Accountable Care
A network serving more than half the state's population with mental illness will bolster integrated care using population health management tools from Alera Health. Meanwhile, a consortium will use grant funding to grow the behavioral health workforce.
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of CareFirst BCBS.
Not only are the HHS information blocking disincentives too steep, but they could also interrupt accountable care organizations' shift to value-based care, the organizations argue. Meanwhile, the EHR Association says the regs are "too narrowly focused."
AI & ML Intelligence
Despite challenges such as data privacy concerns and the need for seamless integration into existing systems, the trajectory of AI development in healthcare is promising as tools continue to improve, says Alex Mason of FTV Capital.
David Morris, EVP at Cedar Gate Technologies, explains that the model allows for a gradual approach to risk for more conservative and less experienced ACOs, in comparison to ACO REACH, which requires a greater tolerance for risk.
The Acute Hospital Care at Home waiver is set to expire this year unless Congress acts.
Wendell Primus, a Brookings Institution Visiting Fellow, has a plan to help low-income Medicare beneficiaries.
As health systems prioritize population health management, disparate factors such as patient engagement, social determinants of health and AI-enabled decision support all have roles to play, says Brian Dixon, research scientist at Regenstrief Institute.