Population Health Alliance Announces Thomas L. Johnson as Executive Director

Growth Leadership for the Nation’s Only Multi-Stakeholder Association Dedicated Solely to Population Health

Washington, D.C. — Population Health Alliance (PHA) announces today that it is investing in the Association’s growth with newly appointed Executive Director Thomas L. Johnson. Thomas comes to us with highly relevant executive leadership experience, including more than eight years at the Medicaid Health Plans of America where he led the organization to achieve 650 percent growth. He holds a BA, Political Science from Tufts University and a JD, Law from Howard University. Thomas began working with PHA on April 1 and will assume the full-time role on May 3.

Population health management is at the center of the sweeping shift to value-based care, holistic consumer centric care, and the march to health equity for all. Over the last two decades of advocacy, network building, quality, research, and education, PHA has led a network of Corporate members and partners in raising the profile of population health improvement models including health and wellness, chronic care management, social determinants of health, and health equity as key components of health care transformation. “There is no better time in the history of PHA to bring on such an experienced and committed leader as Thomas Johnson. With our BOD commissioned strategic plan and newly appointed leadership, PHA is poised to reach new heights in both growth of our membership and impact from far reaching initiatives,” said Rose Maljanian, Board Chair Emeritus for the Population Health Alliance.

PHA as the premier association for population health, works diligently on behalf of its members to shine a spotlight on their important work and advocate for, and contribute to, shaping policies that prioritize the health and wellbeing of individuals in our populations through:

  • Reducing barriers to high-value workplace health and wellness benefits and programs for employees
  • Ensuring that all individuals have stable access to affordable choices in selecting their health benefits
  • Encouraging community-based efforts and supporting programs that address medical and social determinants to promote health and wellbeing in vulnerable populations
  • Supporting individuals’ active engagement with their care teams and limiting non-care related burdens and distractions for both patients and providers
  • Emphasizing research and quality in the delivery of health and wellness benefits and programs to individuals
  • Continuously introducing innovative solutions to create positive experiences and outcomes for all individuals

PHA additionally focuses on quality and research priorities that advance value-based care as a lever under the umbrella of population health management, optimizes consumer engagement and experience, and takes action on social determinants of health to improve outcomes and achieve health equity.

“I am honored and humbled to take on this role with PHA” said Mr. Johnson. “The importance of bringing together stakeholders critical to maximize population health efforts cannot be understated, as we look to fully understand the needs of populations in specific health care systems. I look forward to make a significant contribution to that effort.”

“Thank you to our PHA members for their steadfast support. Please visit https://populationhealthalliance.org/TLJ to join me in welcoming and supporting Thomas in this new promise for PHA and important role as Executive Director,” added Maljanian. By welcoming Thomas Johnson through the link above, new members and sponsors are eligible to receive a 20% discount on dues or sponsorship fees.

About Population Health Alliance
Population Health Alliance (PHA), a corporate 501(c)6 nonprofit organization, is the industry’s only multi-stakeholder professional and trade Association solely focused on population health management, representing stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize the consumer and provider experience and drive affordability.

Contact:
Rose Maljanian
Board Chairman Emeritus, Population Health Alliance
Direct: (860) 573-1824‬
Office: (202) 737-5476
rmaljanian@healthcaws.com

Digital Diagnostics Joins the Population Health Alliance, Paving the Way Toward Autonomous AI Diagnostics

Committed to democratizing health care and closing care gaps, autonomous AI leader joins the national coalition dedicated to the success of population health management leaders

Washington, DC, March 15, 2021 (EIN PRESSWIRE) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, announced today that Digital Diagnostics (dxs.ai) has joined the organization as a member. With an unwavering focus on improving patient equity, outcomes, safety, and efficacy, Digital Diagnostics is committed to autonomous artificial intelligence (AI) done the right way. The first FDA-cleared autonomous AI diagnostic company of its kind, its products are used by the largest and most prestigious health systems across the U.S. and globally.

For years we have heard about the power and the potential for AI in population health. Digital Diagnostics is making that real by enabling providers to leverage this potential by building safe, trusted diagnostic tools that are actionable and account for multiple sources of bias.” said Jaan Sidorov MD, CEO and President of the PA Clinical Network and President of the Population Health Alliance. “The PHA leadership welcomes their important perspective as we advance to a new era in consumer engagement that is powered by artificial intelligence,” he added.

There is too much needless suffering from treatable illnesses, and this happens more in populations that do not have equitable access to healthcare. We look forward to collaborating with the Population Health Alliance as we look to the future where frontline care providers have access to point of care diagnosis and referrals to improve long-term patient outcomes,” said Michael Abramoff, MD, PhD, Founder and Executive Chairman of Digital Diagnostics.

Digital Diagnostics will be the special guest presenters for the next PHA Member Showcase Webinar this Wednesday, March 17, 2021 at 3 p.m. EST. Delivered by Founder and Executive Chairman Michael Abramoff, MD, PhD and President and Chief Operating Officer Seth Rainford, MBA, “Autonomous AI and Trust: The Path Towards Patient Centric AI” will present a specific use case for diabetic retinopathy, important ethical principles established for developing AI in health care, the current state of autonomous AI reimbursement, and where the future is headed for this work. Registration for this webinar is open to all population health management professionals.

Digital Diagnostics also recently announced the addition of George Barrett, former Cardinal Health Chairman and CEO, to the company’s board of directors, adding world-class leadership to an impressive team of leading health care payers, providers, policymakers, and academics.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About Digital Diagnostics:

Digital Diagnostics Inc. (formerly IDx) is a pioneering AI diagnostics company on a mission to transform the quality, accessibility, and affordability of health care. It was founded and is led by Michael Abramoff, MD, PhD, a practicing, fellowship-trained retina specialist ophthalmologist, neuroscientist, and computer engineer. The platform includes two autonomous AI systems – IDx-DR and 3DermSpot. Digital Diagnostics is paving the way for autonomous AI diagnosis to become a new standard of care, contributing to democratizing health care and closing care gaps. The company works closely with patient advocacy groups, federal regulators, and other quality of care and ethics-focused stakeholders to enable adoption of autonomous AI. For more information and the latest news, visit www.dxs.ai.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

PHA Statement of Support for the Confirmation of Dr Rachel Levine as Assistant Secretary for Health at the U.S. Department of Health and Human Services

The Population Health Alliance (PHA) Government Affairs Committee congratulates and welcomes the nomination of Dr Rachel Levine to serve as Assistant Secretary for Health at the United States Department of Health and Human Services and has issued the following statement:

“We are pleased to welcome the nomination of Dr Rachel Levine to serve as the Assistant Secretary for Health at the United States Department of Health and Human Services. Dr Levine’s experiences and successes in complex, multi-faceted health systems as well as leading Pennsylvania’s statewide COVID-19 response will equip her with the right tools to tackle the public health issues that most significantly impact Americans on a population level. While Dr Levine’s strong credentials speak for themselves, she would be the first openly transgender federal official confirmed by the Senate and her appointment to this position would signal the important progress made as well as work ahead for health equity in the United States. Dr Levine will serve HHS well in this role and we encourage the Senate to prioritize the confirmation of this critically important public health position.” -Brent Ling, Executive Director at the Population Health Alliance

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter and LinkedIn.

NeuroFlow Joins the Population Health Alliance

Technology-Enabled Behavioral Health Integration Solution Provider Joins the National Community of Population Health Management Leaders and Experts

Washington, DC, February 17, 2021 (EIN PRESSWIRE) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that NeuroFlow (neuroflow.com) has joined the organization as a member. NeuroFlow assists population health management teams to ensure that no patient who needs behavioral health support falls through the cracks. Their digital health tools empower patient self-care and enable remote coordination and delivery of mental health treatment at scale.

“NeuroFlow is an outstanding provider partner leading the way in the application of patient-centered behavioral support for patients across the continuum of care.” said Jaan Sidorov MD, CEO and President of the PA Clinical Network and President of the Population Health Alliance. “Their expertise and able leadership will enhance PHA’s advocacy and service for our members in our collective pursuit of excellence in population health management,” he added.

“Across payment strategies, clinical treatment, and population health research, there exists a gap between physical and behavioral health. Yet, we know co-occurrence is common and these conditions directly impact each other.” said Matt Miclette, Director of Clinical Operations at NeuroFlow. “Joining PHA presents a great opportunity to combine our technology and clinical expertise around behavioral health integration with the research, policy, and thought leadership of the PHA and its members to ultimately drive insights that will help improve access and engagement with behavioral health resources for those that need it the most,” he added.

NeuroFlow recently announced that their behavioral health solution will be offered to Prudential’s disability insurance claimants, as well as members covered by Capital BlueCross group plans.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About NeuroFlow:

NeuroFlow is a digital health company combining workflow automation, consumer engagement solutions, and applied AI to promote behavioral health integration in all care settings. NeuroFlow’s suite of HIPAA-compliant, cloud-based tools simplify remote patient monitoring, enable risk stratification, and facilitate collaborative care. With NeuroFlow, health care organizations can finally bridge the gap between mental and physical health in order to improve outcomes and reduce the cost of care. Learn more at http://www.neuroflow.com.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

UPMC Health Plan Joins the Population Health Alliance

One of the fastest-growing health plans joins the national population health leadership network

Washington, DC, January 19, 2021 (EIN PRESSWIRE) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that UPMC Health Plan (upmchealthplan.com) has joined the organization as a member. UPMC Health Plan offers a full range of health insurance products that support the needs of their more than 3.9 million members across Pennsylvania. Products include, Medicare, Special Needs, Medical Assistance, CHIP, and behavioral health coverage, as well as employee assistance, and workers’ compensation products that are offered nationally through Workpartners.

As part of the UPMC integrated health care delivery system, UPMC Health Plan is committed to providing its members access to better health, more financial security, and the peace of mind they deserve. UPMC Health Plan partners with UPMC and community network providers to produce a combination of knowledge and expertise that provides the highest quality care at the most affordable price.

