Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013
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Transcript of Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013
Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead
April 26, 2013
Dr. Richard ShonkMarket Medical Director UnitedHealthcare
Our Community at a Cross Road
Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America The ONLY community in America with all these programs:
• 1 of 7 Comprehensive Primary Care Initiative communities,
• 1 of 16 Aligning Forces for Quality (AF4Q) communities,
• 1 of 17 Beacon Communities,
• 1 of 62 Health IT Regional Extension Centers,
• Among first seven communities selected for CMS Care Transitions
• >80% of physicians and hospitals exchanging data through HealthBridge
• 500 Physicians, 20+ Hospitals on YourHealthMatters.org
• 109 Patient-Centered Medical Homes
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Payment at a Cross Road
We’re being watched…
By the Feds…By the State…By the Commercial Health PlansBy National Companies
…But is it scale-able?
Quality at a Cross RoadSo many metrics… So little time…
– YourHealthMatters– CPCi Measures– ACO Metrics– HEDIS– CG-CAHPS– Health Plan Report Cards– Internal System Scorecards
Triple Aim Sounds Good!... But sometimes it is hard not to feel like the target.
When you come to a fork in the road…
• Control your data• Focus on what matters• Speak the same language• Insist on transparent
methodology• Timing can be important• Neutral Third Parties are
important• Continuously Improve
Thank You!