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.

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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.

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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.

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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.”

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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.

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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.

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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.

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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

BMA ALLY BLOG: Innovations in Senior Care and Supports – Holding Gains and Accelerating Progress

The following article was published by the Better Medicare Alliance and was authored by Rose Maljanian, Chairman & CEO HealthCAWS and Chairman Emeritus at the Population Health Alliance. PHA is an active member of BMA’s Ally Network. The original posting can be found here.

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May 20, 2020
Rose Maljanian, Chairman & CEO HealthCAWS

Even before the COVID-19 pandemic took hold in our communities earlier this year, change was already afoot in the American health care system as payers and providers increasingly move to demonstrate and reward value – better health, experience of care and reduced costs – rather than the volume of services delivered.

Population health management strategies deployed by Medicare Advantage plans, the managed care option in Medicare where over one-third of beneficiaries receive coverage today, have maximized fixed per-member, per-month payment for each beneficiary’s care to deliver such value.

According to independent research commissioned by Better Medicare Alliance, these strategies have resulted in a 94 percent satisfaction rating among beneficiaries, nearly $1,600 in annual consumer savings, access to an array of supplemental benefits and improved health outcomes and reduced hospitalizations.

As coronavirus continues to impact the entire health care ecosystem, we see pre-COVID gains in value-based care that must be preserved, new trends that are rapidly accelerated, and demands on our health care system that should be addressed. The Medicare Advantage model offers opportunities to do exactly this, individually and at scale. In fact, a new report from Better Medicare Alliance provides numerous examples of how Ally organizations are innovating to meet seniors’ needs in new ways – even now.

As we prepare to move beyond the initial surge of coronavirus with an eye toward long-term solutions to protect vulnerable seniors and enhance their wellbeing, here are some of the factors to consider:

Holding and Enhancing Pre-COVID Gains

1. Analytics Supporting Individualized Needs and Preference-based Care Supports: The 65-year cut point is just that: a cut point. If we look at five-year age bands as populations, the 65-70 group on average looks very different from the 85-90 group in terms of co-morbidity and frailty. Furthermore, individual health and wellbeing profiles vary widely despite chronological age, as do consumer goals and preferences, including aging at home as the preferred environment. Advanced analytics are creating population level insights and individual profiles to support tailored care and life planning.

2. Integrated Medical-Behavioral Care: When behavioral health accompanies a medical condition, especially chronic conditions such as diabetes, cardiac disease, kidney disease, and COPD, total costs are at least two to three times higher. This is compounded when underlying behavioral health issues go undetected or undertreated. Medicare Advantage enrollees benefit from care teams who work together to treat the whole person; offering coordinated care with an emphasis on primary care that can be brought to bear in behavioral health needs arise.

3. Continuity of Care: Significant reductions in avoidable readmissions, improved health and experience of care outcomes and expanded opportunities to enjoy everyday life for seniors, have been accomplished across numerous geographies. This has largely been the result of better discharge planning, care supports, medication reconciliation, and systematic follow-up. Transition of Care programs further support seniors as they progress from acute to post-acute to home-based service supports to full recovery and maintenance. Primary care and annual wellness visits provide an avenue to assess for relapses or emerging health concerns.

4. Addressing Social and Environmental Influences: Substantial investments in Social Determinants of Health (SDoH) initiatives e.g. food insecurity, transportation, housing and social isolation have been made over the last several years not only because it’s the right thing to do but because research supports the impact of these social issues on health and cost indicators, and reduction in cost when SDoH issues are addressed. Coordinating efforts across Community-based Organizations (CBOs) has been critical to this advancement as, like medical and behavioral issues, SDoHs come in clusters – often with the common denominator of financial instability. A recent independent study from the actuarial firm Milliman shows how Medicare Advantage plans leverage supplemental benefits to address SDoH – with nearly half of plans offering meal benefits for those with chronic conditions and 44 percent offering transportation between appointments.

Trends Further Accelerated by COVID:

1. Digital Triage, Coaching and Navigation: For seniors needing maintenance support for chronic condition prevention or management, technology-supported workflows assist in getting consumers to the best intervention for their fluid place in the health continuum at any given time. As social support issues are escalating, seniors may not only feel pressure on their own resources but also feel pressure to help struggling children or grandchildren requiring further support for seniors to prioritize their health needs.

