Podcasts about medical homes

Greetings Listeners!  It's time for our Research Insights Podcast Classic edition.  November is Family Caregivers month, so we pulled out of our archives a very popular podcast named “An Actuarial Perspective on the Relationship of Patient Centered Medical Homes and Healthcare Costs.”  Hear Achilles Natsis, Greger Vigen, and Susan Pantely explain the actuary's role in estimating the financial impact of primary care programs as well as what key issues actuaries should consider when estimating the financial impact of their employers' and clients' own primary care programs. We hope you enjoy this Research Insights Classic!  Landing Page:  https://www.soa.org/resources/research-reports/2021/patient-centered-medical-homes/

Guest Liz Reardon shares Liz Reardon has been a National Trainer for Mental Health First Aid since 2008, and is one of the founding members of the National Trainer program. She has over 30 years of experience in health care, from direct service to administration and public policy development, and has worked with a wide variety of consumers, providers and policymakers as a facilitator and trainer.As Managed Care Director for the Office of Vermont Health Access, she and her team pioneered the development of Medical Homes for people with special health care needs, including youth in Foster Care and adults with complex mental conditions. She was appointed by Governor Howard Dean to the Legislative Commission on Psychological Trauma and served on the task force that implemented the Commission's recommendations for Trauma-Informed care in Vermont's Agency of Human Services. Prior to her work in State government, Liz was the Administrative Duty Officer for Operations and Emergency Services and Assistant Director for Psychiatry and Prison Health at Bellevue Hospital in New York City.Liz studied Studio Art at Brown University and the Rhode Island School of Design and received a BA from McGill University in History and Philosophy of Science. She holds a Master of Public Health in Health Policy and Management from Columbia University. In 2017 she introduced ALGEE The Mascot for Mental Health First Aid) to the game show viewing public when she appeared on Jeopardy!Mental Health First Aid - www.mentalhealthfirstaid.comConnect with me at: CarrieHill.net or on Instagram/Facebook: Corner of Hope and WellnessLeave a review for the show on your favorite app!

Listen to Achilles Natsis, FSA, MAAA, FLMI, SOA Health Research Actuary, Susan Pantely, FSA, Principal & Consulting Actuary at Milliman, and Greger Vigen, Independent Health Actuary discuss Patient Centered Medical Homes and Healthcare Costs with host, R. Dale Hall, FSA, CERA, MAAA, CFA, SOA Managing Director of Research. We welcome your questions or comments at researchinsights@soa.org.

Hosts Gregg Masters and Fred Goldstein meet John Edelston President & CEO HealthPro Associates, industry veteran consultant and innovator extraordinaire. They discuss a range of topics and frame current day innovations in healthcare delivery and finance from ACOs to Medical Homes. Edelston describes in detail the birth of CareMore via acquisition and integration of several southern California IPAs and ‘group practices without walls.’ To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

On this episode of PopHealth Week our guest is industy veteran consultant and innovator extraordinaire John Edelston, President & CEO of HealthPro Associates. We dive into his 36 year plus career of leading strategic and granular innovation in managed healthcare recently re-branded as a value based or high value healthcare. John's been at the table of a transaction or two perhaps most notably as co-founder of CareMore a fascinating history we explore in greater detail in this episode. We discuss a range of topics and frame current day innovations in healthcare delivery and finance from ACOs to Medical Homes. Edelston describes in detail the birth of CareMore via acquisition and integration of several southern California IPAs and 'medical group practices without walls'. Enjoy! ==##==  

On this episode of PopHealth Week our guest is industy veteran consultant and innovator extraordinaire John Edelston, President & CEO of HealthPro Associates. We dive into his 36 year plus career of leading strategic and granular innovation in managed healthcare more recently re-branded as a value based or high value healthcare. John's been at the table of a transaction or two perhaps most notably as co-founder of CareMore a fascinating history we explore in greater detail in this episode. We discuss a range of topics and frame current day innovations in healthcare delivery and finance from ACOs to Medical Homes. Edelston describes in detail the birth of CareMore via acquisition and integration of several southern California IPAs and 'group practices without walls'. Enjoy! ==##==  

written post at https://healthy-skeptic.com/2020/02/10/patient-centered-medical-homes/

written post at https://healthy-skeptic.com/2019/08/28/medical-homes-and-patients-with-chronic-diseases/

Medical homes are producing better patient outcomes by a variety of measures. Patients seen in this environment get more primary and preventive care and are less likely to end up in the emergency room.

