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Insights

Caring For Our Most Costly Patients - Dual Eligibles

Dennis Heaphy, a Boston resident and 30-year quadriplegic, received new health care coverage in 2014. As part of initiatives ushered in with the Accountable Care Act, Heaphy, a low-income disabled individual, was able to stay home and in his community. This was a drastic change from the alternative he was all too familiar with—frequent visits to the hospital and long-term stays at skilled nursing facilities. Heaphy is enrolled in a pilot program aimed at providing better care for our most costly and complex patients—“dual eligibles.”

Topics: Medicaid ACA Medicare Dual Eligibles Healthcare

The Role of Community-Based Organizations in Supporting Value-Based Care

In the transition to value-based care, providers today are being asked to do something they are not use to—caring for patients outside of the clinical setting. With incentives aligned on reducing utilization and decreasing re admissions, providers must now focus on prevention and wellness, in addition to delivering quality acute care.

This task, however, of managing population health is easier said than done. Given the many social circumstances that impact an individual’s care, it is often difficult to ensure positive outcomes after discharge.  Without active monitoring, providers can’t always guarantee patients follow the recommend care plan. And they can’t always verify that patients are being discharged to a place with suitable conditions for recovery.

Topics: Community Based Organizations Coordinate Care Value Based Care

Convenient Healthcare: Meet People Where They Are

With the rise of consumerism among patients in healthcare, many providers are expanding operations to improve patient satisfaction. But for many vulnerable populations, convenient healthcare is not a commodity—it’s a necessity.

Topics: Healthcare Delivery Health Disparities

Under-Addressed and Overlooked: The Mental Health Issue

When you think of the costliest chronic health conditions, diseases such as cancer, diabetes and heart disease come to mind. However, topping the list is a disease that unfortunately has long had a stigma associated with it—mental disorders.

Topics: Healthcare Delivery Social Determinants of Health Mental Health

A Holiday Gift: Less Stress

While many eagerly anticipate the winter holidays, others dread the season as it brings more stress than joy.

Topics: Social Determinants of Health Mental Health

Is Social Media Contributing to the Rise of Teen Suicides?

Middle schoolers are now just as likely to die from suicide as from traffic accidents, according to newly published data from the Centers for Disease Control.

Topics: Social Determinants of Health Childhood Development Mental Health

Preserving Culture in Population Health Strategies

If health systems, payers, and providers aim to positively impact social determinants of health, it is imperative they recognize the cultural differences in caring for minority populations. Nationwide, people of color represent 38% of all Americans, and yet these groups are overrepresented in the low-income and underinsured populations.

Topics: Social Determinants of Health Health Disparities Population Health

Overcoming Barriers to Healthcare for the Transgender Community

The health challenges facing the transgender population are some of the steepest and most difficult for any population subset in the United States today. Across the board, a transgender person is at greater risk than the national average for drug and alcohol abuse, depression and anxiety, sexually transmitted diseases, cancer, and heart disease. Compounding the problem are the community’s significant barriers to regular healthcare and gaps in coverage.

Topics: Healthcare Delivery Health Disparities LGBTQ

Alleviating the Adverse Effects of Childhood Trauma

It’s often said that adversity builds character. But the impact of significant adversity walks a fine line, particularly among children. When children face hardships, such as the death of a loved one, violence in their household or even divorce, their growth and development can be disrupted.

Topics: Childhood Development

Collaborative Healthcare Series: The Advent of Medicaid Managed Care

While we previously touched on the history of managed care, this next post for Healthify Insights’ Collaborative Care Series will focus on the coordination and development of Medicaid managed care.

Topics: Healthify Medicaid Managed Care