Population health combines analytics, operations, and informatics in disciplined pursuit of putting health within equal reach of all,” said Ellen Beckjord PhD, MPH, Associate Vice President Population Health and Clinical Transformation at UPMC Health Plan. “Population health is at the heart of everything we do at UPMC Health Plan, and I’m very excited to learn from and contribute to the initiatives being led by PHA.

I am pleased to welcome UPMC Health Plan as a PHA member. UPMC Health Plan has a long history as a front runner in proactive chronic care management and has continued to build on this success with an exceptional emphasis on innovation and population health management,” said Rose Maljanian, Chairman & CEO at HealthCAWS and PHA’s Chairman Emeritus. “Ellen Beckjord will join the PHA Quality & Research Steering Committee where no doubt her skill and expertise will be embraced by the PHA member community.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About UPMC Health Plan:

Serving more than 3.9 million members, UPMC Insurance Services is owned and operated by UPMC, a world-renowned health care provider and insurer based in Pittsburgh, Pa. UPMC Insurance Services includes commercial products from UPMC Health Plan for groups as well as individuals. Commercial products also include workers’ compensation and employee assistance from nationally known Workpartners. Government products include Medicare Advantage (UPMC for Life); special needs plans for those eligible for Medicare and Medical Assistance (UPMC for Life Complete Care and UPMC Community HealthChoices); Medical Assistance (UPMC for You); and Children’s Health Insurance Program (UPMC for Kids); and Community Care Behavioral Health, one of the nation’s largest managed care behavioral health organizations. For more information, visit upmchealthplan.com.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

3M Health Information Systems Joins the Population Health Alliance

Global leader of payment and quality methodologies joins the national professional and trade network for population health management

Washington, DC, January 13, 2021 (EIN PRESSWIRE) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that 3M Health Information Systems (3M.com/HIS) has joined the organization as a member. From computer-assisted coding to clinical documentation integrity and performance monitoring, 3M Health Information Systems’ automated and intuitive software helps providers, payers and government agencies throughout the United States and across the globe reduce costs and provide more informed care.

3M Health Information Systems is a leader in designing outcomes-based payment and quality systems for federal, state and private payers serving the US and global clients. We are focused on equitable, transparent, rigorous payment and outcome methodologies that not only efficiently deploy resources, but also measurably improve safety, quality and health outcomes. We are delighted to the join the Population Health Alliance community and look forward to collaborating with its members and advancing population health science and policy,” said Sandeep Wadhwa, MD, MBA, Global Chief Medical Officer for 3M Health Information Systems.

Advances in population-based health information technology are progressing in quantum leaps, leading to important strides for patients and the industry.” said Jaan Sidorov, MD, CEO and President of the PA Clinical Network and PHA’s President. “Sandeep Wadhwa remains a widely recognized global leader in this field, and his expertise will help the Population Health Alliance cement its role at the forefront of a rapidly evolving healthcare system.

Dr Wadhwa recently hosted a panel presentation on population health management in international markets at the 2020 PHA Innovation Summit and Capitol Caucus.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About 3M Health Information Systems:

3M Health Information Systems is committed to leading the shift from volume to value-based care, creating more time to care, and eliminating revenue cycle waste. We are providing clinicians with real-time guidance and accurate documentation and closing the loop between clinical care and revenue accuracy. From outcomes performance monitoring, computer-assisted coding to clinical documentation integrity, 3M’s automated and intuitive software can help provide more informed care and reduce potentially avoidable costs. For more information, visit www.3mhiscer.com, www.3m.com/his or follow @3MHISNews on Twitter.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

PHA Leaders’ Circle: Undercurrents in COVID-19’s Economic Impacts Favor Population Health

By: Jaan Sidorov, MD

Is the past (a new) prologue?

That’s the question population health experts should be asking as the profound economic impacts of the COVID-19 pandemic come into view.

Check out this well written piece in the Health Affairs Blog COVID-19 Shocks the US Health Sector. The 2020 statistics described by George Miller and colleagues are remarkable:

  • This will be first year ever recorded with a decline in national health spending;
  • Admissions for stroke and heart attack decreased independent of COVID-related impacts on bed availability;
  • Losses from less elective and non-COVID related hospital care are accelerating hospital prices upward;
  • Nursing homes are struggling with a downturn accompanied by a corresponding uptick in homecare arrangements;
  • Among physician practices, pediatrics was hit the hardest with important implications for childhood immunizations;
  • Pharma has come through relatively unscathed.

However, hidden between these observations are some additional nuggets of information that should be of interest to my colleagues in the population health industry:

  • Healthcare spending has grown between 4.35% to 5.6% since 2014, but dropped by 20.1% in April of 2020. In contrast, during that same period, the overall U.S. economy shrank by 31.4%. In other words, U.S. healthcare costs on a relative basis will continue to gobble up more of GDP.
  • Hospitals may witness a rebound in 2020 bed occupancy thanks to pent-up demand, but some leading statistics suggest a lingering reduction in admissions that could carry over to 2021. As we heard at the 2020 PHA Innovation Summit and Capitol Caucus, public and private payers as well as investors are paying attention.
  • As patient volumes dropped, physician interest in alternative payment arrangements has grown. As a result, provider acceptance of value-based care contracting is poised to go to the next level.

What could this mean for the population health management professionals leading at payers, providers, partners, and solutions companies across the country? While Casey Stengel’s caution about making predictions, especially the future, is apt, some personal expectations are:

  • Rising hospital costs and a greater share of employer and government budgets in the face of an economic recovery will accelerate interest in healthcare alternatives. The “boat” of population health – even if it has a short-term cost – will rise as a result of the tide of insurer and investor interest in cost-effective solutions.
  • Flagging acceptance of traditional inpatient care will be replaced by growing consumer interest in alternative sites of care. Population health, thanks to its success in delivering care that can be adapted to location or level of service restrictions, will accelerate this transition.
  • If growing value-based payment arrangement contracting terms are the prose, then population health management is the poetry. During the Population Health Alliance’s Forum and Summit meetings this year, we heard about the innovative art and science of supporting high-value care for patients and populations. Now that the physician community has growing interest in the topic, we can expect insurers to gain traction with this in their provider contracts. Let this be the call for the population health community to stand ready to help all payers and providers succeed in their goals.

Make no mistake: 2020 has been a terrible year. As we continue to dig out from the pandemic, cost trends, shifts to home care and interest in alternative payment models were already present. It looks like those trends will only accelerate population health in 2021.

– – – – – – –

Jaan Sidorov, MD is the CEO & President at the PA Clinical Network, he is also President of the Population Health Alliance.

Celebrating Veterans – PHA Forum20 Closing Keynote by David Shulkin

In honor of Veterans Day 2020, PHA is sharing the inspiring Closing Keynote Presentation from last month’s PHA Forum20 by David Shulkin, MD the Ninth Secretary of the United States Department of Veterans Affairs.

On October 8th, Secretary Shulkin presented “Deploying Population Health Management Strategies in Complex Health Systems: Lessons from the Department of Veterans Affairs” to the audience of the PHA Forum20, one of PHA’s two virtual conferences held last month. In celebration of Veterans Day, please enjoy viewing this presentation below for free for the next 24 hours.

This video was only be available through November 12th, 2020.

To view the archive of the entire PHA Forum20 along with the Population Health Colloquium, visit populationhealthcolloquium.com. For $195 you will receive six months of archived Internet access to both events, available 24/7.

PHA celebrates our country’s Veterans, their family members, and all who care for their health. Thank you for your service.

NOVA Scripts Central Joins the Population Health Alliance

Regional charitable pharmacy expands its national leadership voice as advocates for the uninsured

Washington, DC, November 05, 2020 (EIN PRESSWIRE) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that NOVA Scripts Central (NSC) has joined the organization as a new member. NSC is a long time provider of quality integrated pharmaceutical care and medication access to the low-income uninsured children and adults of Northern Virginia, bringing life-saving medications that treat chronic conditions within reach for thousands of patients.

NSC’s multi-branched population health approach combines medication access to the uninsured, a tool to help providers navigate Medicaid prescription drug coverage, a proactive immunization initiative, community health and wellness education, and a database of community support services called NOVA Scripts Compass.

We are excited to welcome NOVA Scripts Central to the PHA community as a new member,” said Brent Ling, Executive Director at PHA. “Their team is innovative and population-focused with a wealth of experience in deep community-engagement while also creating and fine-tuning provider-facing tools. Under Dr Donney John’s leadership they are passionate advocates for the uninsured in population health management and we look forward to their unique contributions to our field as new members.

Donney John, PharmD, Executive Director at NOVA Scripts Central added, “We are excited for the opportunity to work with fellow alliance members on developing strategies to address the population health needs of the uninsured health safety net patients around the country. This opportunity will allow us to continue to grow our reach as well as allow us to improve the lives of countless more Americans.

NSC recently announced a new partnership with Honeybee Health that will enable them to expand offering of affordable prescription medications to a wider range of people outside their patient base.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About NOVA Scripts Central:

Established in 2006, NOVA Scripts Central’s mission is to provide quality integrated pharmaceutical care and medication access to the low-income uninsured children and adults of Northern Virginia. They are founded on the belief that all individuals should have access to quality healthcare regardless of where the care is being delivered. To stay in the know about NOVA Scripts Central follow them on Twitter, Facebook, and LinkedIn or visit NOVAScriptsCentral.org

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

PHA Calls on Congress to Pass Pandemic Relief for Charities

On September 29th, PHA sent the below letter to congressional leadership. The letter raises the important work that charitable organizations do to improve health and wellbeing, and it lays out several urgent actions Congress should take to provide pandemic-related relief to these institutions. The specialized services delivered by charitable organizations play a critical role in population health management strategies across the country. By providing relief, Congress can help ensure these charities will continue to be there for those who count on their existence.

PHA encourages our members and the entire population health management field to forward this letter onto their representatives in Congress.

eQHealth Solutions Chief Strategy and Growth Officer Mayur Yermaneni Elected to Population Health Alliance Board of Directors

Washington, DC, September 17, 2020 (EIN PRESSWIRE) — eQHealth Solutions, a leading Population Health technology and services company and the and the developer of the first and only CMS-Certified Care Management technology, today announced that Chief Strategy and Growth Officer Mayur Yermaneni has been appointed to the Population Health Alliance (PHA) Board of Directors.

