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Jewson POMIS Analyst gathers information from libraries, organizations, professionals, and social media.
The United States healthcare reform legislates that provider organizations improve care, improve health, and implement value-based programs for patient populations.  Implied is the need to develop a strategy using information technology solutions.  These tools must make your organization money.  We will help you optimize revenues with benefits from being a provider member.

Exclusive Provider Member Offer
  • Unlimited telephone inquires.
  • Gathering market/industry data, information, as well as storage in a relational database of IT vendors.
  • Help find, analyze, and evaluate IT vendors as your finalists.
  • Provide access to IT vendor database in the Microsoft 365 Cloud anytime, anyplace, and on most mobile devices.
  • Maintain a reputation of no conflicts of interests or the appearance of such.
  • Where organizations are sensitive to confidential disclosure, Jewson Enterprises will execute a non-disclosure agreement as it has many times.


Exclusive Provider Membership Pricing

  • $200 per month for a 3-month commitment
  • Low fixed bid price for custom projects or individual IT vendor reports of $24.95 each.
  • Membership cancellation after 3 months with 30-day written notice.
The United States healthcare reform policies are focused on improving care, improving health, and implementing value-based payment programs.
INTRODUCTION
The popular image of hospital/physician (provider) organizations are their focus on caring for individuals.  During 2015, the United States’ need to improve quality and cost outcomes is driving a paradigm shift in care delivery that focuses on population health that involves managing the health outcomes of groups of individuals.  Population health management (PHM) is concerned with proactively maintaining or improving the health of all patients who receive care from a particular provider, whether or not those patients are present at the provider’s facility when action is taken.

PHM is relevant to any healthcare provider seeking to reduce the cost of care while improving quality.  However, the principles of PHM are especially important for primary care providers (PCPs) who are charged with shouldering a significant portion of the PHM burden.  A PCP serves as the medical home for each patient and is the ideal first point of contact for the work of organizing both the individual’s and the population’s traditional episodic interactions, as well as value-based health management interventions.

At the same time that PCPs are taking on this added accountability, primary medical care in the United States is facing a physician shortage.  Far fewer physicians are choosing careers in primary care, while more Americans have and will have access to insurance through the Patient Protection and Affordable Care Act (PPACA), known as health reform.  These individuals will need to establish a primary care home at a moment in history when many report that it is already difficult to make a timely appointment.

The convergence of these trends means that each PCP will be responsible for managing a larger patient panel, and many of these patients are likely to have increasingly serious illnesses. This new reality necessitates change in the way physician practices, as well as hospitals, approach care delivery.  Industry thought-leaders have articulated strategies for delivering high-quality care to patient populations as efficiently as possible.  Though different iterations of these strategies have been proposed, two common principal building blocks for improving primary care stand out:

  • Data-driven improvement – Technology-oriented
  • Team-based care – Technology-supported

Companies selling healthcare information technology (HIT) solutions have adjusted their business strategies for the future United States healthcare reform movement.
 Jewson Enterprises now offers its unique, relational database of IT vendors, experience, and skills to:

  1. Identify IT vendors that are excellent business performers in the Triple Aim environment.
  2. Help provider organizations evaluate excellent IT vendors as finalists with automation tools to address Triple Aim strategies.

The United States healthcare reform policies are focused on reducing health care costs, improving care, and implementing value-based payment programs.  As a matter of fact, most suggest this should motivate providers, payers, as well as consumers to move closer into alignment.  For this reason, population health management (PHM) has become a key collaborative strategy of provider groups to enhance delivery of care, control the cost of care, and better the health of stratified populations.

Therefore, several provider organizations have incorporated population health programs.  This has motivated the investment community to respond to population health management as a growth market.  Healthcare reimbursement to hospitals, healthcare systems, and physician groups are adapting a new environment in which providers are rewarded for meeting quality objectives for their entire patient base, and not just those actively seeking healthcare.  Emphasis is shifting from volume to value, and organizations that focus on providing patient-centered, quality healthcare across a population will come out ahead.  According to David B. Nash, MD, MBA, Founding Dean, and Jefferson School of Population Health, the mantra is: “No outcome; no income.”

Many healthcare stakeholders believe the concepts embraced by the CMS (Centers for Medicare and Medicaid Services) under the direction of the previous Dr. Don Berwick, (appointed on July 7, 2010 by President Barack Obama to serve as the Administrator of the CMS) is driving change.  As CMS is the largest healthcare payer in the U.S. (over half), it has led major change and has adopted the “Triple-Aim” model of evidenced-based care and wellness:

  • Improve the Patient Experience of Care, Including Quality & Satisfaction;
  • Improve the health of populations; and
  • Reduce the capital cost of care in healthcare.

Triple Aim is a term coined by Dr. Berwick.  It is all about focusing on how to drive improvement so that the American population are healthier, consumers receive better care, and instead of working within a volume based business model, move to one of quality and value that rewards prevention, wellness, and a positive patient experience.  Reputable professionals generally agreement that the cost of health care in the United States is high and that health outcomes are disappointing.  BUT providers still must optimize making money using a process of billing and collection of charges.  In my opinion, combining revenue cycle management (RCM) and population health management (PHM) to meet the Triple Aim initiative will make your organization make money.