Moving Intelligent Change Forward
March, 2018 Vol. 1 - In This Issue:
My understanding of healthcare value was formed early, in the context of the misdiagnosis and ultimately futile treatment of aggressive cancers in my parents. I clearly understood that my family did not receive "value-based care", by anyone's measure.  After all, nearly thirty years ago, acknowledging patient preferences, discussing treatment options and considering quality of life aspects of care were rarely at the top of the checklist. Today, we have better diagnostic tools, ever-advancing therapies, wider acceptance for social-emotional aspects of treatment and a health system that strives to be patient-centric. And yet, with all this abundance and collaborative engagement, we remain unable to articulate a common vision of value. Some light is shed by this edition's articles, but the reality is complicated. One thing is clear: we cannot find common understanding using outdated methods.  Transparent and inclusive dialogue, real-world data sources and robust, adaptable assessment tools must be the foundation.

We Won't Get Value-Based Health Care Until We Agree on What "Value" Means 

Some health care leaders view with trepidation the new, disruptive health care alliance formed by Amazon, Berkshire Hathaway, and JPMorgan Chase. But I'm excited because disruption is all about delivering a new level of value for consumers. If this trio can disrupt the United States' health care system into consistently delivering high-value care, we will all owe them our gratitude.   
Interoperability is biggest barrier to value-based payment adoption, hospital execs say

Capabilities around interoperability have been the hardest area for hospitals to adopt in the push to value-based care, according to a new survey of hospital leaders.  Only 33% of hospital leaders reported their facility was highly capable of interoperability even though 98% said it was either a "highly" important or "extremely" important asset in the move to value-based payment in the next three years, a survey released Tuesday from the Healthcare Financial Management Association and sponsored by Humana found.  
Home Hospital Pilot Lowers Acute Care Episode Costs 52%

When it comes to patients' healing, few places can beat home, with its comforts and sense of familiarity. That's why, in recent years, hospitals have done what they can to make their campuses feel more homelike, with amenities such as private rooms, soundproofing, healing gardens, massage therapy services, and gourmet food.
I have brain cancer. Drug companies and med schools should be compensating me for my expertise

Thanks to a surprising and devastating diagnosis, I know more than most physicians about what it's like to live with the brain cancer known as glioblastoma, everything from self-titrating my anti-epileptic medications to making sure the right ICD-10 code appears on my MRI referrals. As much as I'd rather not have this expertise, I've learned that it is extremely valuable for medical students, physicians, people with brain cancer, pharmaceutical companies, and others. I've also learned that it is undervalued.  
Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients 

Our health care and social services delivery systems are not well-equipped to effectively manage patients with multiple chronic diseases and complex social needs such as food, housing, or substance abuse services. Community-level efforts have emerged across the nation to integrate the activities of disparate social service organizations with local health care delivery systems. Evidence on the experiences and outcomes of these programs is emerging, and there is much to learn about their approaches and challenges.  
Medicaid can be key to tackling social determinants of health 

The Georgetown University report is the latest to suggest that Medicaid could play a key leadership role to broaden healthcare beyond a doctor's office and tackle social, economic and environmental conditions. 
Preventive Care Saves Money? Sorry, It's Too Good to Be True 

The idea that spending more on preventive care will reduce overall health care spending is widely believed and often promoted as a reason to support reform. It's thought that too many people with chronic illnesses wait until they are truly ill before seeking care, often in emergency rooms, where it costs more. It should follow then that treating diseases earlier, or screening for them before they become more serious, would wind up saving money in the long run.
Passion + Quality = Change That Matters
I embrace the powerful opportunities in our evolving health care landscape. I founded Momentum Health Strategies to be a catalyst for change through continuous learning, diverse engagement and thoughtful policy and practice initiatives. I deliver innovative, strategic thinking and a passion for improving the patient experience. My personal drive and dedication to high-quality results will help you navigate the competitive terrain you face and convert your vision to action.

Momentum Health Strategies

Jennifer L Bright, MPA
(703) 628 - 0534