Laura Groschen

New in the latest issue of Health Plan Weekly: Dems work to cement enhanced ACA subsidies, lessons learned from Medicaid unwinding, study finds "inexcusable" variation in payers' negotiated rates, and more top stories. https://hubs.ly/Q02RnTkK0

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How did BlueCross BlueShield of South Carolina incorporate social risk to help build personalized care plans? While BCBSSC had existing pop health and care management programs, they identified an opportunity for a more data-driven approach. April Richardson, VP of Clinical Services at BCBSSC, described how they developed a 7-level care management system, ranging from prevention to acute care. While this care continuum was clinically robust, the ways that people interact with and navigate the healthcare system are influenced by so much more than their diagnosis. Overlaying social risk data onto this care continuum equipped BCBSSC to create personalized care plans for their members. #SDoH #SocialRisk

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The latest episode of #CTN explores the critical topic of optimizing healthcare IT to enhance patient care and improve operational efficiency. Experts including Matt Reich from McLeod Health, Chris Paravate, MBA, CHCIO, PMP, CPHIMS, CDH-E from Northeast Georgia Health System, Guy Shepperd from Vanderbilt University Medical Center, Tara Eckert, MBA, PMP from Kennedy Krieger Institute, Jeremy Meller from Children's Healthcare of Atlanta, Ryan Blackwell from Tufts Medicine, Adrienne Woods from Hackensack Meridian Health, Balavignesh Thirumalainambi, MS, MBA Thirumalainambi from Care New England, and Keyven Lewis from Zones, LLC, share their insights and strategies. Key Takeaways: 1. Organizational Support: Successful initiatives require organization-led projects and robust workforce development, particularly when implementing ERP and EHR changes. 2. IT Culture: Align IT with business goals, maintain flexible work environments, and focus on core values for talent development. 3. Talent Retention: Strategies for retaining and recruiting talent during organizational transformations focus on minimizing fear and uncertainty among employees. 4. IT-HR Partnership: Engagement, remote work, and effective talent management in partnership with HR are crucial. 5. Tech & Innovation Pace: Insights on managing technological advancements emphasize the importance of competitive pay, mission alignment, and flexible work to attract and retain top talent. 6. Cloud Infrastructure: The advantages of cloud infrastructure include reduced workloads, enhanced cybersecurity, and increased financial autonomy for organizations. 7. Project Management: The importance of prioritizing impactful work and retooling IT governance is crucial for effective project management and driving successful outcomes in organizations. 8. Legacy Systems: The challenges with legacy applications and organizational resistance to change are often highlighted through a compelling analogy, emphasizing the difficulty of overcoming outdated systems and mindsets in the face of innovation. 9. Stakeholder Alignment: Regular meetings between IT, clinical, and business executives are recommended for better alignment and streamlined processes. For more insights and practical strategies from these experts, watch the full episode now: https://lnkd.in/d-tw9Qu8 #HealthcareIT #DigitalTransformation #PatientCare #CTN #HealthcareInnovation #ITLeadership #TalentManagement #RemoteWork #CloudInfrastructure #ProjectManagement #HealthcareExcellence

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"Rarely have the pathologies of the Medicare Physician Fee Schedule portended such poor outcomes for the future of U.S. healthcare as they do now." In a new Healthcare Financial Management Association (HFMA) blog, APG President and CEO Susan Dentzer describes the four main flaws in the Medicare Physician Fee Schedule. "Those of us hoping for a better system for paying physicians should keep pushing for alternative payment models." #valuebasedcare #Medicare #healthcarecosts Read the blog: https://lnkd.in/dGVE8dfM

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