In this segment, Maryanne and Joanne interview Deb Hurwitz, the Executive Director of the Care Transformation Collaborative of Rhode Island.CTC-RI focuses on physician practice and payment transformation from volume to the value of care. Hear how Patient-Centered Medical Homes:-Integrate Behavioral Health with Primary Care-Improve Patient Experience-Improve Quality and Affordability of Care(Part 3 of 3)

In this segment, Maryanne and Joanne interview Deb Hurwitz, the Executive Director of the Care Transformation Collaborative of Rhode Island.CTC-RI focuses on physician practice and payment transformation from volume to the value of care. Hear how Patient-Centered Medical Homes:-Integrate Behavioral Health with Primary Care-Improve Patient Experience-Improve Quality and Affordability of Care(Part 2 of 3)

In this segment, Maryanne and Joanne interview Deb Hurwitz, the Executive Director of the Care Transformation Collaborative of Rhode Island.CTC-RI focuses on physician practice and payment transformation from volume to the value of care. Hear how Patient-Centered Medical Homes:-Integrate Behavioral Health with Primary Care-Improve Patient Experience-Improve Quality and Affordability of Care(Part 1 of 3)

Troy Trygstad, PharmD, MBA, PhD Troy Trygstad is a community pharmacist, a health economist, and a pharmacy visionary who continues to encourage pharmacy industry leaders into new and innovative ways of thinking. Troy is the Executive Director of CPESN USA, a clinically integrated network of community-based pharmacy networks that endeavors to improve the quality and effectiveness of enhanced services provided by participating pharmacies and align them with the workflows and payment reform incentives of physicians, their support staff and other healthcare providers. He also serves as the Vice President of Pharmacy Provider Partnerships for Community Care of North Carolina, an organization providing wrap-around population health management supports for nearly 2,000 primary care practices. Troy possesses over fifteen years of experience with multi-disciplinary care teams and intervention development under alternative payment and support models. He is the Project Director for a Center for Medicare & Medicaid Innovation Award that tests new models of payment and pharmacy connectivity to primary care providers and the medical neighborhood that includes over 250 pharmacies in North Carolina. Troy proudly practices in a community pharmacy setting on nights and weekends and serves as a board member for the American Pharmacists Association Foundation and the Pharmacy Quality Alliance, as well as Editor-in-Chief of Pharmacy Times. 00:00 Check out Episode 84 to hear Troy discuss Stagnant Pharmacy Business Models. 02:30 Troy explains the Pharmacy Home CMIS System. 03:00 Getting different types of systems to interact with each other. 03:30 “The trick is not to tell the world, ‘Hey, you need to adopt our standard.'” 04:15 The breakdown of types of patient interactions and blending models that accommodate these various interactions. 06:20 The newly emerged business need to acquire and share Patient Data. 09:15 “Don't tell me what you know, tell me what I need to know.” 11:00 A typical example of what a Common Care Plan looks like. 15:45 “All we're doing at the end of the day is bringing Community Pharmacy into the rest of the system.” 18:15 Troy talks Blockchain. 21:00 How Providers feel about Pharmacists advancing Care Plans. 24:45 Where changing the relationship between Pharmacists and Providers becomes Best Practice. 27:15 “How I can help you versus How I can compete with you, that is the difference.” 29:45 “If you're taking a journey with a patient, it really is about relationships.” 30:00 The most critical aspect of this model. 32:00 You can find out more information at www.cpesn.com.