2. Engagement in New Times: As social distancing becomes a new norm whether permanent or periodic, seniors may experience social isolation, fear, and loss of purpose. Thus far, creativity has at least partially eclipsed restrictions with virtual video visits, birthday parades, technology-enabled recreation, and asynchronous voice and image transmission. Better Medicare Alliance recently reported on how its Ally organizations are working to stem the effects of social isolation, with primary care providers like ChenMed calling patients at risk at least once a week. Likewise, Humana has made over 500,000 proactive calls to beneficiaries during this time.

3. Shift to Home-based Services: House calls and technology including telehealth for routine and follow-up care, remote patient monitoring of blood pressure, heart rate and rhythms, and weight have grown exponentially in adoption. Home test kits for lab studies have been distributed where possible. And, access to wellness activities and health coaching have greatly expanded. Today, nearly 90 percent of Medicare Advantage plans provide supplemental and health promotion benefits.

4. Expanded Use of Well-trained High-touch and High-tech Care Team Members: With primary care provider and geriatrician shortages growing, care extenders skilled at assessing and managing special needs of the senior population, including falls prevention, polypharmacy and avoidable or manageable declines in cognitive status have been mobilized. Further, the use of tools including artificial intelligence, remote monitoring devices, smart mattresses, GPS trackers, and voice alerts from two-way personal speakers are beginning to mimic 24-hour surveillance by a care team member.

While there are many lessons still to be learned from the recent changes in service delivery and consumer behavior, there are positive developments all around us that point to a brighter health care future for seniors and those with disabilities – even amid the deep challenges posed by COVID-19 – with Medicare Advantage leading the way.

As health care continues to evolve, new concepts show promise of staying power. Using telehealth in behavioral health settings, for example, has been of increasing interest because of costly numbers of undetected and undertreated individuals, provider shortages, stigma in seeking care, and the growing numbers of individuals experiencing symptoms of anxiety, depression, and emotional trauma resulting from the coronavirus pandemic. Alignment of need and demand with regulatory requirements and payment models, and removing consumer barriers to adoption such as cost, access, and training are key takeaways from which to expand.

In addition to telehealth, the shift to better supporting seniors in their home environments with individualized, comprehensive care through integrated medical, behavioral, and social services will continue to be a top priority. After all, home is the environment that most seniors and their children prefer. The expanded shift to home will entail home care team visits and use of technology to promote health and monitor vital signs, symptoms, and activity could provide early warning signals of trouble to prevent avoidable complications, ER visits, and hospitalizations. Supporting seniors and providing every possible convenience in the home will require balance. Maximal life enjoyment is the endgame across the full continuum of health. Perhaps we all now better appreciate the value of getting outside to enjoy everyday activities, such as a trip to the store, exercise class, or a family member’s house.

No doubt the next phase of coronavirus recovery will be wrought with challenges as the economy and individual healthcare businesses suffer a decline and then stabilize, perhaps in a new form. Certainly, for years to come, the learnings from this period must continue to spawn further innovation on behalf of the growing senior population who desire quality, safety, convenience, and affordability as they live life to their fullest potential.

Rose Maljanian is the Chairman and CEO of HealthCAWS Inc. and is the Chairman Emeritus of the Population Health Alliance.
Better Medicare Alliance

Olio Joins the Population Health Alliance

Indiana startup becomes latest member of national coalition committed to advancing results in value-based care

Washington, DC, April 16, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that Olio (olio.health) has joined the organization as a new member. Olio’s leading technology is a post-acute care solution for population health managers in provider, health systems, and plans, designed specifically for optimal results in value-based care settings.

Olio’s post-acute technology is a direct response to a market necessity driven by the move from volume to value.” said Brent Ling, Executive Director at PHA. “In recent weeks their platform has proven to be a vital tool that assists nursing homes managing the COVID19 pandemic, and Olio’s team has responded in such a way that has undoubtedly helped optimize care. We are honored to welcome their team to our membership.” he added

Every member of our team has been focused on building solutions to help patients and clinicians during this pandemic. We are confident that we found a better way for health systems to engage with their post-acute partners and this public health crisis only magnifies that.” said Ben Forrest, CEO of Olio. “We are excited to join such an esteemed group of population health leaders at PHA who are committed to advancing the utilization of innovative solutions like the Olio platform.