PHA, the healthcare industry’s only multi-stakeholder professional and trade association solely focused on population health management, represents organizations across the healthcare ecosystem (e.g. health systems, health plans, employer solutions, academia, biopharma and technology companies) that seek to improve health outcomes, optimize the consumer and provider experience, and drive affordability.

On behalf of the PHA community, I am excited to welcome Mayur to our Board of Directors and I congratulate him on being elected to an important position in our industry.” said Jaan Sidorov, CEO & President at the PA Clinical Network and President of the Population Health Alliance. “His demonstrated leadership in the field of population health management at eQHealth Solutions is evident in their achievements and his expertise on strategic growth will be an important voice in service to the professionals in our field.” added Sidorov.

Having over 20 years of experience in the public and private health services industry, Mayur Yermaneni is responsible for the vision and strategic direction of eQHealth Solutions, Furthermore, he is driving and leading the continued development and innovation of eQHealth’s technology and service solutions. As chief strategy and growth officer, he led the growth of eQHealth Solutions from $15m to approximately $50m in revenue and expanded its footprint from 8 states to all 50 states. A notable highlight of his career, Yermaneni led the acquisition of a key contract with the state of Vermont resulting in eQHealth achieving the first CMS-certified care management system in the United States.

I am honored to be elected to this esteemed group of long-time leaders and experts in population health management on the PHA Board of Directors. When we are working at our best, population health is an art of aligning multiple stakeholders to cohesively and collaboratively improve our members’ lives, thousands or millions at a time. As the national professional and trade home for population health management, I look forward to supporting the thousands of dedicated and talented individuals working in plans, agencies, delivery systems, and other supporting organizations in our collective pursuit of excellence in population health management,” said Yermaneni.

Yermaneni earned a MBA from Kellogg School of Business and M.S. in Biomedical Engineering from the University of Akron.

– – –

About eQHealth Solutions

eQHealth Solutions is a 360-degree population health management technology and services provider that offers comprehensive utilization management, care management, business intelligence and healthcare analytics and total population health management technology and services that touch millions of lives annually throughout the nation. eQHealth’s high-tech and human-touch approach includes innovative technology solutions and services focused on optimal member health outcomes while reducing costs. eQHealth serves a variety of entities including government and commercial healthcare payers, third-party administrators, and self-insured employer groups. Learn more at www.eqhs.com or follow them on LinkedIN and Twitter.

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

PHA Leaders’ Circle: Improving Coordinated Care During COVID-19 and Beyond

By: Sean Mullins, COO, Olio
September 16, 2020

Olio is a software solution that makes it simple for population health teams and post-acute provider networks to actively engage with one another about each patient’s care. The pandemic has highlighted barriers and floodlit opportunities on caring for our vulnerable populations. It also has proven just how important using a digital infrastructure can improve quality of care and reduce cost.


Meeting the healthcare needs of patients requires multiple organizations, people and resources throughout the patient journey. As the patient moves through the system, simple, accessible and precise communication among care teams has the power to improve quality patient care.

Healthcare navigation for providers and patients, however, has always been a barrier to potential sophisticated population health management interventions. The pandemic forced providers to adopt technology quicker and revealed there are ways to adopt technology and support clinicians in the business of healthcare. In the week ending April 18, 2020, almost 1.3 million beneficiaries of Medicare or Medicaid received telehealth services compared to just 11,000 in the week ending March 7, 2020, according to current claims data — an increase of more than 11,718% in just a month and a half.

Historically, providers and patients slowly and reluctantly have adopted technology and telehealth. Some of the barriers to use include reimbursement criteria, regulations, cost and concern over the experience. During this national emergency, special exceptions are underway related to both privacy and reimbursement. Widespread use during an exceptional time may lead to ongoing adoption when life returns to normal – whatever that might look like.

Coordinating Care for Acute Care Patients

Telehealth works for non-acute scenarios and provides follow-up opportunities once acute patients return home. Yet 26.3% of patients discharged from hospitals require institutional post-acute care, including skilled nursing facilities (SNFs) and inpatient rehabilitation facilities (IRFs). With the pandemic, it is estimated that approximately 24 million Americans could require hospitalization and/or intensive care for more than six months due to the pandemic. Estimates project at least 700,000 patients may require inpatient short-stay rehabilitative care and 10 million more may need outpatient rehabilitative services.

The journey to better outcomes requires optimal communication amongst hospitals, post-acute care facilities, patients and their families. Deaconess Health System, a premier provider of healthcare services in 26 counties across three states, has been at the forefront of innovation. For the third year in a row, they have been ranked by the CMS as a top 5 performing ACO in the country.

Deaconess has seen success, in part, by using a software solution that enables their care teams to track and guide their patients as they transition to post-acute care. This has supported improved patient outcomes within their value-based care population health strategy. They began using the software prior to COVID-19, and it served as a vital platform to improve patient care coordination during the pandemic.

Within all our community hospitals in the region, we can connect through the Olio software — especially those we either did not have a relationship with before or that we weren’t able to connect with via EMR [electronic medical records],” says Shelly Evans, the former Manager of Post-Acute Services for Deaconess Health System. “We’ve been able to use Olio during the COVID pandemic for communication, and to look at COVID activity along with staffing resources because as a health system we want to help those facilities.

Evans says the platform provides them a real-time snapshot of where that patient is in their journey, while tracking the length of stay along every level of care. “It ensures collaboration with those facilities to keep patients moving along the continuum in a very successful and timely manner,”.

Managing Escalations and Limiting Readmissions

Overseeing the discharge of hundreds of patients to post-acute facilities involves a great deal of complexity and economic burden, requiring active engagement at scale to make an impact. Managing care often includes manually tracking and monitoring patients through non-HIPAA compliant channels, and utilizing costly resources to coordinate communication between acute and post-acute providers.

Our medical directors and nurse practitioners have been very receptive to the new platform, because they know exactly where our patients are, where they are in that journey, and provide the ability to communicate,” Evans says.

She shares that various electronic health record systems result in a gap in the care process as there is no conduit of communication between the hospital and the skilled nursing facilities when utilizing different systems. Deaconess uses Olio to communicate with the facility staff, ask questions, share patient records and monitor daily progress, resulting in the ability to track and successfully manage patients.

You can send a note back and forth to the staff of another facility and talk directly with nurses, all HIPAA protected,” says Jaime Redman, Lead Nurse Practitioner for the Accountable Care Organization program at Deaconess. “We can access care quickly through a provider without triggering a nuisance. For the provider, they have to manually escalate something and Olio is programmed in a way that’s good for providers. There are not a lot of nuisance calls — only when they need you for something urgently.

Supporting Coordinated Care in Real-Time

Healthcare workers’ efforts before, during and after the pandemic elevate them to hero status. Communication technology earns the title of supporting sidekick as providers embrace innovations to navigate new pandemic challenges. Telehealth and Olio, amongst other solutions, provide easy-to-use, real-time support for the best possible patient outcome and provider experiences

Direct communication with the staff at the facilities is huge,” Redman adds. “We’re able to communicate with the nurse about what’s going on without a phone conversation. A lot of times we’re in the middle of meetings. We can communicate and not interrupt the meeting, place orders, go ahead and take care of this, and provide real-time solutions to real-time problems.

Transcendent Healthcare of Owensville, LLC, a privately owned and operated Skilled Nursing Facility, receives referrals from Deaconess. The facility strives for innovative efforts when caring for lives. With the onset of COVID, communication with the hospital proved even more critical when providing patient updates,ensuring appropriate care, and managing patients in place.

Transcendent not only used Olio to get in touch more quickly with the hospital, but to schedule and conduct visits with the hospital through telehealth. “Olio’s program to improve communication in post-acute care measurably improved resident outcomes for us on a number of occasions and was pivotal in growing our relationship with Deaconess Care Integration,” says Tom O’Niones, Transcendent’s Owner and President.

Our goal each day is to ensure resident health, safety and satisfaction,” O’Niones says. “As of 2020, and particularly during restrictions associated with the current pandemic, utilizing Olio as a tool enhanced our success plan. The speed by which we can access Deaconess providers to discuss crucial issues for our residents, with telehealth consults, is invaluable. We utilized Olio’s escalation feature multiple times with rapid response. We are certain this has improved coordination of care and likely helped save lives.

Escalations In Olio

Sean Mullins is the Chief Operating Officer at Olio, he is a member of PHA’s Government Affairs Committee

Vitality Joins the Population Health Alliance

One of the largest wellness companies in the world joins the national trade association dedicated to improved outcomes, reduced cost, and improved satisfaction through population health management strategies

Washington, DC, September 15, 2020 (benzinga.com) — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that Vitality has joined the organization as a new member. A global health and wellness company committed to making people healthier, Vitality is built on more than 20 years of experience with 20 million participants worldwide and more than 1 million in the U.S. alone.

By blending smart tech, data, incentives and behavioral science, Vitality inspires healthy behavioral changes in individuals and organizations. The organization supports and partners with a variety of stakeholders including employers, health plans, brokers and insurers.

The PHA community will benefit from the inclusion of Vitality and our members will welcome their forward-thinking team,” said Jaan Sidorov MD, President & CEO of the PA Clinical Network and President of the Population Health Alliance. “Our membership is committed to rapidly expanding digital technologies that help advance health outcomes, and in particular those that work under value-based and shared-savings arrangements. We look forward to working with the Vitality team to help population health managers across the country excel in their efforts.

Lauren Prorok, Vice President, General Counsel at Vitality added, “Given the health and economic challenges organizations currently face, it’s more critical than ever that we work together across industries to identify and implement solutions that improve the health and wellness of our workforce and communities. We look forward to engaging with PHA stakeholders to play an active role in these efforts.

