Her dedication, leadership, and passion have guided Numerof into its third decade of continuous growth and success.
From the firm’s inception, Rita has focused on developing new business models for companies in industries undergoing major market changes. Her work has spanned industries that are critical to global economic growth – financial services, healthcare delivery, pharmaceuticals, medical devices, telecommunications, and major industrial manufacturing. Bringing experience, style, and boundless energy, Rita has applied her expertise to help organizations create and execute successful new strategies in the face of fundamental market shifts.
‘Dr. Archelle Georgiou is a nationally recognized physician, advocate, advisor and author. She earned her medical degree from the Johns Hopkins School of Medicine and enjoyed practicing internal medicine in Northern California. However, wanting to have a broader impact on the healthcare system, she shifted her focus to the managed care industry. Between 1995 and 2007, she was a senior executive and Chief Medical Officer of UnitedHealthcare where she dismantled many of the company’s legacy policies in order to minimize the bureaucratic burdens imposed on patients and physicians.’
‘Since 2008, Archelle has served as a senior advisor for a diverse group of companies serving health needs in industries ranging from education to analytics and financial services to mining. She worked with former Speaker of the U.S. House of Representatives Newt Gingrich at his Center for Health Transformation, a non-partisan think tank focused on advancing patient-centric sustainable healthcare policies.’
I’m updating this post to let you know that the bill has been reintroduced as H.R. 660 in the 116th session of Congress. The new link to the bill is here. We are looking for sponsors and support.
This past week on PopHealth Week Gregg and I discussed the Annual Medicare Wellness Visit and how it came to be. I have always dabbled in policy and was fortunate enough to participate in the creation of that piece of legislation.
More recently, a small group including Reyn Archer, MD, the former Commissioner of Health for the State of Texas and current Chief of Staff to Congressman Jeff Fortenberry, Doug Goldstein and I have been exploring ideas on community health improvement. One of the key gaps we identified was that if a person or community works to improve their health, the financial benefit accrues to the payer or providers. At the same time, sustainable financing has been a fundamental problem with many of the community health improvement initiatives, such as Blue Zones, The Way to Wellville, the Clinton Health Matters Initiative,Humana’s Bold Goal initiative, which typically have the funds to get started, but after a few years have no source of revenue to continue. We sought to solve these two issues.
While I have been working on a concept I call Havens of Health, a Medicare /Medicaid Health Plan owned by its members; Reyn had come up with the concept of creating Community Shared Savings Accounts as the vehicle to distribute/share funds and provide incentives.
To give communities the tools to improve their own health outcomes through community-relevant health information and new health supporting incentives and programs funded without further appropriations.
The idea is simple:
it tasks HHS/CMS with putting together data sets of relevant Medicaid epidemiological and claims health information,
provides grants to states to carry out localized Community Health Improvement programs which includes the creation of dashboards for the community
The Community puts together a program to target one or more of these conditions and
if the program reduces the rates of illness in the community’s Medicaid beneficiaries and/or lowers costs, 70% of the savings would go back to the community.
These savings would be placed in the Community Savings Account to be overseen by a local board, and “used for promoting the health and wellness of residents of the community.”
This bill has bipartisan support, being co-sponsored by Congressman Jeff Fortenberry (R) and Congresswoman Eddie Bernice Johnson (D), and establishes an incentive for communities to work to improve the health of their residents while also creating a sustainable source of funding for communities to begin to work together on both the clinical and social determinants of health, as some have been doing for a while.
If you’d like more information on H.R. 7038 please contact me.
Gregg and I had an interesting discussion on this week’s episode of PopHealth Week. We covered the Annual Medicare Wellness Visit and how it came to be, as well as value based care and some interesting moves by employers (Walmart and the Utah State Employee Health Plan) and providers (Oschner and their ACO). Listen in:
I had a fascinating interview with David Nash, MD, Founding Dean of the College of Population Health at Jefferson. Our discussion included everything from Patient Centered Medical Homes (PCMH), Accountable Care Organizations (ACOs), medical errors and unnecessary services, to value based care and of course population health. As David said, perhaps its time for Doctors to “Look in the Mirror.”
There is so much going on in healthcare with the recent Amazon, Berkshire Hathaway and JP Morgan announcement to the CVS purchase of Aetna, all roiling the healthcare market. So what does it mean and where might we go for solutions?
David Nash, MD on PopHealth Week 1/31/18
And if you want to hear from a plethora of experts in the Population Health Field attend this years Population Health Colloquium at Jefferson March 19 – 21 in Philadelphia. You can learn more here.