October 2019 | Volume 2
MOVING INTELLIGENT CHANGE FORWARD
INNOVATION DIGEST
It’s about the patients. Not patients as commodity, as satisfied customer, as data-rich resource, as research subject or competitive covered life. Patients as people, with goals, loved ones, hopes, fears, addictions, chronic challenges, acute needs, motivations and aspirations for recovery and a life. What would happen if every interaction started with trying to know these things first; beyond "what problem do you have today?" We’re spending billions on end-game technology, whether it’s engineering life saving treatments, measuring the quality of what was done, documenting and predicting outcomes, or developing apps to improve engagement and adherence. So much of this "balloon payment" on health might not be necessary, or indeed be rendered more effective, if we started with the notion that patients are people first, before they are the subject of care, intervention, engagement and research.
Paper: Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions
A nonrandomized clinical trial of older adults with multiple chronic conditions (MCCs) was undertaken to study whether care that is aligned with older adults' health priorities is associated with improved patient-reported outcomes and reduced unwanted care.
Disappointment in the Value-Based Era: Time for a Fresh Approach?
Over the past decade, there has been a series of national initiatives to improve the quality of care that people in the United States receive, many of which originated from the passage of the Affordable Care Act in 2010. However, the evidence to date suggests these efforts have had limited beneficial effects in the Medicare population. Key programs, such as the Hospital Value-Based Purchasing Program, the Physician Quality Payment Program, and the US Hospital Acquired Condition Reduction Program, have not improved patient outcomes. 
UnitedHealth to link Optum's analytics, provider subsidiaries
Healthcare companies across the sector are looking to capitalize on the promise of big data, with potential uses for claims forecasting, AI training, research and development and more.
Optum's success is indicative of this trend. The health services branch of UnitedHealth Group has grown dramatically since the launch of the health services division in 2011.
Insurers Pitch New Ways to Pay for Million-Dollar Therapies
Insurers are scrambling to blunt the expense of new drugs that can carry prices of more than $2 million per treatment, offering new setups aimed at making the cost of gene therapies more manageable for employers.
Cigna Corp. announced Thursday a new program that allows employers and insurers to pay per-month fees for a service that will cover the cost of gene therapies and manage their use.
Alphabet hires ex-FDA commissioner to lead health strategy, policy
Companies interested in expanding their presence in the healthcare market often look to snap up valuable talent from inside the industry. Google's parent company, Alphabet, is no different — the acquisition of Califf comes roughly a year after Google hired ex-Geisinger CEO David Feinberg to lead health strategy at the internet-focused tech giant.
'A radical experiment': Payers, providers renew attacks on price transparency proposal
"The wrong approach," "anticompetitive," "a radical experiment" — payers and providers had strong words for a CMS price transparency plan in comments filed on the proposed rule.
Since the agency first proposed forcing hospitals to disclose payer-specific negotiated rates with insurance companies in July, industry has lobbied fiercely against the idea. Payer and provider comments, due Friday, heightened the rhetoric around the debate.
AI needs patients’ voices in order to revolutionize health care
Patients’ stories — what doctors call patient histories — are the bedrock of medicine. “Listen to your patient; they are telling you the diagnosis,” an aphorism attributed to Dr. William Osler, the founder of modern medicine, still holds true today. The disappearance of patients’ stories from electronic health records could be one reason that artificial intelligence and machine learning have so far failed to deliver their promised revolution of health care.

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
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