WellPoint Exec Shares Lessons Learned from PCPC Pilot
Hummel says the success of the pilot reflects ongoing collaboration with physicians. "This isn't something you do to physicians and providers, it's something you do with them."
While there is general acceptance that healthcare needs to reflect value and patient outcomes, payments, Hummel says the transition is marked by physician uncertainty. "They worry about having the tools, knowledge, skills, and resources to be successful in the value-based environment."
Among the essentials is how to write a patient care plan. Hummel notes that most physicians did not learn how to write a patient care plan in medical school.
So WellPoint has a team of patient-centered care consultants to help physicians master the elements of patient-centered care. It also offers monthly 90-minute webinars to aid in the transition.
During the first year the webinars have focused on basics such as how to manage work flow, creating care coordination across the healthcare delivery system, and how to use data to improve patient care. Hummel says a second year of more advanced webinars is being developed.
Incorporating claims data and predictive modeling, a hotspot report is developed for each PCPC. The report identifies members at high risk for an adverse event, a hospitalization or a readmission.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- 3 Insider Tips on Cutting Costs without Strangling Growth
- 4 Tectonic Shifts Shaking Up Healthcare
- A Fresh Look at End-of-Life Care
- Heart Attack Patient Costs Skyrocket Beyond 30 Days
- 3 in 4 Patients Want E-mail Consultations
- ACGME Chief Sees 'Huge' Risk of Error in Proposed Assistant Physician Licensure
- CVS Ramps Up Retail Clinics with Provider Affiliations