Healthy Aging- One Conversation at a Time

Posted by Jim Evans on Oct 20, 2017 6:00:00 AM

I'm sure we all know that 10,000 Americans turn 65 day every day. For many, this "event" passes with little fanfare, with little notice other than the fact that they are now eligible for Medicare or that they need to start thinking about when to start taking Social Security. However, whether it happens when they turn 65, 70, 75 or 80, everyone has to ask, "What do I want the rest of my life to look like? How do I want to live?"

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TOPICS: Patient Engagement, Health IT, behavioral interventions, healthy aging, senior living

Specialized Networks Open Broad Opportunities for Patient Engagement 

Posted by Jim Evans on Apr 28, 2017 10:26:23 AM

You initiate an information search on Google. You find an article, click on it, and low and behold, an advertisement embedded in the article is related to a search you did on Amazon just the other day! Stranger yet, a coupon book from Target shows up in your mailbox featuring a deal on just the product you’ve been thinking about. What is this black magic? It’s behaviorial research and predictive marketing analytics at work of course—sophisticated algorithms tracking your behavior in order for companies to seed the products and services you were just on the cusp of wanting.

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TOPICS: Patient Engagement, Medicare Advantage

Wrapping it all up: the member engagement program for Medicare Advantage plans

Posted by Jim Evans on Apr 20, 2017 12:00:00 PM

In a previous post, we explored the imperative that Medicare Advantage plans build a trusting relationship with members. But trust is earned, so MA plans must become member-centric. Building better, more authentic relationships with members, introducing services, information and education that support the members’ goals of better health is the way to win their trust. In turn, members respond by considering other programs offered by the plan, and shed the skepticism that has historically prevented them from pursuing mutually beneficial utilization improvement.

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TOPICS: Medicare Advantage

Getting practical on member engagement

Posted by Jim Evans on Apr 13, 2017 9:30:00 AM

Last week, we met Sally. In our discussion about Sally, we determined that the motivations behind most Medicare Advantage member engagement strategies—namely, reduced cost via lower utilization—have little appeal to the average member. Unless the member is recently discharged from the hospital due to a recent health scare, they may not be as motivated by a program that is designed to keep them out of the hospital. In fact, they might greet such programs with skepticism because, to the member, the benefit seems more skewed toward money saved by the plan, rather than an interest in the member’s health. These conflicting views could lead the member to think that the health plan can’t be trusted, and no Medicare Advantage plan wants to end up in the “untrustworthy” column.

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TOPICS: Medicare Advantage

Setting goals for member and patient engagement

Posted by Jim Evans on Apr 10, 2017 8:30:00 AM

Meet Sally. Sally was diagnosed with congestive heart failure several years ago.  Now 80 years old, she lives alone, making ends meet with income from Social Security and the pension she earned after teaching in public schools for over thirty years. She is generally self-sufficient, although she occasionally forgets to take her medicine or monitor her weight. Most days, she says she feels “pretty good.”

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TOPICS: Patient Engagement, Medicare Advantage

Medicare Advantage: Improving the member experience through patient engagement

Posted by Jim Evans on Mar 31, 2017 9:00:00 AM

At the end of each year, Medicare Advantage members come to a fork in the road: stay with their current Medicare Advantage provider or find a new option. For the MA plan, this is a critical moment.   The plan spent money to attract and enroll this member.

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TOPICS: Medicare Advantage

Rethinking population health initiatives: one size does not fit all.

Posted by Jim Evans on Mar 2, 2017 12:00:00 PM

Hilary Hatch had an interesting article in The Health Care Blog last week about population health. She appropriately differentiates between population-based initiatives that benefit populations and those that have no communal benefit. Her analysis is significant, because it gets to the root of why population health initiatives have so many compliance issues. As she says:

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TOPICS: population health

MACRA and Incentivizing the Triple Aim

Posted by Dr. Randall Williams, MD on Feb 22, 2017 8:53:44 AM

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), represents the most significant and far reaching physician payment reform in our lifetime.  It’s the latest in a growing line of programs transitioning toward a value-based payment system, and likely the death knell of “fee for service” as the mainstay of physician reimbursement in America.

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TOPICS: Alternative Payment Models, MACRA

Patient engagement tools best used for chronic care management

Posted by Sara Aldworth on Feb 15, 2017 1:52:39 PM

NEJM Catalyst Survey results cover the value, barriers of patient engagement technology

Patient engagement technology continues to proliferate, due in part to MACRA and Meaningful Use provisions. Given the explosive growth of vendors in this space, the NEJM Catalyst survey results on patient engagement tools are helpful, especially for those in chronic care management.

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TOPICS: chronic care coordination

The elusive patient engagement definition

Posted by Sara Aldworth on Feb 9, 2017 8:00:00 AM

Like the Yeti, a patient engagement definition still escapes much of the healthcare industry. With a flash of fur in the forest, we’re positive that we’ve seen “it”—but describing “it,” much less capturing “it,” remains a quest full of pitfalls and adventure.

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TOPICS: Patient Engagement


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