Olio is now fully operational in 22 hospitals and 186 nursing homes providing care for 1,632 patients in the state of Indiana. Most of those installments have occurred in recent four weeks and are dedicated to helping providers triage patients with COVID19.

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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.

About Olio:

Founded in 2018, Olio’s technology platform enables the highest level of post-acute engagement for health systems. A central component to those efforts is to create digital post-acute networks for health systems that encapsulate 90% of the hospitals discharge footprint. Olio’s health system customers are innovating beyond traditional preferred post-acute networks and have realized a more comprehensive approach to patient care and post-acute engagement. Learn more at olio.health.

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

HealthCAWS FOUNDER’S CIRCLE: Please COVID responsibly … and if you see something say something

The following article was published by HealthCAWS and was authored by Rose Maljanian, PHA Chairman Emeritus and Chairman & CEO at HealthCAWS. The original posting can be found here.

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April 14, 2019
Rose Maljanian, Chairman & CEO HealthCAWS

In this time of COVID 19 crisis, many consumers are confused and afraid for their health and futures. It is no wonder. The airwaves have been flooded with information, sometimes with inconsistent messaging. For the heroic providers caring for the populations on the front lines, stress could not be higher. Guidelines are evolving as our experience with this virus in a global pandemic scenario is in its infancy; we don’t know how much worse it will get in various locations; if or when there will be another wave or waves; or if this is one of many pandemics we will face in the coming years. To effectively empower consumers to take positive actions, they need the best up to date information.

As some well-meaning organizations have tried to quickly develop solutions or just contribute something, there have been some great support solutions as well as those that are less than helpful, including potentially harmful messaging or omissions. Two occurrences last week resulted in my coining the term “please COVID responsibly”. One was an okay start on a COVID APP but one that before release needs more testing, more clinical content review and a rigorous process for updates. The second was a headline of an email blast directed to individual decision making with a subject header that discouraged COVID 19 testing, albeit with some caveats for the consumer to read on and discern.

Clearly, the potential for missing information, misinformation or misinterpreted information leading to the continued spread or a life-threatening delay in treatment is real. Everything must be read and re-read through the eyes of a consumer and what action they may take or not take as a result of receiving the information. Collectively healthcare leaders can help. Look, listen and take the time to provide feedback for course correction if you believe such a risk exists. Your thoughtful feedback will go a long way in helping to protect and empower consumers while researchers continue to advance progress on vaccines, treatments and antibody testing, the CDC aggressively disseminates updated guidance, and the heroes battle the big fight on the front lines.

#COVID-19 #population health management #healthcare quality #CDC

R Maljanian HealthCAWS

Welldoc Joins the Population Health Alliance

Digital health leader joins national coalition to highlight the power of virtual consumer engagement in population health management

Washington, DC, April 14, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that Welldoc (welldoc.com) has joined the organization as a new member. Welldoc, a digital health solutions provider for clinicians, plans, and employers is best known for creating the BlueStar platform, the first FDA-cleared digital health solution that guides individuals through the complicated journey of living with diabetes.

We are pleased to welcome Welldoc to PHA. Welldoc has been leading the way to scale digital health innovation for individuals with chronic care needs including those with diabetes, hypertension and other cardiometabolic conditions, a need even more critical today as healthcare faces unprecedented industry-wide challenges” said Rose Maljanian, Chairman & CEO at HealthCAWS and PHA Chairman Emeritus. “Further, we are delighted to have Anand K. Iyer, PhD, MBA, join our Board of Directors. Anand was selected for the Board due to his vast industry experience and skills in strategic planning which are so vital at this important growth stage for PHA” added Maljanian.

Digital health and therapeutic solutions offer much needed accessibility to and scalability for the management of chronic conditions at the population level” said Anand Iyer, Chief Strategy Officer at Welldoc. “Now more than ever in light of COVID-19 and the inevitability of remote care, clinically-validated, FDA-cleared digital health solutions have the opportunity to help improve population outcomes while reducing total cost of care.”

