Innovation and integration
Rising tide may lift all boats in accountable care
The benefits of accountable care organizations expand as some providers deliver the same standards of care to all. “Embracing the desire of ACO providers to level-up care to the new standards created for ACO patients may result in immediate spillover effects that improve the quality and affordability of health care for all patients,” researchers conclude. (NEJM Catalyst)
Why providers are turning to clinically integrated networks
Hospitals and independent physicians are improving quality and efficiency by forming clinically integrated networks (CIN). CINs are nimble and optimize processes to provide the best possible care. “They are focused on the use of metrics, structure and processes ingrained in the group’s ethics and ideals to discover the best way to treat and care for patients.” (Becker’s Hospital Review)
CINs on the increase, suggesting more holistic approach to care
As value-based care expands, risk-based population health management arrangements may increase as well. Providers will be rewarded based on the health of the communities they care for. Additionally, clinically integrated network development increased; this may represent a shift away from piecemeal population health programs towards more holistic approaches to care coordination and patient management. (HealthIT Analytics)
Sharon Raggio, LPC, LMFT, MBA, president and CEO of Mind Springs Health, discusses reconnecting the mind and the body, and the barriers to making that happen.
The research supports connecting the mind and the body, and it just makes sense. So why isn’t it happening yet?
What is the role of health IT?
Why are you seeing success in re-integrating mind and body?
There are other factors involved as well. We recognize that our behaviors are the only things we can control that contribute to how healthy we are. We’re seeing more of a focus on connecting head and body–not just in terms of a full-blown mental illness or substance abuse disorder, but in terms of how we can influence behaviors.
I also think there’s a deeper understanding of different payment models–from the state of Colorado, provider and payer perspectives–as a funding mechanism for behavioral health integration.
Employers, employees and community
Employees need human guidance on plan options
Open enrollment is approaching, and surveys say people still struggle to evaluate their plan options. For example, 69 percent of those surveyed say deciphering jargon is a significant barrier to decision making. Consumers value human help when they first try to understand plan options. After that, interest in digital tools and self-service support grows. (HealthLeaders Media; Alegeus report)
Nearly 60 percent of employees aren’t participating in workplace wellness programs. The biggest barriers, Employee Benefit News reports, are lack of convenience, a non-supportive company culture, and trust and privacy concerns. It identifies five things every employee wants in a workplace wellness program. (Employee Benefit News)
“One in four people would rather have their teeth cleaned than spend time on open enrollment,” says Rebecca Madsen of UnitedHealthcare. But, like teeth cleaning, exploring the options is the smart thing to do. Employers should encourage workers to review the plan possibilities. The article discusses why. (US News)
Tools and Information
Population health data, trends: The CDC offers a wealth of data through the National Center for Health Statistics: CDC
Benefits trends: The 2016 Aflac WorkForces Report examines benefits trends and attitudes: Aflac