Love that the industry is finally seeing the power of peer relationships!
July 12, 2023 at 3:31 PM
Love that the industry is finally seeing the power of peer relationships!
The expectation is a lead level PM brings structure to the ambiguous situations / problems, and builds understanding of nuance on the situation.
Helping your stakeholders with the nuance is key. If the problem was straightforward the experienced PM wouldn't be asked to jump in.
Helping your stakeholders with the nuance is key. If the problem was straightforward the experienced PM wouldn't be asked to jump in.
May 18, 2023 at 12:54 AM
The expectation is a lead level PM brings structure to the ambiguous situations / problems, and builds understanding of nuance on the situation.
Helping your stakeholders with the nuance is key. If the problem was straightforward the experienced PM wouldn't be asked to jump in.
Helping your stakeholders with the nuance is key. If the problem was straightforward the experienced PM wouldn't be asked to jump in.
Lastly and most importantly, the members themselves. There's a care coordination joke that we now need a care coordinator for all the care coordinators.
Having one care coordination team, with a multi-year longitudinal relationship with members creates far greater trust and impact.
Having one care coordination team, with a multi-year longitudinal relationship with members creates far greater trust and impact.
May 5, 2023 at 4:23 PM
Lastly and most importantly, the members themselves. There's a care coordination joke that we now need a care coordinator for all the care coordinators.
Having one care coordination team, with a multi-year longitudinal relationship with members creates far greater trust and impact.
Having one care coordination team, with a multi-year longitudinal relationship with members creates far greater trust and impact.
While Medicaid plans have stabilized with federal subsidies and macro changes, they’re inherently counter cyclical.
They’re still feeling the pressure of unemployment = more enrollment and less state taxes to finance Medicaid. Hence the interest in value based contracting to rein in costs.
They’re still feeling the pressure of unemployment = more enrollment and less state taxes to finance Medicaid. Hence the interest in value based contracting to rein in costs.
May 5, 2023 at 4:21 PM
While Medicaid plans have stabilized with federal subsidies and macro changes, they’re inherently counter cyclical.
They’re still feeling the pressure of unemployment = more enrollment and less state taxes to finance Medicaid. Hence the interest in value based contracting to rein in costs.
They’re still feeling the pressure of unemployment = more enrollment and less state taxes to finance Medicaid. Hence the interest in value based contracting to rein in costs.
Community providers get painted with a broad brush when discussing serving Medicaid patients.
Certain providers like FQHCs or community mental health centers are either required through state Medicaid contracts, their mission, or their economics serve Medicaid patients -->are open to the referrals.
Certain providers like FQHCs or community mental health centers are either required through state Medicaid contracts, their mission, or their economics serve Medicaid patients -->are open to the referrals.
May 5, 2023 at 4:20 PM
Community providers get painted with a broad brush when discussing serving Medicaid patients.
Certain providers like FQHCs or community mental health centers are either required through state Medicaid contracts, their mission, or their economics serve Medicaid patients -->are open to the referrals.
Certain providers like FQHCs or community mental health centers are either required through state Medicaid contracts, their mission, or their economics serve Medicaid patients -->are open to the referrals.
Health systems are so entrenched in fee for service that they are interested in a free (for them) solution structured around a payer shared savings contract that reduces Medicaid acute utilization. *But* they're happy to be active partners around care coordination or data sharing.
May 5, 2023 at 3:34 PM
Health systems are so entrenched in fee for service that they are interested in a free (for them) solution structured around a payer shared savings contract that reduces Medicaid acute utilization. *But* they're happy to be active partners around care coordination or data sharing.
2. Data aggregation --> data cleansing --> high value action businesses.
I'm particularly excited about startups that are not only leveraging interoperability rules to aggregate data, but are then cleaning and moving that data to enable focused high value actions at the point of care.
I'm particularly excited about startups that are not only leveraging interoperability rules to aggregate data, but are then cleaning and moving that data to enable focused high value actions at the point of care.
May 5, 2023 at 3:29 PM
2. Data aggregation --> data cleansing --> high value action businesses.
I'm particularly excited about startups that are not only leveraging interoperability rules to aggregate data, but are then cleaning and moving that data to enable focused high value actions at the point of care.
I'm particularly excited about startups that are not only leveraging interoperability rules to aggregate data, but are then cleaning and moving that data to enable focused high value actions at the point of care.
A few places I'm excited about:
1. Seasoned healthcare operators starting their own tech-enabled VBC businesses. Did you use to work at a CareMore, Oak Street, ChenMed, etc and are focusing on an unmet need for an overlooked population? Happy to share notes to see if it can be an accelerant.
1. Seasoned healthcare operators starting their own tech-enabled VBC businesses. Did you use to work at a CareMore, Oak Street, ChenMed, etc and are focusing on an unmet need for an overlooked population? Happy to share notes to see if it can be an accelerant.
May 5, 2023 at 3:26 PM
A few places I'm excited about:
1. Seasoned healthcare operators starting their own tech-enabled VBC businesses. Did you use to work at a CareMore, Oak Street, ChenMed, etc and are focusing on an unmet need for an overlooked population? Happy to share notes to see if it can be an accelerant.
1. Seasoned healthcare operators starting their own tech-enabled VBC businesses. Did you use to work at a CareMore, Oak Street, ChenMed, etc and are focusing on an unmet need for an overlooked population? Happy to share notes to see if it can be an accelerant.