Vitality was recently awarded Efma-Accenture Global Innovation in Insurance awards for its pioneering shared-value business model, which has been scaled globally to 25 markets with over 20 million members.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

Santa Barbara Actuaries Joins the Population Health Alliance

Actuarial and healthcare consulting firm with specialty in cutting-edge predictive modeling and value-based analytics joins the national multi-stakeholder coalition in pursuit of excellence in population health management

Washington, DC, August 19, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that Santa Barbara Actuaries (sbactuaries.com) has joined the organization as a member. Since 2014, Santa Barbara Actuaries (SBA) has offered expert-level actuarial and healthcare consulting services that include predictive modeling, financial outcomes evaluation, value-based contracting, sales support and engagement optimization.

SBA’s president, Ian Duncan PhD FSA MAAA is author of two textbooks relevant to population health management: “Managing and Evaluating Healthcare Intervention Programs” and “Healthcare Risk Adjustment and Predictive Modeling.”

I am pleased to welcome Santa Barbara Actuaries as a PHA member. Ian Duncan PhD FSA MAAA SBA Founder and CEO is a highly regarded expert in Population Health Management. I look forward to the contributions of Ian and the talented team he has assembled at SBA.” Said Rose Maljanian, Chairman & CEO at HealthCAWS and PHA’s Chairman Emeritus.

I am delighted to be re-joining the population health movement,” said Ian Duncan, SBA Founder and CEO “The Population Health Alliance offers SBA the opportunity to gain wider recognition for our focus on value-based care and evaluation of population health outcomes.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

University Hospitals Quality Care Network Joins the Population Health Alliance

Physician-lead ACO joins national industry trade association in collective pursuit of improved health outcomes

Washington, DC, August 14, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that University Hospitals Quality Care Network (uhqcn.org) has joined the organization as a member. UH Quality Care Network was established in 2016 to lead and transform the practice of healthcare though evidence-based medicine. The vision of UH Quality Care Network is to lead a clinically integrated network of providers to improve the quality, experience and cost of healthcare.

The UH Quality Care Network hosts a publicly accessible database of Adult Clinical Practice Guidelines & Toolkits. Developed by a multi-disciplinary team, these toolkits provide easy to use guidelines that aide providers in their pursuit of successful value-based-care.

“I am very excited to welcome the UH Quality Care Network to PHA’s community of members. Their physician-lead ACO closely shares PHA’s ambitions for an accessible health care system that rewards improved outcomes at optimized spend,” said Jaan Sidorov, CEO & President at the PA Clinical Network and President of the Population Health Alliance. “Whether independent or part of a care system, our national network of population health management professionals will benefit from their contributions to PHA.” added Sidorov.

“University Hospitals Quality Care Network is thrilled to join the Population Health Alliance. University Hospitals continues to advance the science of health and the art of compassion while providing the highest value care to our community,” said Mark Schario, President of the UH Quality Care Network. “We are excited to gain the support of the Population Health Alliance and their strong community of population health management professionals.”

Dr. Peter Pronovost, Chief Transformation Officer for University Hospitals added, “We look forward to continuing our efforts to keep people healthy at home, rather than healing in a hospital. We hope to support the Alliance by providing resources and perspectives that are unique to University Hospitals.”

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

About University Hospitals / Cleveland, Ohio:

Founded in 1866, University Hospitals serves the needs of patients through an integrated network of 18 hospitals, more than 50 health centers and outpatient facilities, and 200 physician offices in 16 counties throughout northern Ohio. The system’s flagship academic medical center, University Hospitals Cleveland Medical Center, located in Cleveland’s University Circle, is affiliated with Case Western Reserve University School of Medicine. The main campus also includes University Hospitals Rainbow Babies & Children’s Hospital, ranked among the top children’s hospitals in the nation; University Hospitals MacDonald Women’s Hospital, Ohio’s only hospital for women; University Hospitals Harrington Heart & Vascular Institute, a high-volume national referral center for complex cardiovascular procedures; and University Hospitals Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, including cancer, pediatrics, women’s health, orthopedics, radiology, neuroscience, cardiology and cardiovascular surgery, digestive health, transplantation and urology. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report. UH is also home to Harrington Discovery Institute at University Hospitals – part of The Harrington Project for Discovery & Development. UH is one of the largest employers in Northeast Ohio with 28,000 physicians and employees. For more information, visit UHhospitals.org.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

CareOregon Joins the Population Health Alliance

Community-Rooted Regional Nonprofit Health Plan Joins the Only National Multi-Stakeholder Professional and Trade Association Dedicated Solely to Population Health Management

Washington, DC, August 12, 2020 (Digital Journal) Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that CareOregon (careoregon.org) has joined the organization as a member. CareOregon serves more Oregon Health Plan members than any other plan, with nearly 375,000 people covered across three coordinated care organizations and a Medicare Advantage plan.

CareOregon works to ensure members have timely access to high-quality health care from a broad network of first-class providers. Guided by a belief in equity, diversity and inclusion and deep roots in the community they serve, CareOregon has invested more than $20 million into Oregon communities through grants, sponsorships, improvement in provider capacity and social services in the last two years alone.

We are pleased to welcome CareOreon to the PHA community of member organizations.” said Jaan Sidorov, CEO & President at the PA Clinical Network and President of the Population Health Alliance. “Their team has a track record of experience and success in value-based care, consumer engagement, and addressing social determinants of health. These are pillars of our Quality & Research agenda and the entire healthcare ecosystem will benefit from their contributions on these topics, and more at PHA.” added Sidorov.

We are thrilled to be a part of the alliance and appreciate the critical function that PHA plays in the growing industry of Population Health Management. CareOregon’s mission is to build individual and community health through partnerships, shared learning and innovation with our vision of healthy communities for all. We are excited to be a part of PHA who can help us continue to do this valuable work”, said Jonathan Weedman, Vice President, Population Health at Care Oregon.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

Wholesome Wave Joins the Population Health Alliance

The nonprofit created to solve nutrition insecurity plans to deepen ties and forge partnerships with national leaders in population health management

Washington, DC, July 20, 2020 –(Digital Journal)– Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that Wholesome Wave (wholesomewave.org), a national leader in addressing nutrition insecurity through targeted motivating behavioral incentives, has joined the organization as a new member. The first organization to double SNAP benefits when used for fruits and vegetables, the first to implement produce prescription programs to combat chronic illnesses, and the first to use debit card technology to empower low income shoppers to purchase and consume healthier options.

Effective dietary interventions that are patient-centered and scientifically evaluated present an enormous opportunity to improve health outcomes in a cost-effective way. Leading nutrition researchers have tied poor diets to upwards of $50 billion in healthcare costs nationally.” said Brent Ling, Executive Director at PHA. “Wholesome Wave has demonstrated an eagerness to innovate, a commitment to measurable results, and an ability to lead a national food-as-medicine movement. We are thrilled to have them join as new members and expect their contributions to inform the field in our collective pursuit of excellence in population health management.

Wholesome Wave has long appreciated the work of PHA in effectively advancing the principles of population health management. Our decade-plus record of success helping low-income people gain and act on affordable access to healthy fruits and vegetables and influencing federal nutrition policy aligns perfectly with the PHA mission. PHA’s work in building effective collaboratives by engaging key stakeholders and thought leaders is more important now than ever before.” said Michel Nischan, Co-Founder & Chairman at Wholesome Wave. “We look forward to robust participation with the alliance to ensure the principles of population health become imbedded in an evolved, preventive, effective, and equitable healthcare system.

Wholesome Wave recently announced the launch of a nationwide search for a new CEO / Executive Director to who will build on the organization’s early success through their demonstrable success in healthcare setting and a commitment to shift the organization toward the healthcare sector by forging new strategic alliances and innovative approaches. Learn more about this opportunity by reaching out to Chief of Staff Natalia Feinstein.

– – –

About Wholesome Wave:

When poverty and hunger strike, it’s not just about getting more food, it’s about getting the right food. Addressing food insecurity overshadows the real problem: nutrition insecurity. Nutrition insecurity leads to the diet-related conditions that are driving the highest rates of hospitalization and death, including those from COVID-19. Wholesome Wave was built to solve nutrition insecurity. Learn more at wholesomewave.org or find us on Instagram @wholesomewave

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org or follow us on Twitter or LinkedIn.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

A Population Health View of the Pandemic

By: Ray Fabius, MD and Brent Ling, MSPH
July 16, 2020

The tenants of population health management strategies, if tailored to meet the unique need of the moment, can be a highly successful approach to protecting your employees, patients, or those covered by your plan from damaging effects of COVID. As we’ve faced pandemic threats in the past, and most certainly will again in the future, it is important at this moment to clarify what strategies have shown to work best for each of the accumulating phases or periods of the current pandemic. Inspired by the tweeted graphical illustration of 4 waves of a pandemic shown below, I will be convening a panel discussion around this framework for the PHA Innovation Summit and Capitol Caucus on October 27th & 28th, 2020. Join us then to hear from executive leaders representing Behavioral Health, Intensive Care Delivery, Primary Care, Chronic Care, and the Payer perspective on effectively targeted responses to these disparate, but accumulating impacts of the pandemic.

Tseng Tweet

Inspired by the above tweet by Victor Tseng, MD @VectorSting, the below framework will help illustrate the multiple compounding pop health impacts of COVID-19

The Playbook :Moving From Chaos to Containment

Benchmark pandemic response teaches us that the safest reaction to the early “chaos” period of opaque information on the infector or the mode of transmission is to overreact with disinfecting, isolation and other protections. That approach was crucial to our success when I had to respond to SARS and protect 50,000 GE workers in China and SE Asia during my tenure as GE Global Medical Leader. Equally important is to establish communications channels and report on the facts as they become known, on at least a daily basis. This has been more recently labelled as a version of “information therapy”. Providing information is therapeutic, as is the understanding that leadership is completely focused on managing the situation. This allows the country or organization to move from chaos to containment. Again, overreacting is warranted. Hesitation and uncertainty about whether to lockdown or for how long, needs to be met with a swift decision to immediately lock down for as long as it takes to contain the spread. In this phase identification of every case with exquisite contact tracing can save millions of lives. If done right the lockdown periods are short and business can return to normal much sooner, as we see in Iceland, South Korea, New Zealand and Australia.

