Health Care Transformation

The Future of Health Care is Video.

As healthcare costs continue to rise and health outcomes lack improvement, consumers are growing increasingly frustrated, confused, and overwhelmed.

In fact, 9 out of every 10 individuals are considered healthcare illiterate, which is not surprising given the complexity of the healthcare system in addition to language barriers- not only due to medical jargon but also for the 25 million+ individuals who are limited English proficient. In no other industry is communication as important but as difficult as it is in the health care system.

Every other industry has defined their business model around the consumer. This has not been the case in health care. Health care has evolved to lack the infrastructure needed to understand their consumers and their true needs, wishes, and desires.

This is all changing as health care moves from a fee-for-service reimbursement structure that incentives volume to a value-based care reimbursement structure including two-sided risk Accountable Care Organizations (ACOs), bundled payments, and capitation. The future payment system will require an overhaul of healthcare delivery as we know it.

In value-based care, the goal is improved outcomes at reduced systemic costs. And there is no way a health system can achieve success in the future of value-based payments without better empowering and engaging the most important component of the equation, the consumer.

“We are shifting to a model of payment where outcomes, quality, utilization, and cost matter more and more. In that market, how our customers behave and what they choose to do is going to be reflected in healthcare outcomes, and will matter to the viability of healthcare organizations far more than it has in the past. Patients will also increasingly act like consumers and will be voting with their wallets and their feet.”

-Dr. Zeev Neuwirth, Author of Reframing Health Care

We can no longer engage consumers by handing them pieces of paper filled with medical jargon and hoping that Google will communicate on behalf of the provider for anything that was misunderstood.

Consumers will need clear, concise, targeted, and curated information and tools that tell them exactly what they need to know. And this information will both improve the consumer’s experience with the healthcare system but will also drive appropriate consumer behavior. In doing so, this will allow your organization to not only survive the future of at-risk payments but to thrive in them.  

The future of health care is video.

Individuals want information conveyed in a clear, concise, and entertaining manner. Gone are the days of reading packets of paper.

Here at Health Care Transformation, we are combining our expertise to develop, create, and produce curated video content and tools that help you achieve consumer-centric care. This curated content will improve the patient experience and build a positive relationship with your brand.

Our content ranges from:

  • What to Expect as First-Time Patients
  • What to Do When You Experience an Urgent Health Issue
  • How to Navigate Health Insurance
  • Planning Your Pregnancy Journey
  • Navigating a Hospitalization
  • Medical Decision-Making For Your Loved Ones
  • And MORE!

In addition to our content library, we love working with our partners to create custom content to achieve their specific goals. Regardless of whether we license or custom-create the content, we provide top support every step of the way as we partner to ensure success in rolling out the content at your organization and create a positive ROI.

How is our content + partnership consulting so impactful?

  • Removes the burden of developing standardized patient education materials  
  • Available in multiple languages
  • High-quality Los Angeles video production
  • A/B testing of all content + communications
  • Communication + marketing strategy
  • Analytics partnership to determine impact and ROI

To quote leading healthcare expert Dr. Zeev Neuwirth, host of Creating a New Health Care podcast and author of Reframing Health Care, one more time:

“Our collective job is to educate, influence, and engage patients so that they have the best chance of becoming active participants in their own care…It is our job to make engaging in health care appealing, even enticing and entertaining, so that healthcare customers want and choose to participate. It is our job to make it easier, more convenient, and more dignified.”

-DR. ZEEV NEUWIRTH, AUTHOR OF REFRAMING HEALTH CARE

If you are a healthcare provider who is innovative and ready to thrive in the future of value-based care, contact us today. We are looking forward to supporting you and your efforts to integrate video content into the delivery of care and truly become a consumer-centric healthcare provider.

Cheers to Your Health and Happiness.

Health Care Transformation

Do You Know if You’re in an ACO?

Hello There Health Care Transformation Tribe,

There has been some recent news on the Medicare Shared Savings front that’s a pretty big deal but honestly most people have probably never heard of an ACO, don’t realize they are in an ACO, and don’t know that ACO’s were a large part of the Affordable Care Act when it was passed back in 2010. So let me start from the beginning and lay this all out for you.

How Doctors/Health Systems Were Paid in the Past: Fee-For-Service (FFS)

What does this mean? They get paid a set amount every time they do something

What impact does it have? 

  • It incentivizes doctors to do more (more surgeries, more labs, more imaging, etc.).
  • It does not pay doctors based on the quality of care the patient receives.
  • Doctors are not incentivized to provide care if they don’t get paid for it or if the FFS reimbursement is low, even if it would actually improve care for the patient (responding to messages, making calls to patients, video visits, mental health, obesity educational classes, etc.).
  • It siloes the providers of care from one another because everyone gets paid for only the service they provide, i.e. care is not patient-centric.

Enter the Accountable Care Organization (ACO). ACO’s are groups of healthcare providers that assume responsibility for the cost and quality of care for their patients. 