Welldoc enhances the coaching provided for individuals living with diabetes, empowering self-care through expert, precise, and personalized guidance for managing their chronic condition, thereby naturally following social distancing guidelines in response to the COVID19 pandemic.

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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.

About Welldoc:

Welldoc® is a pioneer in revolutionizing chronic disease management to help transform lives. BlueStar® was the first FDA-cleared digital health solution that guides individuals through the complicated journey of living with diabetes. By helping individuals with chronic disease self-manage their conditions and connecting them to their own healthcare team, Welldoc streamlines payers, employers and healthcare systems resources by focusing on a digital health solution to help better manage their populations living with multiple and costly chronic diseases. For more information, visit www.welldoc.com

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

TapCloud Joins the Population Health Alliance

Chicago-based remote patient engagement provider joins national effort dedicated to bridging communication gaps, improving information flow, and empowering the patient experience with health care

Washington, DC, April 9, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that TapCloud (tapcloud.com) has joined the organization as a new member. TapCloud provides a new approach to remote patient engagement and monitoring, connecting patients, caregivers and clinicians in real time to share crucial information that is often unknown or overlooked.

We are excited to welcome TapCloud’s innovative team to PHA’s family of members and their unique perspective to our work” said Jaan Sidorov MD, President & CEO for the PA Clinical Network at the Pennsylvania Medical Society and President of the Population Health Alliance. “Clear communication and optimized information flow are the digital bedrock of population health management in 2020 and user experience, where TapCloud specializes, is perhaps the most critical piece to get right for patients, providers and payers.” Sidorov added.

The need for virtual patient care has never been clearer than it is today” said Phil Traylor, CEO at TapCloud. “We are thrilled to engage in the kind of industry collaboration that PHA enables and look forward to working with the thought leaders and diverse membership to continue to improve the lives of patients and reduce the cost of healthcare.

In recent weeks, TapCloud launched a series of COVID-19 focused solutions to support not only the immediate needs of patient and employee screening and telehealth visits, but the full continuum of virtual treatment and ongoing monitoring of coronavirus cases.

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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.

About TapCloud:

In 2013, TapCloud was created as the result of the intensely personal experience of caring for a loved one with a serious medical condition. The experience of trying, and often failing to bridge the all-too-frequent communication gap between patient and doctor. TapCloud’s easy-to-use remote monitoring and engagement platform helps patients and their care team communicate crucial information in real time to drive better health outcomes. Today, TapCloud serves over 30 healthcare organizations across the US and Canada, most commonly in targeted programs managing surgery, chronic care, oncology, palliative care, home health, and hospice. To learn more, visit tapcloud.com.

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

PHA Leaders’ Circle: Interconnectedness and Tradeoff Considerations Abound in COVID-19 Response

By: Mary Jane Osmick MD and Jaan Sidorov MD
March 26, 2020

As the unprecedented coronavirus pandemic continues to evolve, the Population Health Alliance has been closely following the growing reports of and debate about the reopening the US economy. Choosing the right timing to take this action requires a medical, public health and scientific understanding of how to equitably and ethically care for, prevent, or slow the spread of the virus for all our citizens while protecting our front-line workers on whom we depend. Yet, at the same time, we also need to find a way to navigate the choppy waters of US economic stability. This navigation requires a well-defined and clearly stated data-driven strategy that provides all Americans the required knowledge and hope to overcome the pandemic and return to economic prosperity.

There is ample research evidence to suggest strong links between overall health, chronic illness, mortality and economic instability. Based on PHA’s national leadership role on health equity and social determinants of health, we find the latter a critical consideration. Nearly half of the US population can ill-afford job and wage loss, having little or no ability to absorb even a small catastrophe. Now, families are being pushed into precarious economic situations, asked to social distance, school children at home, work remotely or not at all – at no fault of their own. The anticipated financial blows from the pandemic can and will lead to significant housing instability, food insecurity, loss of personal safety and access to necessary health care and other social determinants, all of which are amplified by the anxiety and stress of an unpredictable collective future.