When Containment Fails

When containment fails you must move to mitigation. Here we try to reduce the casualties as best we can with periods of mass openings and closings until herd immunity is established naturally or through immunization. This country will likely see over 250,000 deaths before the end of 2020 unless there are more successful treatments identified. And while all of this is tragic, it only accounts for the tip of the iceberg of the pandemic impact from a population health standpoint. While companies and governments focus on COVID 19 itself, the disruption of population health is devastating the wellness of the American and global citizenship.

Pop Health View of COVID

The Impact of COVID-19 on Population Health

Primary prevention is the hallmark of public health. One could argue that immunizations are the single greatest human achievement. In fact, many remain deeply committed to the hope and even expectation that science and technology will rescue us from the grips of this pandemic though effective vaccines. Ironically, studies have demonstrated, due to shrinking vaccination rates, that the vaccines that we do have are increasingly underutilized, creating further worry about a potential outbreak of viruses worse than COVID-19 such as polio. This is, in part, due to the disruption of primary care. The practices of pediatricians, family doctors and internists have been largely closed except for emergent care for the last few months leading to tremendous financial burdens on the PCPs and threatening the foundation of health care in our country.

During this pandemic, hospitals and intensivists, overtaxed by those who have succumbed to the coronavirus, are less able to attend to those with catastrophic events such as heart attacks or strokes. Additionally, some of these patients have contracted COVID-19 while being treated for something else. Others, fearful of going to the hospital, have elected to stay home; the consequences are numerous, and tragic.

Generally incurable, chronic illness affects 133 million Americans or roughly 40% of our total population. In order to control these conditions like diabetes, heart disease and emphysema there is a need for frequent visits to primary care and specialists, laboratory surveillance and management of medication regimes. All of this has been disrupted as well. Worse yet, 81 million of the 133 million are presently trying to manage multiple chronic conditions with minimal contact and support from health care providers who themselves are adjusting by limiting office visits and expanding use of telemedicine.

Perhaps most disturbing is the mental toll. From the lack of clear understanding of this infection to the requirement to socially isolate, we are suffering as social, rational beings. We are stressed, worried and scared. For people already dealing with a mental illness this can cause acute exacerbation of dysfunctional mental illness with devastating consequences. For the rest of us it is challenging especially when access to social and mental health services are limited. How long can essential workers put in double time without burning out? And how can the 58% of Americans who have less than $1000 saved, manage through the consequences of massive furloughs and unemployment?

Finally, and it is to state the obvious that COVID-19 has accentuated disparities of care and the health impact of social determinants. Communities are suffering all of the above impacts disproportionately. Hispanic Americans, African Americans, and Native Americans have felt both the viral and economic burden of COVID-19 far worse than Caucasian Americans. In the world’s most advanced and free nation, we must do better. The population health profession has generally embraced the commitment to treating all who have the infection without burdening them with out-of-pocket financial liabilities; we must remain committed and accountable to this important & impactful promise.

If only some part of the population have access to care or insurance coverage the pandemic will never be contained or adequately mitigated

The Significant and Urgent Priorities

COVID 19 is training everyone on important concepts of population health. We remain obligated to keep the healthy – healthy. We must continue to provide preventive services and full service, broad access primary care. We cannot abandon those with chronic illness. And hospitals must be a beacon of hope for those with true emergencies. For the provider community it will be necessary to bifurcate. There needs to be identification of and separate delivery systems or services for the COVID-19 positive and those free or already over this infection.

Patients with COVID need to have access to primary care and emergency services. All of the rest of us need full-service population health. All Constituents of Health Care Must Contribute to Produce an Effective Pandemic Response

For employers, benefit design adjustments, implementation of public health guidelines, infection control, and work environment adjustments will all be necessary. Successful employers understand that the health, safety and wellbeing of their workforce is a most important business strategy that the C-suite cannot delegate to human resources but rather incorporate a health-first culture into the company’s vision, mission and values. They realize that much more needs to be done long term to mitigate the impact of this and other pandemics such as obesity, opioids, unhealthy lifestyles and racism. They have provided a benchmark for others to follow by adopting a corporate culture of health, safety and wellbeing.

For insurers, it is time to support a universal safety net and find creative ways to assist our providers financially through this pandemic or their networks will be permanently compromised.

For the pharmaceutical industry and the research community we are counting on your focus and collaboration to deliver effective and accessible treatments and vaccines.

And for all of us as patients, we must re-double our efforts to be healthier. The COVID-19 virus has accentuated the importance of being well. If you are not overweight and you are free of chronic conditions you are more resilient and resistant. These six things every day will help you stay healthy, support your family and loved ones, be an effective contributor to the economic rebuild, and reduce your need for medical treatment and interventions.

  1. eat 5 fruits and vegetables
  2. get 30 minutes of exercise
  3. sleep 7 hours
  4. don’t smoke
  5. drink alcohol in moderation
  6. manage your weight

WE ARE ALL IN THIS TOGETHER.

Ray Fabius, MD is the Co-Founder & President at HealthNEXT, he is a member of PHA’s Board of Directors and author of Population Health: Creating Cultures of Health

Brent Ling, MSPH is the Executive Director at PHA

Medecision Joins the Population Health Alliance

The company dedicated to a liberated healthcare system has joined other PHA members to collectively advance the industry

Washington, DC, June 09, 2020 –(benzinga.com)– Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, recently announced that Medecision (medecision.com) has joined the organization as a new member. Medecision is an integrated health management company supporting virtual care and digital health that partners with risk-bearing organizations to manage over 50 million members in commercial, Medicare Advantage, and various Medicaid programs.

Medecision is widely recognized in the healthcare industry for its leadership and highly innovative approaches to driving value.” said Jaan Sidorov MD, President & CEO for the PA Clinical Network at the Pennsylvania Medical Society and President of the Population Health Alliance. “As a membership organization committed to increasing expertise in, awareness of and support for population health, Medecision’s membership will not only benefit all stakeholders in population health, but buyers, payers, providers and, most of all, patients.” Sidorov added.

At Medecision, we are passionate about liberating healthcare to enable care teams to work together seamlessly to drive the best health outcomes – by providing meaningful data, enhanced experiences, and empowered exchange of information for consumers, caregivers, and communities,” said Tamara Cull, DHA, POPM, Senior Vice President of Portfolio Management at Medecision. “We know the consumer experience can be enhanced – with Quadruple Aim benefits all around – when we connect individuals to their care teams through virtual engagement solutions that deliver the right personal touch at the right time. That’s why we’re excited to join the Population Health Alliance in its work to engage stakeholders across the healthcare ecosystem and improve health outcomes for all individuals.

In addition to offering their Aerial™ experience to enable better health and care, Medecision also provides robust and timely content and perspectives through their thought leadership website. Learn more at liberate.health.

– – –

About the Population Health Alliance:

PHA represents stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize medical and administrative spend, and drive affordability. Learn more at PopulationHealthAlliance.org.

Population Health Alliance
Brent Ling
202.737.5476
bling@populationhealthalliance.org
www.populationhealthalliance.org

PHA Announces the 2020 Innovation Summit and Capitol Caucus

Emerging Population Health Management Strategies in Our New Era of Health Care; Presented by PHA –Your National Professional and Trade Association dedicated to Population Health Management


Washington, DC — The Population Health Alliance (PHA) announced today that their annual Innovation Summit and Capitol Caucus will be presented virtually and extended to two days, taking place October 27th and October 28th, 2020. This year’s theme, Emerging Population Health Management Strategies in Our New Era of Health Care will be a fully interactive program centered on: emerging high-value population health innovations in care delivery and management, planning for post-election policy scenarios, a renewed approach to social determinants of health, and capital and investment analysis.

Presented virtually by PHA, the national trade association dedicated to Population Health Management, the 2020 Innovation Summit & Capitol Caucus will gather key leadership from across the health care industry and leading health policy analysts for two days of education and networking with peers across the country. Alongside inspiring keynotes the innovation showcase, roundtable office hours with the association’s esteemed Board of Directors, and the annual membership meeting, this event will present pop health’s powerful path forward for success in improving health outcomes, driving affordability and presenting participants with capabilities and networking opportunities to strengthen and grow their business.

“Our industry is changing rapidly, economic problems, virus risk, and physical, behavioral & emotional consequences to people staying at home are a perfect storm and now more than ever it is important that we learn from one another’s promising practices” said Jaan Sidorov MD, President of the Population Health Alliance. “We’re excited to offer the virtual format this year and maximize the unique ability to engage across the country and interact with some of our international membership and constituents. Further, the newly added second day affords the opportunity to move beyond the top-quality educational presentations PHA is known for, and dedicate time to make the kinds of direct connections across the spectrum of care that create successful population health partnerships.”

Join PHA’s 2020 Virtual Innovation Summit and Capitol Caucus to engage in in-depth learning and direct discussions about urgent population health challenges and emerging solutions. To register for the Innovation Summit and Capitol Caucus 2020, visit populationhealthalliance.org/summit

Not a PHA member? Join PHA Today!

About Population Health Alliance:
Population Health Alliance (PHA), a corporate 501(c)6 nonprofit organization, is the industry’s only multi-stakeholder professional and trade association solely focused on population health management, representing stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize the consumer and provider experience and drive affordability. Learn more at populationhealthalliance.org or connect with us on LinkedIn and Twitter

Jay Desai | Founder & CEO | PatientPing

Mr. Desai started PatientPing in 2013 with one goal in mind: To connect providers everywhere to seamlessly coordinate patient care. Prior to founding PatientPing, Jay worked at the CMS Innovation Center (CMMI) where he helped develop ACOs, bundled payments, and other payment initiatives. Jay’s passion lies at the intersection of technology, policy, and community building. He has an MBA in healthcare management from Wharton and a BA from the University of Michigan. Jay feels lucky to love his work, but also loves running, all things music, and spending time with his family and friends.