Topics include:The importance of a medical home for a mitochondrial disease patient.Definition of a medical home.How to establish a medical home.Why a medical home is an essential component of good patient advocacy.Tips on maintaining a healthy medical home relationship.Ms. Wees will describe theses issues primarily from a pediatric perspective, but she will give adult examples as well. Ms. Wees is a patient advocate with Empowered Medical Advocacy. She assists parents and caregivers each week in navigating toward improved quality of life for their child and their families.She can be reached through www.EmpoweredAdvocacy.com

Listen NowThe term "medical home" was first introduced in the 1960s by the pediatric profession.  Still to date this model of care emphasizes team-based comprehensive, continuous and coordinated care.   The care model is intended to improve primary care generally via improved patient communication, care quality, safety and outcomes.  In several ways the ACA encouraged the adoption of the, now termed, Primary Care Medical Home/PCMH for both the Medicaid and Medicare programs and among private health insurers.   (In some ways the PCMH is seen as a precursor for providers interested in becoming an Affordable Care Organization (ACO), i.e., taking on reimbursement risk.)  Over the past few years PCMHs have become widely adopted.  Over forty state Medicaid programs are experimenting with the model along with 90 commercial health plans and three federal initiatives. During this 23 minute discussion Dr. Nielsen discusses the PCPCC's purpose and goals, more specifically what is the PCMH model of care, the varying ways PCMH's are reimbursed, what does the research to date show regarding PCMH effectiveness and challenges in adopting this new model of care.Dr. Marci Nielsen currently serves as CEO of the Patient Centered Primary Care Collaborative (PCPCC), an organization dedicated to advancing an effective and efficient health system built on a foundation of primary care.  Prior to the PCPCC, Dr. Nielsen served as Vice Chancellor for Public Affairs and Associate Professor at the University of Kansas School of Medicine's Department of Health Policy and Management.  Dr. Nielsen was appointed by then-Governor Kathleen Sebelius as first Executive Director and Board Chair of the Kansas Health Policy Authority (KHPA).  She worked as a Legislative Assistant to Senator Bob Kerrey and later served as the health lobbyist for the AFL-CIO.  Dr. Nielsen is a board member of the American Board of Family Medicine and also a committee member for the Institute of Medicine's Leading Health Indicators for Healthy People 2020 and Living Well with Chronic Illness: A Call for Public Health Action.  Early in her career she served as a Peace Corps volunteer in Thailand and served for six years in the US Army Reserves.  Dr. Nielsen earned her MPH at The George Washington University and her Ph.D. from the Johns Hopkins School of Public Health.The PCPCC's 1/14 PCMH impact on cost and quality report can be found at: http://www.pcpcc.org/newsletter/annual-report-pcmhs-impact-cost-quality-2012-2013. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

This month we will address emerging health delivery models, with a discussion of the role of Advanced Practice Nurses and Health Care Reform, specifically with a discussion of the role of nurses in ACO’s and Medical Homes with Mary Jean Schumann. Ms. Schumann  is the Executive Director of the Nursing Alliance for Quality Care (NAQC). The Nursing Alliance for Quality Care (NAQC) is a bold partnership among the nation’s leading nursing organizations, consumers, and other key stakeholders to advance the highest quality, safety and value of consumer-centered health care for all individuals, their families, and their communities. NAQC believes that only with stronger, more unified nursing policy ‘voices’ will we achieve dramatic and sustainable achievement in quality and safety for the American public. Before joining the NAQC, Ms. Schumann served in various positions at the American Nurses Association, first as the Director, Nursing Practice and Policy, and later as Chief Programs Officer.  Currently, Ms. Schumann is on staff at George Washington University.  She taught pediatrics at the University of Wisconsin and Eastern Michigan University. She is a nationally certified pediatric nurse practitioner who maintained a clinical practice until 2006 as a hospice nurse in addition to her regular duties. Ms. Schumann co-authored a 2008 book with Dr. Margretta Styles, Kathi White and Carol Bickford, called Specialization and Credentialing in Nursing Revisited.