For your consideration, we offer a timely and nuanced discussion of this topic in a paper by McKinsey & Company entitled “Safeguarding our lives and our livelihoods: The imperative of our time”. Find the article and exhibits at this link.

McKinsey&Co

Above Chart is Exhibit 2 from “Safeguarding our Lives and our Livelihoods: The Imperative of our Time” ©1996-2020McKinsey&Company

In the paper, authors Sven Smit, Martin Hirt, Kevin Buehler, Susan Lund, Ezra Greenberg, and Arvind Govindarajan note the significant trade-offs that must be made if we choose an “either-or” approach – that is, addressing the viral pandemic OR opening the economy. Instead, the authors suggest a data-driven and historically-supported middle-of-the-road way forward that allows for mitigation of the lingering health effects of the pandemic, while at the same time, avoiding lasting damage to the US economy. In other words, a strategy that works in parallel to successfully achieve both goals – caring equitably for the population while protecting our economic futures.

We recognize and applaud the U.S. House of Representatives, Senate and White House and Senate for their bipartisanship in issuing $2 trillion to support those in need. We also applaud the courageous State Governors and their teams for their cool-headedness, tenacity and unrelenting courage in doing what is necessary at a local level to increase healthcare resources and do what it takes to limit spread of the virus. Countless small and large employers across the U.S. deserve credit for also finding creative ways to keep working, retooling to produce what is needed and continuing to keep their employees working. Finally, the American people should be recognized for our willingness to hear and respond to the efforts of our leaders to respond collectively and protect one another.

We do not know precisely when and how well this will work in the weeks and months ahead, however, we trust that we will overcome this deadly public menace.

Our colleagues at McKinsey & Company suggest the we need to save lives without destroying livelihoods. As members of the Population Health Alliance community, we look forward to working with our political leaders to advance a solution that truly uses an informed and practical approach to the challenges ahead – one that addresses a win-win for the country and our people. We know that the member companies of the PHA stand ready to support continued public health and economic efforts that will lead to a successful outcome to the pandemic.

For Further Reading on The Interconnectedness of Health and the Economy:

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Mary Jane Osmick MD, Principal at Mary Jane Osmick MD Consulting, LLC is a member of PHA’s Board of Directors, a lead author on PHA’s digital textbook: Social Determinants of Health and Health Disparities: Taking Action and presenter of several webinars on the subject of SDOH in Population Health Management Strategies

Jaan Sidorov MD, CEO & President at PA Clinical Network is PHA’s President and Chair of PHA’s Provider Engagement Initiative.

Rose Maljanian, Chairman Emeritus at PHA and Chairman & CEO at HealthCAWS invites thought leadership on pressing topics to our PHA community to join in on our Leadership Circle.

YMCA Joins the Population Health Alliance

Washington, DC, February 2, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, recently announced that YMCA of the USA (ymca.net) has joined the organization as a member. “The Y” is the leading nonprofit committed to strengthening community by connecting all people to their potential, purpose and each other through their presence and partnerships in 10,000 neighborhoods across the nation.

Driven by its founding mission, the Y has served as a leading nonprofit committed to strengthening community for more than 175 years. By bringing together people from different backgrounds, perspectives and generations, the Y’s goal is to improve overall health and well-being, ignite youth empowerment and demonstrate the importance of connections across communities nationwide.

The YMCA has been a pillar for individual advancement and community health since the mid 1800’s. We are honored to have such a long standing and currently relevant driving force in population health join the Population Health Alliance”, said Rose Maljanian Chairman & CEO HealthCAWS and Chairman Emeritus at PHA.

Katie Adamson Vice President, Health Partnerships and Policy at YMCA added the following statement: “The Y empowers everyone, no matter who they are or where they’re from, by ensuring access to resources, relationships and opportunities for all to learn, grow and thrive. We are pleased to join the Population Health Alliance because we see value in building relationships with other organizations committed to helping everyone reach their full health and human potential by advancing evidence-based health interventions tackling chronic diseases, preventing injuries or building healthy community environments that address the multiple social determinants of health.

The YMCA recently announced a new partnership to expand bikeshare access and equity by providing free, one-year bikeshare memberships for Lyft-operated bikeshare systems.