Gaurav Lal | Executive Director | Innovative Solutions at Merck

Mr. Lal received a BS degree in biological sciences from Oklahoma State University and a MBA degree from Kellogg Graduate School of Management at Northwestern University. After beginning his career in the pharmaceutical industry with E.R. Squibb & Sons, he joined Merck in 1988 as a Professional Sales Representative in Texas. In his career, Gaurav has held positions of increasing responsibility in a broad range of business functions. His experience includes sales, sales training, field communications, sales management, managed markets, strategy & commercial model innovation In 2016, he moved into his current Executive Director, Innovative Solutions role responsible for expanding Merck’s capability to develop and incubate innovative programs and tools that address unmet needs of top customers, including integrated delivery systems, payers, retail chains and other influencers of health care decision-making that support Merck’s core franchises.

Anne Marie Polak | Senior Director | Leavitt Partners

Ms. Polak is a senior director based in Washington, D.C. In her role, she provides policy counsel and analysis to clients with matters involving regu-lations, legislation, and business implications. Anne Marie’s experience includes developing strategic messages and policy positions for Capitol Hill, administration, trade associations, and corporate audiences. Prior to joining Leavitt Partners, Anne Marie was a vice president for Faegre BD Consulting in the firm’s health and biosciences group. She also spent five years with the Podesta Group in Washington, D.C., while completing her law degree in the evenings at the George Mason University School of Law, graduating cum laude in 2010. Anne Marie also worked in the government and legal affairs office of Novo Nordisk in Washington, D.C., and as a congressional aide to Rep. Michael Ferguson of New Jersey.

Raymond J. Fabius, MD, CPE, FACPE
Co-Founder & President, HealthNEXT
Co-Chair, PHA Program and Membership Committee

Dr. Fabius has recently returned to his start up. HealthNEXT, a company dedicated to the development of organizational cultures of health — after serving as Chief Medical Officer of Truven Health Analytics (formerly the healthcare business of Thomson Reuters), the world’s leading source of intelligent information for business and professionals. In this capacity he is charged with developing and deepening relationships with customers, advising on product development, and providing counsel to the leadership on business strategy and medical issues. Formerly, Dr. Fabius served as strategic advisor to the President of Walgreens Health & Wellness Division. This organization will coordinate over 1,000 workplace health centers and 10,000 pharmacies, many with retail clinics, into a seamless primary care network across the country within the next five years. In the not too distant future, it will be possible to offer large employers medical and fitness services on-site as well as episodic illness care, health coaching and disease management monitoring at the employee’s nearest Walgreens pharmacy.

Dan Buettner | Founder | Blue Zones

Mr. Buettner is an explorer, National Geographic Fellow, award-winning journalist and producer, and a New York Timesbestselling author. He discovered the five places in the world—dubbed Blue Zones—where people live the longest, healthiest lives. His articles about these places in The New York Times Magazine and National Geographic are two of the most popular for both publications.

Buettner now works in partnership with municipal governments, large employers, and health insurance companies to implement Blue Zones Projects in communities, workplaces, and universities. Blue Zones Projects are well-being initiatives that apply lessons from the Blue Zones to entire communities by focusing on changes to the local environment, public policy, and social networks. The program has dramatically improved the health of more than 5 million Americans to date.

Mary Ann Cooney, RN, MSN, MPH | Chief | Association of State and Territorial Health Officials (ASTHO) Center for Population Health Strategies

Ms. Cooney provides strategic direction for the Centers three Pillars of Population Health – Clinical to Community Connections, Health Equity and the Social Determinants of Health, and Public Health Data Analytics and Informatics. Mary Ann previously worked for 14 years at the New Hampshire Department of Health and Human Services where she was Deputy Commissioner for the Department and Director of Public Health.

Mary Ann has served as adjunct faculty member for the Master of Public Health Program at the University of New Hampshire and recently re-ceived UNH’s 2016 Distinguished Alumni Award. She was School Health Director for the City of Manchester Public Health Department and President of the New Hampshire Public Health Association.

Tom Scully | General Partner | WelshCarson, Anderson & Stowe, Former CMS Administrator

Mr. Scully is a General Partner in the Healthcare Group, having joined WCAS in 2004. Before joining WCAS, he was the Administrator of the Centers for Medicare and Medicaid Services (CMS) for three years and the President and CEO of the Federation of American Hospitals for six years. He also served as the Deputy Assistant to the President and as the Associate Director of OMB under President GHW Bush from 1989 to 1993, and has practiced law at Alston and Bird; Patton Boggs; and Akin, Gump, Strauss Hauer and Feld. He is a Principal at the Lincoln Policy Group.

Don Wright, M.D., M.P.H. | Deputy Assistant Secretary for Health, Director | Office of Disease Prevention & Health Promotion

Dr. Don Wright has served as the Deputy Assistant Secretary for Health and Director of the Office of Disease Prevention and Health Promotion (ODPHP) since January 2012. In this capacity, he leads coordination and policy development for public health and prevention activities within the Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. He is also currently the acting Executive Director of the President’s Council on Fitness, Sports & Nutrition.

Jaan Sidorov, MD | President & CEO | The Care Centered Collaborative

Dr. Sidorov is a board-certified in general internal medicine physician with more than 25 years of experience in primary care, inpatient care, medical education and evidence-based practice. Jaan believes physician leadership throughout the continuum of care is the bedrock of value-based care delivery. He received his medical degree from Pennsylvania State University College of Medicine, and completed his internship and residency at the Dartmouth Hitchcock Medical Center in Hanover, New Hampshire. Jaan also served as a Chief Resident at Reading Hospital in Reading, Pennsylvania.

Andrey Ostrovsky, MD | President & CEO | Concerted Care Group; Former Chief Medical Officer, CMS

Dr. Ostrovsky is a practicing physician, social entrepreneur, and health policy expert who specializes in human-centered design, lean manage-ment, quality improvement, population health, and digital health. Dr. Ostrovsky was most recently the Chief Medical Officer for the Center for Medicaid and CHIP Services (CMCS), the nation’s largest insurer covering over 74 million people, annually.

Denee Choice, MD | Vice President and Medical Director Physical Medicine | American Specialty Health

Dr. Choice is vice president and medical director for physical medicine services at American Specialty Health (ASH). Dr. Choice oversees the Rehabilitation Services Clinical Quality Evaluation program and leads the content development, training and clinical quality processes for ASH’s musculoskeletal health and pain management products.

Previously, she served as a Medical Director of Pain Management in the VA System where she led the development and implementation of multi-specialty clinics and treatment teams, complementary and alternative medicine services, and co-authored opioid safety guidelines, with the focus of reducing reliance on opioids for chronic pain.

Mary Jane Osmick, MD
Vice President & Medical Director Medical Services Department,
American Specialty Health
Chair, PHA Quality and Research SDH Task Force

Dr. Osmick is Vice President and Medical Director for the medical services department at American Specialty Health (ASH), one of the nation’s leading providers of specialty health services. As a physician executive with extensive internal medicine clinical expertise, Dr. Osmick provides medical management, quality oversight, clinical review and product development support across ASH product lines, including specialty health care, population health, and fitness and exercise services.

Helene Forte | Vice President, Public Plans Emerging Markets | Tufts Health Plan

Ms. Forte is responsible for leading Tufts Health Public Plans expansion efforts. Prior to her current position, she was vice president of care management for all Public Plans members.

Prior to joining Tufts Health Plan in 2014, Helene held positions in clinical program support and engagement strategy, care advocacy and medical management for Aetna, a national health plan. She also has served as vice president of medical operations at APS Healthcare Inc., a health management organization servicing commercial, Medicaid and state employee members, while serving consecutively as manager of health programs and manager of case management for Tufts Health Plan. She began her career as a staff nurse — and has taught classes in nursing at Mount Wachusett Community College and Montachusett Vocational School.

Elise Bowman | Director of Strategic Initiatives | Health Leads

As Director of Strategic Initiatives, Ms. Bowman oversees new social needs intervention initiatives among our clinical partners — including program design, resource database build-outs, and integration of Health Leads’ signature technology, Reach. Elise brings 10 years of direct service experience to her role, having previously served as a Health Leads program manager, a case manager for adults struggling with mental illness and homelessness, and in developing parent engagement initiatives in public education settings.

Elise has a passion for helping client-facing staff find sustainable, workable solutions to integrate social needs efforts into their daily work — and loves the opportunity to bring her experience and expertise to bear on the systemic change that comes from spreading social needs programs.

J. David Johnson | Vice President & Senior Consultant | Sage Consulting

Mr. Johnson leads the Sage Consulting’s work for a number of public sector, corporate, non-profit and multi-employer clients. David brings particular expertise in evidence-based workplace wellness programs and leveraging Behavioral Economics principles in Human Resources Management. He is also an Adjunct Professor in the Department of Psychology at Towson University.

David has over 29 years of experience in Health Care and Human Resources. He is a frequent national and regional speaker on workplace wellness and behavior change strategies. David has published multiple articles on employee benefits issues and has been quoted in US News & World Report, the Washington Business Journal, the Baltimore Business Journal, and Employee Benefits News. He holds an MBA in Health Care Management from Johns Hopkins University and a BS in Public Health from the University of North Carolina at Chapel Hill.

Sandeep Wadhwa, MD, MBA | Senior Vice President | Solera Health

Dr. Wadhwa is a leader in building population health programs for vulnerable populations. He serves as the senior vice president of market innovation and is the chief health officer for Solera Health where he is focused on scaling the Diabetes Prevention Program as well as health-related, social support interventions. Previously, Sandeep held population health leadership positions with 3M and McKesson. He also served as the State Medicaid Director for Colorado under its former Governor. While there, he oversaw a $4 billion program and led the effort to implement an accountable care collaborative. Sandeep also serves on the board of Reinvestment Fund, a $1 billion non-profit, financial institute devoted to revitalizing low-income neighborhoods. Sandeep continues to see patients at the Seniors Clinic at the University of Colorado Hospital where he serves as associate clinical professor in the division of Geriatric Medicine.

