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Chronic Care Challenges

hotspotting

Hotspotting, Superutilizers, and Avoiding “RTM Traps”

Be wary of falling into an RTM Trap when working with superutilizers. RTM can be especially pronounced in this group of patients.

phn

Population Health POV — “It’s About Patient Data”

 

As a member of the Editorial Board of Population Health News,  I was asked to provide some personal perspectives for the October 2014 issue.

Here’s a quick sample:

Optimal population health will depend on obtaining and applying the “right” data — data to analyze individuals and populations, discern patterns, predict high risk/cost patients, enable needed behavior change or interventions and measure and monitor progress.

You can read the full interview by clicking here.

Editorial Advisory Board–Population Health News

Peter Edelstein, M.D.
Chief Medical Officer
LexisNexis Risk Solutions, […]

Swiss Cheese Health Insurance? “Benefits Adequacy” Moves To Front & Center

Swiss cheese health insurance?So, so many holes.

Ending insurance discrimination against the sick was a central goal of the nation’s health care overhaul, but leading patient groups say that promise is being undermined by new barriers from insurers. The Washington Post

In the past year, network adequacy has been one of the hot button issues for Qualified Health Plans (QHPs) in the Federal health insurance exchange. Network adequacy has focused on access to care providers and the narrow networks used […]

“Disease Management” RIP

The Care Continuum Alliance has mercifully and wisely rebranded it’s name and eliminated the initials “DMAA”. See its press release: Care Continuum Alliance Launches New Brand for Population Health Improvement. (As a reminder, DMAA originally stood for Disease Management Association of America.)

I for one say “hurrah, and good riddance”.

Where Did the Term “Disease Management” (DM) Trip Up?

The PowerPoint — DM Megatrends 2008

Last week I did the major annual tune-up of my presentation on Disease Management Megatrends for the MCOL Future Care Web Summit. 

I’m pleased to share a copy of the PowerPoint presentation with you, and I hope you find it useful and provocative.  You can view and/or download a copy here (6MB).  This version contains 77 slides, which would be about the length I’d use for a 3 hour workshop; you’d see a more compact version for a conference keynote, Board summary, or management […]

Podcast: The 20 Minute Version of “DM Megatrends”

Over the past week I’ve been doing a major tune-up of my presentation on Disease Management Megatrends for the annual MCOL Future Care Web Summit. 

More typically, DM Megatrends is 45–90 minute presentation with accompanying PowerPoint slides.

As part of the Web Summit, the good folks at MCOL asked me to do a short podcast on highlights of this presentation. They’re allowing me to share it with you… click here to save or listen to the podcast.

fyi, the DM Megatrends are:

MAGNITUDE: We are just scratching the […]