When health coaches employ motivational interviewing during patient encounters, expect upticks in medication adherence, weight loss, HbA1c levels and overall engagement, notes Alicia Vail, RN health coach for Ochsner Health System. Ochsner's eight health coaches focus on patients with diabetes, hypertension and obesity who have come to their attention by way of physician referrals, health screenings and pre-chart reviews. In this podcast, Ms. Vail describes how Ochsner Health System incorporates health coaches in its clinic structure and describes the benefits that result from the coaching intervention. Alicia Vail and Bill Appelgate, executive director of the Iowa Chronic Care Consortium, shared how an evidence-based health coaching focus drives returns in a value-based payment delivery system during a June 19, 2013 webinar, "Health Coaching's Value in Accountable Care and Medical Homes."

Primary care and the patient-centered medical home offer a great opportunity for health coaches to become allies with patients in improvement of their health, notes William Appelgate, executive director of the Iowa Chronic Care Consortium. Individuals with the highest health risks should be given priority, but those on the cusp of a serious health event also merit coaching assistance, he says. For providers new to the coaching conversation, Appelgate shares three benefits of incorporating health coaches in the care process --- including the upping of their 'outcomes game.' Bill Appelgate and Alicia Vail, RN health coach for Ochsner Health System, shared how an evidence-based health coaching focus drives returns in a value-based payment delivery system during a June 19, 2013 webinar, "Health Coaching's Value in Accountable Care and Medical Homes."

In America’s increasingly fragmented health care delivery system, one solution may be what’s called a “patient-centered medical home.”

On the Wednesday, September 5th 2012 broadcast at 12PM Pacific/3PM Eastern my special guest commentator is author, consultant and long term HMO and managed care industry advisor William J. DeMarco.  For more about Bill and Pendulum Health, click here. Our topic is titled: ACOs, Are We There Yet? We'll hear from Bill given several rounds of ACO CMS submissions with which he or his firm had either direct or indirect involvement. Clearly those chosing to sit on the sidelines notwithstanding, there is a land grab going on in plain sight. I note that as of early June alone, Dr. Charles Saunders reported a backlog of 180 health systems had approached Aetna's ACO Solutions Group to partner or sponsor some version of an ACO or medical home in one or more of their respective markets.

A PTJ podcast titled "2012 Rothstein Roundtable Podcast—"Medical Homes, PACA, IFDS—Where Do Physical Therapists Fit in a Reforming Health Care Environment?'"

Author Mary Held discusses her article, "Integrated Primary and Behavioral Health Care in Patient-Centered Medical Homes for Jail Releasees With Mental Illness."

Patient Centered Medical Homes are a proven way to reduce the cost of health care while improving health care quality. Dr. Paul Grundy, Global Director, IBM Healthcare Transformation and the current President of the Patient-Centered Primary Care Collaborative, describes how patient centered medical homes provides comprehensive primary care to people of all ages, broadening access […] The post Getting Better Health Care – Patient Centered Medical Homes can help solve our health care problems (Part 2) appeared first on WebTalkRadio.net.

Patient Centered Medical Homes are a proven way to reduce the cost of health care while improving health care quality. Dr. Paul Grundy, Global Director, IBM Healthcare Transformation and the current President of the Patient-Centered Primary Care Collaborative, describes how patient centered medical homes provides comprehensive primary care to people of all ages, broadening access […] The post Getting Better Health Care – Patient Centered Medical Homes can help solve our health care problems (Part 1) appeared first on WebTalkRadio.net.

While there is a great deal of interest among public payors in medical home funding models, their funding needs pose several challenges, explains Lesley Reeder, RN, BSN, quality improvement specialist for the Colorado Department of Health Care Policy and Financing. In this podcast, Reeder shares the secrets to a successful payor-provider partnership and discusses some of the code-dependent strategies at work in Colorado to reimburse physicians for preventive care services dispensed from the medical home. Reeder, along with Dr. Barbara Walters, senior medical director of Dartmouth-Hitchcock Medical Center, will examine case studies of reimbursement strategies for medical home programs during a September 24, 2008 webinar, Reimbursement Models for Medical Homes: From Pilot to Practice.