Anil Jain, MD | VP & Chief Health Informatics Officer | IBM Watson Health

Focused on the intersection of information technology, informatics, clinical medicine and innovation, Dr. Jain is VP and Chief Health Informatics Officer at IBM Watson Health. He was Co-Founder, Senior VP and Chief Medical Officer of Explorys, Inc. formed in 2009 based on innovations that he developed while at the Cleveland Clinic. In April 2015, Explorys was acquired by IBM as an integral component of the newly formed Watson Health business unit. In 2017, he was appointed by Congress to the Federal Health IT Advisory Committee established by the 21st Century Cures Act.

Rose Maljanian
PHA Board Chair
Chairman and CEO, HealthCAWS, Inc.

Ms. Maljanian is an accomplished senior executive with more than 25 years of experience in the health care industry. Rose’s leadership experience
spans corporate managed care, specialty population health management, delivery systems and public health settings and include product strategy,
design and development, M&A; operations and fiscal management; and quality improvement/outcomes research.

Rose, founder of HealthCAWS, Inc. serves as Chairman and CEO of HealthCAWS, Inc., a privately held corporation focused on improving health and making health care more affordable by aligning accountability models and supports for success. As President, Strategic Health Equations, LLC, her initiatives included sourcing and diligence for venture and private equity firms; and for existing companies, product portfolio development and strategic planning. Prior, Rose served as SVP Product Innovation at Magellan and VP Clinical Interventions at Humana and as chief executive for the Institute for Outcomes Research and Evaluation at Hartford Hospital. She holds a Bachelor of Science in nursing, was critical care certified and holds an MBA from Rensselaer Polytechnic Institute.

Colorectal Cancer Screening: How Technology Can Increase Screening Rates

SPEAKER:
Josh Sclar, MD, MPH
Chief Medical Officer, BioIQ

It’s 2018, which means the moment of truth has arrived for the National Colorectal Cancer Roundtable’s “80% by 2018” initiative for colorectal cancer screening. Needless to say, we’re not measuring up. And with the American Cancer Society lowering their recommendation of age that screening should start — from 50 to 45 — even more unscreened people may need this critical test. We discuss how technology, convenience and personalization can transform colorectal cancer screening rates and save more lives.

———————————————

Joshua Sclar, MD, MPH, is BioIQ’s Chief Medical Officer. Sclar is board certified in preventive medicine and public health and has over 15 years experience in healthcare. His career has spanned clinical practice, health services research and public health instruction in addition to building innovative, prevention-oriented healthcare delivery models for academia and business.

Prior to joining BioIQ, Sclar was the Chief Medical Officer at Ingenios Health Co., which developed one of the first purpose-built mobile technology platforms for health risk assessment. Sclar was a member of the steering committee that created the Johns Hopkins Sibley Innovation Hub and served as its first Lead Designer and Innovator in Residence. He has published research on a variety of topics in healthcare delivery while working at the FDA, Columbia University Medical Center, and the Johns Hopkins Center for Public Health and Human Rights. He has also been a full-time practicing physician at St. Luke’s Hospital in St. Louis, MO.

Sclar received his medical degree from the State University of New York and completed residency training at Johns Hopkins. He earned a master’s degree in public health as a BJC Healthcare Scholar at Washington University in St. Louis, and holds a bachelor’s degree from the University of Miami.

View This Webinar

Successful Physician Engagement in the Value-Based World Webinar

SPEAKER:
Gary Stelluti
Principal & Chief Strategist, HC Marketing

In this webinar, Gary Stelluti will outline what is becoming the Holy Grail of population health: physician engagement. Drawing on his experience in working with a number of high performing physician-led organizations, Mr. Stelluti will describe the successful elements of physician engagement. Using real world examples, this webinar will offer lessons learned that could be applied to other settings that are looking to engage physicians, drive value and achieve organizational success.

———————————————

Gary Stelluti has 20 years of experience in physician-specific marketing and communications, earning a reputation as a physician-engagement expert. Gary oversees client relations and the creation / implementation of market-specific physician engagement strategies. His experience includes working for large physician networks and IPA’s, single specialty practices and physician-owned companies throughout the United States.

View This Webinar

Making Money on Population Health: The Transformational Imperative for Improving Health and Quality

Wednesday, November 7th, 2018
3 p.m. – 4 p.m. Eastern

SPEAKER:
Gary L. Morel, MHA, FACHE
CEO, FiveFifty Health

Gary Morel, MHA, FACHE, is the CEO of FiveFifty Health.  Five percent of the population accounts for Fifty percent of all health care expenditures.  FiveFifty has helped companies realize organizational managed care dreams for over 20 years.  Morel pioneered the concept of provider-sponsored community health plans and was instrumental in the establishment, management, or rehabilitation of seven different fully insured health plans.  Morel has served national health leadership and board roles in the fields of wellness, quality, policy, and business advocacy.  Prior to forming FiveFifty, Morel was the visionary CEO of two teaching hospitals and a regional healthcare alliance.  Morel has been an innovative transformational force in healthcare delivery and is now an advocate of aligning payer-provider incentives to practice value-based care and population health management.

View this webinar

Activating Physician Leadership in Population Health

SPEAKERS:
William Faber, MD, MHCH
Managing Principal
Lumina Health Partners

Lucy Zielinski
Managing Partner
Lumina Health Partners

MODERATOR:
Jaan Sidorov, MD
CEO & President
The Care Centered Collaborative

Population Health demands strong physician leaders. Many physicians are taking on executive and leadership roles as the industry shifts to value-based care. For example, physicians are leading by creating strategies and executing plans to transform care delivery, managing clinically integrated networks and ACOs, and facilitating various work groups. These new roles require a new skill set.

In this seminar, we will discuss practical techniques to activate physician leadership. A roadmap to leadership effectiveness will be shared, as well as the top 5 leadership competencies physicians must master.

View This Webinar

Social Determinants of Health and Health Disparities

SPEAKER:
Mary Jane Osmick, MD

Vice President and Medical Director
American Specialty Health

Join PHA’s next webinar detailing the recent release of the White Paper, examining the definition, impact, and potential interventions to reduce the effect of negative social determinants of health (SDH) on health status in the U.S. PHA’s Quality and Research Committee spearheaded this initiative to identify best practices and highlight areas where additional research is required to support organizations intervening in SDH.

The Population Health Alliance and its member organizations use best practices and recommendations in the White Paper to enhance and improve effective population health programs for employers, health plans, and other stakeholders. The White Paper is available as a benefit to members of the Population Health Alliance. Non-members may access an Executive Summary.

View This Webinar

Driving Quality through Population Health Management Strategies: An Overview of the PHA Framework & NCQA Accreditation Standards

SPEAKER:
Rose Maljanian

Chairman & CEO
HealthCAWS, Inc.

Board Chair
Population Health Alliance

Rose Maljanian, Chairman & CEO, HealthCAWS, Inc., and PHA Board Chair will lead with a discussion on driving quality through application of PHA’s Population Health Management Framework across the care continuum and across market segments. Patricia Barrett, Vice President, Product Design and Support, NCQA will do a deep dive into the newly released NCQA Population Health Management accreditation standards and their implications for improving the value of PHM across the healthcare ecosystem.

View This Webinar

A Care Management Guide: Moving Volume to Value


SPEAKER:
Diane Littlewood RN MSN CCM 

VP, Care Management and Practice Integration
The Care Centered Collaborative
at The Pennsylvania Medical Society

View This Webinar

Social Determinants of Health: Implications for Provider Value-Based Care Arrangements Webinar

SPEAKER:
Jaan Sidorov, MD

CEO and President
The Care Centered Collaborative
at The Pennsylvania Medical Society

Join PHA’s next webinar detailing the recent release of the White Paper, “Taking Action: Social Determinants of Health and Health Disparities,” examining the implications for provider value-based care arrangements.

The Population Health Alliance and its member organizations use best practices and recommendations in the White Paper to enhance and improve effective population health programs for employers, health plans, and other providers. The White Paper is available as a benefit to members of the Population Health Alliance.

View The Webinar

Healthcare’s Shifting Risk: The Implications for Physicians

SPEAKER:
Daniel Brooks

Senior Vice President
HealthEC

In this webinar, Daniel Brooks, Senior Vice President, HealthEC will review the rise of value-based purchasing and how the market has responded with consolidation and the entry of new players.  He will focus on the transition from “IDN” (integrated delivery systems) to “RBE” (risk-bearing entities) and how that has prompted the arrival of alternative arrangements for providers, such as clinically integrated networks (CINs).  Dan will provide insights on how providers can pursue success in this new market, how they will need to consider the pros and cons of “sponsorship alternatives” and carefully consider payer outreach strategies.

———–

Mr. Brooks currently serves as Senior Vice President at HealthEC, an international physician enablement and Population Health Platform provider. Dan has a long career serving the provider community, including as Vice President, Business Development at a multi-hospital health system, 20+ years healthcare management consulting, as Chief Strategy Officer at a Practice Management supplier, and as Executive Director of Medicare and Commercial ACOs.

View This Webinar

 

Employer Interest in Population Health Improvement: Opportunities (and Challenges) for Providers


SPEAKER:

Neil Goldfarb
President and CEO
Greater Philadelphia Business Coalition on Health

Mr. Neil Goldfarb is President and CEO of the Greater Philadelphia Business Coalition on Health, an employer-led non-profit organization established in 2012 with the mission of developing best practices for maintaining a healthy workforce, and ensuring that when healthcare is needed it is safe, high-quality, accessible and affordable. Mr. Goldfarb brings over 30 years of healthcare research and management experience to his Coalition leadership position.

As Associate Dean for Research in the Jefferson School of Population Health, he was responsible for developing and carrying out the School’s research agenda, focused on healthcare quality and value, and economic evaluation of healthcare technologies. Concurrently, Mr. Goldfarb served as Director of Ambulatory Care Performance Improvement for the Jefferson faculty practice plan. His previous positions include Executive Director of a quality improvement consulting and data collection firm, and Vice President of Health Services for the Philadelphia region’s first Medicaid managed care plan.

