transforming healthcare: improving decision support with your partners

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Improving Decision Support With Your Partners Information Builder’s Healthcare Webinar Series – Part 4 1 Speakers: Dean Hudson, President, EngageHi2 Fred Goldstein, CEO, Accountable Health Moderator: Frances Carroll, Healthcare Account Executive, Information Builders

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Page 1: Transforming Healthcare: Improving Decision Support with Your Partners

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Improving Decision Support With Your PartnersInformation Builder’s Healthcare Webinar Series – Part 4

Speakers:Dean Hudson, President, EngageHi2Fred Goldstein, CEO, Accountable Health

Moderator:Frances Carroll, Healthcare Account Executive, Information Builders

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Focus of Today’s Webinar

Open Discussion with our speakers: What are we all striving for? Quality vs Costs: which one wins? Looking at the wins/losses of coordinated care since 2012 How analytics have matured in healthcare

Value of getting to, understanding and monetizing your data Anatomy of cost items

What all should be included in your models? Your knowledge/data + experience of partners = winning scenario!

Working with partners to develop your decision support platform

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Today’s Speakers

Dean Hudson, President, EngageHi2As president of EngageHi2, Dean works with organizations to build lasting relationships – working with a variety of companies to create high-level strategies that support their overall corporate objectives and accelerate them into the future.

Fred Goldstein, Founder and President, Accountable Health, LLCFred is founder and president of Accountable Health, LLC, a consulting firm providing expert guidance in population health program design and development. He is a Certified Professional by the Validation Institute and founder and co-host of PopHealth Week, a weekly podcast.

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Open Discussion with Fred and Dean!Let’s keep this interactive

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Source: Mary Meeker, USA, Inc., Page 111

US Health Care’s Quality is Sketchy Has The Lowest Value In Industrialized World

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Value PaymentQuality

Health Sustainability

Financial Sustainability

What everyone is striving for…

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CMS Goals

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Movement in Payment StructuresFrom Volume to Value

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How ACO’s Measured up in 2015

Combined total program savings of $466 million

Includes: All Accountable Care

Organizations’ experiences for 392 Medicare Shared Savings Program participants

12 Pioneer Accountable Care Organization Model participants.

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Recent Announcement from CMS

Affordable Care Act Accountable Care Organization initiatives put patients at the center of their care while generating more than $1.29 billion in total Medicare savings since 2012

BUT…How much did the winners save – and how much did the losers lose?

Number (%) Number of Beneficiaries Total Savings (Losses)

Winners 203 (51.8%) 3,572,193 $1,568,222,249

Losers 189 (48.2%) 3,698,040 -$1,138,967,553

Total 392 (100%) 7,270,233 $429,254,696

Define winners as those organizations that spent less than their benchmark. Losers were organizations that spent more than their benchmarks.

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Analytics Maturity Model

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Anatomy of a Cost Item

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Assignment of Costs to Cases

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Ready to Take Action?!

What a good partner will help you do; Leverage your internal knowledge

You know YOU best! Take advantage of their experience

Outside assessment of how you can meet your goals Hold each other accountable for success

Must be a joint partnership! Develop an agreed upon plan of action EXECUTE! MEASURE! ADJUST! SUCCEED!

Finding a partner to help you execute!

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Questions for our Speakers…

Links to a recording of today’s webinar will be sent out shortly!

THANK YOU!www.informationbuilders.com