3 topics that generated the most buzz at RISE West 2018
APH was fortunate to have our Rick Scheel participate in the important discussions at the
RISE West 2018 Summit
. He said the agenda was filled with valuable information and best practices, and the energy for innovation was palpable.
Below is a summary of an article penned by Ilene MacDonald from RISE on three topics that generated the most buzz at that conference:
Models of care to address social determinants of health
While there were only a couple of sessions specifically devoted to initiatives that health plans have taken to address their members’ social determinants of health, the topic frequently came up in other speaker presentations and networking sessions.
More and more health plans are beginning to pay attention to the impact a person’s lifestyle, living conditions, and employment have on his or her overall health and outcomes. Indeed, interest in social determinants of health is now so strong, one speaker predicted it will drive rapid change throughout the health care industry, a business that typically takes a wait-and-see approach to new models of care.
Strategies to improve Star ratings
A respected Medicare Advantage plan with a 4.5 Star Rating presented strategies they utilized to improve ratings. They attributed the high ranking to the fact that the entire staff is responsible for quality and their goal is to see improvements in member satisfaction, retention rates, and outcomes.
The plan is also “member-centric” and not “measure-centric.” This means it focuses on member goals and worries. Because members often trust doctors more than they do their insurance company, the plan coordinates with providers to send out reminders or information about member preventive care benefits. For example, to encourage members to get their flu shots, the plan posted signs in doctors’ offices that encouraged patients to ask about the flu shots and had staff give out magnets that reminded members to make an appointment for a vaccination for the next flu season.
They also took engagement to the next level at the annual member-only event by offering members a $10 gift card if they got their flu shots before they left the meeting.
Innovative ways to engage providers
In a session on provider engagement, a health plan presenter explained how the plan not only wanted to achieve the Triple Aim goals to provide better care, improve population health, and lower costs, but also a fourth goal—to help providers find meaning in their daily work.
To better engage providers, the organization conducts monthly “lunch and learns” the same day each month. The meeting included a chart review and a discussion of what was working well for them and what wasn’t working well. The health plan made changes based on that feedback.
A representative from another plan
said her organization focuses on quality care and combines education of all programs and measures together. But she offers training in smaller segments. For example, her team created a 15-minute webinar that gave an overview of risk adjustment that physicians can watch on demand, whenever they have downtime. Training is conducted throughout the year and the team provides physicians with monthly feedback on all performance measures.
Read the full RISE article