Mr. Goldfarb has authored over 60 articles in the peer-reviewed literature, focused on his interests in health and disease management, quality measurement and improvement, care for the underserved, and health economics and outcomes research. He has served as adjunct faculty for the Jefferson College of Pharmacy and University of the Sciences. Mr. Goldfarb is Chair of the Board of Governors of the National Alliance of Healthcare Purchaser Coalitions (National Alliance), and founding co-Director of the National Alliance College for Value-based Purchasing of Health Benefits.

View This Webinar

Orthopedic Medicine and Excellence in Episodes of Care: The Rothman Institute’s Journey

SPEAKER:
Chris Vannello
Director of Quality
Rothman Institute

Chris Vannello is the Director of Quality at Rothman Institute in Philadelphia Pennsylvania. The Rothman Institute is one of the largest orthopedic practices in the country. Chris oversees all quality improvement initiatives internally, locally and nationally for the practice. She is responsible for the episode of care management as it relates to alternative payment models, monitoring of outcomes, the patient navigation process, MIPS and establishing and sustaining orthopedic centers of excellence with hospital partners. Chris sits on the Quality committee for the National Orthopedic Spine Alliance and is the co-leader for a national outcomes benchmarking group.

Before working at Rothman Institute Chris was a Director of Quality at Main Line Health Systems, Riddle Hospital in Media, Philadelphia. She was responsible for the overall hospital quality improvement initiatives including the stroke, chest pain and hip and knee replacement programs and certifications. She began her career as a nurse at Bryn Mawr Hospital in Bryn Mawr, Pennsylvania.

View This Webinar

Activating Physician Leadership in Population Health


SPEAKERS:

William Faber, MD, MHCH
Managing Principal
Lumina Health Partners

Lucy Zielinski
Managing Partner
Lumina Health Partners

Moderator:
Jaan Sidorov, MD
CEO & President
The Care Centered Collaborative

Population Health demands strong physician leaders. Many physicians are taking on executive and leadership roles as the industry shifts to value-based care. For example, physicians are leading by creating strategies and executing plans to transform care delivery, managing clinically integrated networks and ACOs, and facilitating various work groups. These new roles require a new skillset.

In this seminar, we will discuss practical techniques to activate physician leadership. A roadmap to leadership effectiveness will be shared, as well as the top 5 leadership competencies physicians must master.

View This Webinar

Population Health Management (PHM) for the Practicing Provider

SPEAKER:
Rose Maljanian
Chairman & CEO
HealthCAWS, Inc.

Board Chair
Population Health Alliance

Rose Maljanian, Chairman & CEO, HealthCAWS, Inc., and PHA Board Chair will lead a discussion on driving quality through application of PHA’s Population Health Management Framework across the care continuum and across market segments. Patricia Barrett, Vice President, Product Design and Support, NCQA will do a deep dive into the newly released NCQA Population Health Management accreditation standards and their implications for improving the value of PHM across the healthcare ecosystem.

View The Webinar

The Provider Engagement in Population Health: Organized Medicine as a Catalyst

SPEAKER:
Jaan Sidorov, MD

CEO and President
The Care Centered Collaborative
at The Pennsylvania Medical Society

Jaan Sidorov, MD, CEO of the Care Centered Collaborative, will provide an update on the role that state medical societies can play in organizing networks of physicians to adopt population health in the pursuit of value-based health insurance contracts.  As the Triple Aim expands to include the 4th Aim of improving the work life of health care clinicians, stakeholders in population health are interested in leveraging independent community-based based physician as an additional resource.  This webinar will describe several “lessons learned” in this emerging area of health care, and how local medical societies can potentially partner with other organizations in arrangements that further expand the population health market.

View This Webinar

Six Strategies for Successful Physician Alignment

SPEAKERS:
Esther Nash, MD
Deloitte Consulting Specialist Executive
Deloitte Consulting LLP

Dorrie Guest
Consulting Managing Director
Deloitte Consulting LLP

MODERATOR:
Jaan Sidorov, MD
CEO and President
The Care Centered Collaborative at
The Pennsylvania Medical Society
and Population Health Alliance Provider Engagement Chair

As the healthcare system continues to rapidly evolve, physicians and hospitals are seeking approaches that help them better deliver affordable quality while simultaneously achieving their revenue objectives.  In this webinar, speakers will present results from a recent study by the Deloitte Center for Health Solutions and discuss six readily achievable alignment strategies that they’ve uncovered in the course of interviews with health system executives across the United States.  This webinar will focus on those strategies and how they can be deployed to meet providers’ preferences, leverage physician leadership, achieve actionable data insights, deploy financial incentives, maximize transparency and support optimal workflows.

View The Webinar

Pediatric Population Health: Of Offspring and Outcomes

SPEAKER:
Gregory Dean, MD
View This Webinar

Presenter:

John Haughton MD, MSJohn Haughton MD, MS
Chief Clinical Improvement Officer – Independent Health
Chief Innovation Officer – Chautauqua AMP (MSSP ACO)Dr. Haughton brings over 25 years of clinical experience and building and deploying population care workflow systems. He has an expertise in predictive modeling and is a member of the Population Health Alliance Board of Directors.


Description:

The discussion will include the following topic areas and use Independent Health and the Chautauqua AMP experience as examples of use in clinical care today:

  • Which patients and why (ID and stratification)
  • What information and when it’s relevant (plan)
  • What labor and shared care (intervene)
  • What success (measure – population effectiveness)

View this webinar

Nicole Alexander-Scott, MD, MPH
Director, Rhode Island Department of Health
President, Association of State and Territorial Health Officials

Nicole Alexander-Scott has been the director of the Rhode Island Department of Health since May 2015. She brings to this position tremendous experience from her work as a specialist in infectious diseases for children and adults at hospitals in Rhode Island affiliated with Brown University and at the Rhode Island Department of Health. Her clinical and academic responsibilities were balanced with serving as a consultant medical director for the Office of HIV/AIDS, Viral Hepatitis, STDs, and TB in the Division of Infectious Diseases and Epidemiology at the Rhode Island Department of Health. Alexander-Scott is board certified in pediatrics, internal medicine, pediatric infectious diseases, and adult infectious diseases. She obtained a Master of Public Health degree from Brown University in 2011. She is also an assistant professor of pediatrics and medicine at the Warren Alpert Medical School of Brown University.

Originally from Brooklyn, New York, Alexander-Scott attended Cornell University, majoring in human development and family studies, and subsequently graduated from medical school in 2001 from SUNY Upstate Medical University at Syracuse. After completing a combined internal medicine-pediatrics residency at SUNY Stony Brook University Hospital in 2005, Alexander-Scott finished a four-year combined fellowship in adult and pediatric infectious diseases at Brown in 2009.

Presenter:
Suzanne Mitchell, MD, MS
Founder, See Yourself Health LLC
Associate Professor, Family Medicine and Palliative Care
Boston Medical Center/ Boston University School of Medicine

A healthy lifestyle is an essential part of disease prevention, chronic disease management and population health. New technology solutions emerge each day designed to help people with lifestyle management. Yet few use scientific and evidence based strategies to make healthy lifestyle changes more achievable. This webinar will provide an overview of design, implementation and dissemination of the See Yourself Health platform – a novel educational platform targeting adults with chronic disease who are striving to make lifestyle changes. The program’s founder and lead scientific investigator, Dr. Suzanne Mitchell, will present early research findings and share how this novel approach is being used to help create communities of learning and change for patients with chronic disease.

View this webinar

Presenter:
Ken Goldblum, MD
Chief Medical Officer
Tandigm Health

How can a network of high performing primary care practices work with an insurer to increase value for high risk populations? In this webinar, Tandigm’s Chief Medical Officer Ken Goldblum will describe this organization’s coordinated and regional approach to care southeast Pennsylvania that led to measurable increases in value.

View this webinar

Presenter:
Dawn Tice RN, BSN, MBA
Division Vice President, Clinical Operations
Main Line Healthcare

Dawn Tice RN, BSN, MBA is the Division Vice President, Clinical Operations for Main Line Healthcare. Her presentation will examine how a regional health system successfully implemented a robust ambulatory quality strategy that included patient-centered practice transformation the implementation of centralized care management, and systemwide adoption of population management.

View this webinar

Presenter:
Mary Jane Osmick, MD
Vice President & Medical Director
American Specialty Health

View this webinar

Presenter:
Dr. Sanjay Seth
Chief Medical Informatics Officer, HealthEC

This webinar will review examples of how provider-led organizations have implemented population health management and value-based care solutions, lessons learned along the way, and how to leverage data for value-based contracting.

With over 30 years of clinical, administrative and consulting experience, Dr. Seth helps provider organizations transition to population health management, develop value-based care strategies, and engage in contract negotiations.

Dr. Seth has supported two physician groups in the formation of Accountable Care Organizations under the MSSP initiative, creating collaborative care coordination agreements and introducing technology and processes to manage ACO operations. He also established a payer supported Virtual Patient Centered Medical Home program for over 15,000 lives with care coordination and technology to comply with quality measures and utilization metrics.

Prior to joining HealthEC, he was a part of the turnaround team for Interfaith Medical Center, Newark Beth Israel Hospital Center at Orange and East Orange General Hospital, leading the implementation of complex hospital and physician clinical, financial, contractual and compensation relationships. Dr. Seth has also led numerous physician groups in their formation or re-structuring efforts including modification of billing systems, implementation of EMR’s and development of partnership agreements.

View this webinar

Creating true “value” for patients, practices and payers requires a commitment to quality, total cost of care and understanding your entire patient population. Practices serving pediatric patients have unique challenges in the move from fee for service to value based payments. Explore ways in which even small, independent practices can transform the care they deliver to create high value and remain financially viable in the changing healthcare landscape.

View this webinar

Rose Maljanian, PHA Board Chair, will lead with a discussion on driving quality through application of PHA’s Population Health Management Framework across the care continuum and across market segments. Patricia Barrett, Vice President, Product Design and Support, NCQA will do a deep dive into the NCQA Population Health Management accreditation standards and metrics.

View this webinar