adherence, as well as overall patient satisfaction.
The Internet of Things and advanced IT infrastructures are poised to change how we think about and deliver healthcare, experts suggest. Increased integration of patient data will also factor into the new value-based ecosystem.
September, 2017 - The Critical Time When Care Coordination Can Make a Difference (Nephrology)
Involving a care coordinator from the beginning of treatment can make a huge difference in outcomes for patients undergoing dialysis.
August, 2017 - UPMC, AHN Oncologists Pilot New Care Coordination Model
Oncologists at the University of Pittsburgh Medical Center and the Allegheny Health Network began their pilot of a new care model through the Centers for Medicare and Medicaid Services, incorporating care coordinators into treatment protocols.
August, 2017 - Incentivizing Care Coordination in Managed Care (Pediatrics)
Research shows that how payers incentivize care coordination has a tangible effect on patients’ access to coordination services.
August, 2017 - Success With Care Coordination? Bringing Order To Complication (Behavioral Health)
A session led by Steve Ramsland, Ed.D. at the 2017 OPEN MINDS Management and Best Practices Institute addressed the requirements of a successful care coordination model. The program tackled the pitfalls associated with implementation and gave guidance to providers looking to begin their own programs.
Properly screening patients for mental health abnormalities in the wake of a cancer diagnosis can lower care costs and improve outcomes. Research shows that doing so reduces the number of hospitalizations and improves patients’ mental and psychosocial wellbeing.
Further evidence that distress screening reduces emergency department visits and hospitalizations for oncology patients.
Disease-specific, evidence-based clinical care pathways have seen increased adoption as standardized care plans which involve care coordinators guiding patients toward set treatment outcomes.
Care coordination is no longer solely a component of oncology care. Camden County College in New Jersey now offers a certificate program for the Alzheimer’s patient navigation model, which trains care coordinators to aid Alzheimer’s patients and their families.
James F. Sweeney, writing for Medical Economics, suggests five methods for overcoming the hurdles of effective care coordination implementation and management for primary care physicians.
April, 2017 - CMS Initiative Refocuses on Care Coordination
CMS’ Chronic Care Management program provides coordination services to Medicare patients with chronic health conditions.
Early last year CMS launched a promotional campaign to educate physicians on the benefits of billing for chronic care coordination services, as many doctors are leaving money on the table.
Steven Strongwater, MD, President and CEO of Atrius Health gave a presentation at Xtelligent Media’s Value-Based Care Summit in Cambridge, MA. The talk focused on implementing care coordination in skilled nursing facilities, and how coordination fits into the new value-based care model.
Ken Botsford, MD, CMO of naviHealth offers his thoughts on the importance of care coordination to patient and provider value in terms of both cost and outcomes.