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

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

Transition to Success® Joins the Population Health Alliance

Washington, DC, January 31, 2020 — Population Health Alliance (PHA), the industry’s only multi-stakeholder professional and trade association solely focused on population health, recently announced that Transition to Success ® (transitiontosuccess.org) has joined the organization as a member. Transition to Success (TTS) is a system of care that changes our collective understanding and treatment response to the condition of poverty.

With more than thirty years of experience in healthcare administration, not-for-profit management, behavioral health, criminal justice, and public sector programing Dr Marcella Wilson created TTS and has established pilot programs in Michigan, Tennessee, Kansas, Louisiana, Wisconsin and Hawaii. In 2016 Dr. Wilson introduced the novel framework in her book Diagnosis: Poverty – A New Approach to Understanding and Treating an Epidemic and introduced her company and concept to the Population Health Alliance as a keynote speaker at their 2019 Innovation Summit in Washington, DC.

We are pleased to welcome Transition to Success® to the PHA family of organizations.” Said Mary Jane Osmick MD, a longtime member who serves on PHA’s Board of Directors. “Led by CEO and Founder Marcella Wilson, PhD TTS has demonstrated how a consistent, evidence-based, and highly scalable program approach can successfully lead individuals and their families from poverty and its associated health outcomes, toward self-sufficiency and wellbeing. Based on a decade’s-long work in Detroit during and after the recent financial crisis, Dr Wilson developed, tested and implemented a set of tools, processes and training in multiple organizations and communities around the US. In her book, Dr Wilson shares the story of how TTS came into being and how it is now changing the way we think of and react to poverty in the U.S.” added Osmick.

Dr Wilson added the following statement: “Changing the nation’s understanding of and treatment response to the condition of poverty – from a character flaw to a treatable, environmentally-based condition – is our mission at TTS. With the integration of evidence-base best practices and uniform analytics, our system of care screens and responds to the social determinants of health, behavioral health, and addiction issues. PHA is at the forefront of the changing fabric of our country’s healthcare system and provides excellent opportunities to meet and work with industry leaders. We are excited to join this dynamic and influential group.

Dr Wilson and Dr Osmick also recently co-authored a paper Social Determinants of Health—Relevant History, A Call to Action, An Organization’s Transformational Story, and What Can Employers Do? in the Journal of Health Promotion.

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

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

THE BRAVO BRIEFING: Addressing and Responding to Social Determinants of Health

The following article was published by Bravo Wellness and was authored by Jim Pshock, Founder & CEO at Bravo and Member of the Board pf Directors at the Population Health Alliance. The original posting can be found here.

Highlights from the Population Health Alliance Innovation Summit

December 19, 2019
Jim Pshock, Founder & CEO of Bravo

I recently attended the Population Health Alliance (PHA) Innovation Summit and Capital Caucus, subtitled “Improving Health Through Financial Security: The Common Denominator Across Social Determinants of Populations.” I’ve been honored to be a member of the PHA board for three years now and have found the organization to be a small but mighty force in the quest for population health. If you’re not familiar with PHA, I strongly encourage you to check out www.populationhealthalliance.org.

Achieving Value Targets by Addressing Social Determinants of Health

As the 2019 theme suggests, one of the primary areas of focus that comprehensive programs must address is financial security and other social issues. While these concerns are not new, PHA Chair, Rose Maljanian, shared that the recent surge in interest among providers and payers is fueled mainly by fundamental changes in reimbursement models linked to value-based designs, HEDIS scores and similar initiatives.

Although many have preached about caring for the total person, it’s clear that our old payment system promoted over-utilization of covered services and paid very little attention to non-reimbursable factors.

As we shift the incentive away from fee-for-service to “bonus for quality,” we finally see more attention to essential elements of care such as transportation needs, lack of food, loneliness and financial security. If you ever doubted the power of financial incentives, look at how the use of these incentives is completely transforming the level of care provided now that things like hospital readmissions and infections result in pay cuts instead of extra revenue!