What does this mean? The payer sets expected financial and quality benchmarks for the ACO’s patient population.  If the ACO is below the financial target and above the quality targets the ACO gets to share in the savings with the payer. Note- there are two types of ACO’s: one-sided risk (upside only) and two-sided risk (upside and downside). Those who enter into two-sided risk will have to pay money back to the payer if the patients spend more healthcare dollars than expected but if there are savings they get a higher percentage of the savings. That is their only incentive to take on downside risk.

What impact does it have?

  • It incentivizes health systems to provide the right care at the right time in the right setting by the right person.
  • It incentivizes prevention and high-quality patient care.
  • It incentivizes health systems to invest in people and resources that otherwise wouldn’t be reimbursed under FFS but keep patients healthy, for example, remote monitoring in the home and calling/visiting patients after being discharged from the hospital.
  • It incentivizes health systems to break down siloes and provide patient-centric care to make sure all these items are achieved.

The ACO led by CMS (Centers for Medicare and Medicaid Services) is called the Medicare Shared Savings Program (MSSP). Commercial payers have also followed suit and created their own ACO’s as well.

Little known fact: It is well established in health care that the government, i.e. CMS, is more progressive when it comes to cost reduction and quality improvement for patients, which is very surprising to most folks because they would assume it would be the private sector. Not the case in health care!

So now that you better understand what defines an ACO let’s talk about what CMS is proposing to change about the Medicare Shared Savings Program (MSSP):

  1. Renaming the program “Pathways to Success”. Not sure the need or impact of a title change but ok.
  2. Reduces the different tracks ACO’s can take and they must take on downside risk within 2 years of entering the program (right now they have six years).
  3. ACO’s must alert their patients that they are in fact in an ACO.
  4. Adjustments will be made to ACO financial targets based on local markets.
  5. Allows providers to receive payment for telehealth services to patients in their homes (which is currently not reimbursed under FFS Medicare)

What is “telehealth” you ask? Well let me explain…

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I actually believe that most of these proposed items are good things. We should be doing more telehealth to reach patients where they are. We should be pushing health systems to move away from FFS incentives and take downside risk. It would be a good thing for patients to know whether they are in an ACO and what that means so they can continue to further engage with the health system in the most optimal way. Many are concerned that ACO’s will drop out of the program when forced to take downside risk but I think that will remain to be seen.

In the meantime, I hope you better understand the major development of the ACO that occurred within the Affordable Care Act and how some adjustments may be made to the program in the near future.

Cheers to Health and Happiness!

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Health Care Transformation

The Academy is coming!

Hey Guys,

Happy 2018! I hope you and yours had a lovely holiday and a Happy New Year! I’m excited to kick off the new year with some very exciting news: The Health Care Transformation Academy launches this month!

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The Academy consists of concise, easy-to-use lessons on how to understand and navigate the U.S. health care system in order to achieve your best health outcomes at the best price. I’m so excited to have tangible lessons available soon that really support and guide you in giving you that peace of mind you need when navigating our confusing, messy, expensive health care system.

Stay tuned for more details in the coming days and I’m so excited to kick off 2018 by supporting you in taking control over your health outcomes!

Cheers to Health and Happiness!

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Health Care Transformation

Welcome to Health Care Transformation- For the People!

Hey everyone, I’m Meghan Nechrebecki and I’m the founder of Health Care Transformation. This is me: (It’s such a pleasure to meet you!)

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I earned my Master’s in Public Health from Johns Hopkins and for the past seven years I’ve been working with doctors, hospitals, and health insurance companies to improve the health outcomes of patients. And today, it is my great pleasure to welcome you to (drumroll please…

Health Care Transformation- For the People!

This blog will educate, engage, and empower you to better understand the health care system and to take control over your health- both for yourself and for your loved ones.

And why is this so important?

Because, as you probably know by now, we as a country have really high healthcare costs, which unfortunately most of us have experienced. And sadly, we don’t have that great of health outcomes either! 

In a report by the Commonwealth Fund that compares the U.S. to other high-income countries, the U.S. ranked last on performance overall and ranked last or near last on the Access, Administrative Efficiency, Equity, and Health Care Outcomes categories. We have a lot of work to do here guys and gals!

We all know there are a lot of issues with our U.S. health care system but I actually believe that there is at least one powerful solution in front of us and that’s YOU! That’s everyone that ever has been or will be a patient.

 I firmly believe that by engaging and empowering patients to understand and navigate the healthcare system, you will actually make more informed and better decisions for you and your loved ones, which believe it or not will have a large impact on reducing health care costs and improving your health

So let’s get started! What can you expect from Health Care for the People?

Every week there will be new material to support and empower you! You can access them here on our website, follow us on Instagram, or subscribe to our YouTube channel. 

There will be VIDEOS, like this:

 

There will be INSPIRATION, like this:

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There will be EDUCATIONAL TIPS, like this:

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So head to www.caretransformation.net every week for new posts on what you need to know about taking control over your health. I’m looking forward to this journey together- Cheers to Health and Happiness!  

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