population health related issues
Situation In the event that the Patient Protection and Affordable Care Act (PPACA) is overturned by a ruling from the Supreme Court or as an outcome of the upcoming national elections, there will be implications for ACOs and even whether hospitals may continue to participate in such arrangements without going …
Years ago, I lived in the suburbs outside of Atlanta in a wonderful little neighborhood. Just up the street lived Joe and his wife Kate. They were married about 25 years, had two great teenaged kids and the house was Homes and Gardens gorgeous. Joe was obsessed with his yard – …
Care management models operate within the constraint of limited resources relative to huge demand. Out of necessity, we adapt and use Pareto principles and spend most of our time on a tiny fraction of the entire population. Sometimes we talk about solutions for rising risk, but caseloads and limits on human …
By Marc Malloy Summarized Transcript of Speech Delivered To World Congress 2nd Annual ACO Population Health Conference A few weeks ago, a patient of ours – let’s call him Jack to protect his privacy – was discharged from Mission’s Memorial Hospital after fighting a serious battle with sepsis. He received …
If you’ve ever had to ‘sell’ the idea of an ACO gain share model to your Hospital CFO, then his/her response is likely all too familiar: “OK, so you’re saying that we’ll see reduced revenue to the hospital – let’s say it’s $10 million – and Medicare will keep the …