Responding to the Social Determinants of Health

One presenter, Marcella Wilson, Ph.D., shared exciting results from the Transition to Success program in Memphis, TN. This duplicatable model shows how health care and community services can be combined and organized in a way that addresses the social limitations of those living in poverty. And if you think the poor are the unemployed, think again. The working poor often have greater needs because they don’t qualify for many of the free services available to others. Health plans that leverage a similar approach as the Transition to Success program can have an astounding impact.

“As with any other condition, such as medical or mental, the treatment for the condition of poverty too requires intervention based on science and access to viable, reliable support systems.” – TransitionToSuccess.org

Wellness Success Stories

We also heard from Senator Mike Braun from Indiana. How exciting to have Senator Braun share about the importance of employee wellness programs and the use of substantial incentives. He experienced it first hand at his company in Indiana, where he not only slowed the health cost trend, he eliminated it. It’s so encouraging to have more people in DC who understand the value of engaging individuals in their health rather than fueling the myth that there’s nothing to be done except focusing on discounted services.

Many other terrific speakers, including presenters from Pitney Bowes, Walmart and Comcast, shared incredible success stories highlighting innovation, creativity and impacts that prove that together, we can change lives and control costs.

If you’re looking for a quick, easy and inexpensive way to reverse decades of individuals’ bad habits and inefficiencies, you’ll probably be disappointed. If, however, you commit to analyzing your data and continually fine-tuning your programs to find the right blend of communications, interventions and incentives, you too can have a profound impact.

The Population Health Alliance Announces David Shulkin, Ninth Secretary US Department of Veterans Affairs as a Keynote Speaker at their Annual Forum and Membership Meeting

The PHA Forum and Membership Meeting will take place March 30th, 2020 in Philadelphia

Washington, DC, December 6, 2019 (PR.com) — Population Health Alliance (PHA), the health care industry’s only multi-stakeholder professional and trade association solely focused on population health, today announced that David Shulkin, Ninth Secretary, U.S. Department of Veterans Affairs will be delivering a keynote address at their annual bipartisan PHA Forum and Annual Member Meeting & Luncheon on March 30th, 2020 in Philadelphia, PA.

Described by the New York Times as a “Hands On, Risk Taking Standout”, David Shulkin served as the Ninth Secretary of the Department of Veterans Affairs under President Donald Trump, where he was confirmed by a 100-0 vote by the United States Senate, and beforehand served as Under Secretary under President Barack Obama. Before public service, Doctor Shulkin held positions as the President of Morristown Medical Center, President and Chief Executive Officer of Beth Israel Medical Center in New York City, Chief Medical Officer at Temple University Hospital, Vice President of Atlantic Health System ACO, and Chief Medical Officer at the University of Pennsylvania Health System.

“I look forward to sharing insights with the Population Health Alliance members and constituents from my new book ‘It Shouldn’t Be This Hard to Serve Your Country’ where I will discuss perspectives from both the private and public sectors for improving health at their Annual Forum and Membership Meeting”, said Shulkin.

The author of three books and numerous peer-reviewed journal articles, his latest work describes the Secretary’s fight to improve veteran health care across party lines. His book will be distributed in the welcome package to registrants of the PHA Forum and Secretary Shulkin will be available to sign copies for attendees at the Annual Member Meeting and Luncheon.

“We at the Population Health Alliance are pleased to have David Shulkin, former Secretary of Veterans Affairs to share his expertise in navigating a health system as large and complex as the VA to deliver value to all patients. We salute and join in David’s passion for supporting our Veterans with the level of high-quality care, choice and ease of access fitting their former service to our country”, said Rose Maljanian Chairman and CEO HealthCAWS and Chairman of the Board, Population Health Alliance.

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About the PHA Forum20 and Annual Membership Meeting & Luncheon:

The Population Health Alliance is proud to host the PHA Forum20 in Philadelphia, PA on March 30th. Co-located with the Population Health Colloquium and co-hosted by Jefferson College of Population Health. At this year’s Forum, look forward to learning from industry experts and executive leaders among our membership as they describe how leading innovations in the population health industry can help your organization thrive in value-based care. All registered meeting attendees are invited to join PHA members immediately afterwards for the Annual Member Meeting and Luncheon, featuring a book signing by Secretary David Shulkin.

ShulkinBook

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

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

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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)

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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.

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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.

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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.

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

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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.

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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.

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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