Tag Archives: Accountable Health

PopHealth Week with Prashant Natarajan – Big Data, Machine Learning and AI

Prashant Natarajan, Director of Business Strategy, Oracle Corporation

Discussing Big Data, Machine Learning, AI and Healthcare

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Prashant Natarajan on PopHealth Week

Prashant Natarajan is Director of Product Strategy at Oracle, where he is responsible for business strategy, product management, and go-to market solutions for a portfolio of Prashantinformatics products & cloud services for  population health, precision medicine, interoperability, and integrated little + big data analytics. Prashant received his chemical engineering degree from Mangalore University (India) in 1998 and his master’s degree in technical and professional communications from Auburn University (USA) in 2005. He is a prior recipient of the SBC/Chancellor’s Endowed Fellowship for graduate research.

Prashant is a lead author or contributor to 4 books on analytics, machine learning & AI, and precision medicine. He serves on the Board of Advisors for Council for Affordable Health Coverage. He is also Industry Advisor for Data Science & AI at UCSF/CIAPM. Prashant currently serves as Chairperson of the HIMSS NorCal Chapter’s annual Innovation Conference & Showcase.

Follow Prashant’s work via Big Data CXO.

 

PopHealth Week is Produced by Health Innovation Media

 

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Saving on Employee Health Benefits: Would you Hire this Consultant?

Over the years as an HMO executive and later founding a disease management and Healthcare IT company, I have analyzed a lot of medical claims and quality data. One of the largest was an analysis of a State Medicaid program with about 675,000 beneficiary lives with two years of inpatient, outpatient and pharmacy claims. The pharmacy file alone contained about 15 million prescription fills.

More recently I became certified as a Professional by the Care Innovations Validation Institute and sit on their Advisory Board. This certification tested my ability to look at data and decide whether the outcomes reported were likely to be valid or not.  As you look for vendors or consultants I would suggest you start with the Validation Institute. The following example is a good reason why.

Cruising around the web looking at various healthcare consulting firms and company websites I came across  a company that is targeting employers and claims they  have vetted and can bring in vendors to lower the costs for a company’s self funded health plan. Their website says they can identify, evaluate, oversee, manage and report on the vendors they propose.

On their home page is a chart used to show the savings an employer can expect to see by implementing their various cost saving approaches.  Can you spot the flaw(s)?

 

high-performing-network-chart1

 

Let’s start with the first and most glaring error and its on the first line. Continue reading

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Heading to HiMSS: What I’m Looking for in Population Health – Can you wow me?

I have been to the last few HiMSS conferences and each year population health is a big topic.  It seems everyone is talking about population health. From booth to booth, the vendors discuss how they are doing population health; when in fact each of these vendors brings a potential solution to some segment of the population health ecosystem. Population health is so broad that to do it completely requires collaboration between the person, family, providers, vendors, non-profit organizations, communities and the government.

But there are unique features I’ll be looking for from vendors in this space.  I base these features off the Population Health Alliance Framework for Population Health from the Outcome Guidelines Version 6. The framework is at the bottom of this post.

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PopHealth Week May 27 – Evolent’s IPO and the Quantified Self

PopHealth Week

May 27 at 12 pm Eastern

http://www.pophealthweek.com

 

the three cohosts

 

 

Join Fred Goldstein, Gregg Masters and Doug Goldstein as they discuss recent news and issues in population health. This week’s show will focus on Evolent Health and their recently announced IPO as well as the Quantified self and health care data, who’s using it, and what are some of the issues the industry and we face. This show was prerecorded due to scheduling conflicts and will be played at the normal time, 12 pm eastern on Wednesday May 27. There were some issues with the audio, but they have been addressed for next week’s show on June 3 with Jennifer Drago of Sun Health discussing their Community-based Care Transitions Program.

Here’s some background on the two topics:

Topic 1 – Evolent Health Announces Their IPO

Evolent Heath announced their IPO this past month. Here is some information on Evolent from their website (http://www.evolenthealth.com)

 A PARTNERSHIP DRIVEN BY A GREATER PURPOSE

Evolent Health helps progressive health care systems lead, build and own the path to value-based care. No matter your current state of transition, we partner with you to drive real, lasting transformation from the inside out.

OUR COMPANY

Founded in 2011 by UPMC Health Plan and The Advisory Board Company, we are a high-growth firm headquartered in Arlington, Virginia. Across multiple Evolent and partner system sites, our 750-member team of experts works shoulder-to-shoulder with provider leadership to shape the future of health care. Evolent is proud to partner with leading providers and physician organizations in over 25 markets across the country.

OUR OFFERING

Evolent provides the integrated technology, tools and team to advance value-based care. Our work begins with the Blueprint, an immediately actionable strategic roadmap that defines target markets, assesses needed clinical and operational capabilities, and is supported by a detailed business case. We implement the Blueprint through our Market Facing Solutions, which accelerate the path to value and embed and connect crucial capabilities through a Value-Based Services Organization:

  • Tailored clinical programs, patient engagement tools, quality and risk coding, and specialized care teams to deliver Population Health Performance
  • High performance network optimization and management, backed by proven physician compensation models and integrated specialty partnerships foundational to Delivery Network Alignment
  • Leadership, scalable back-office infrastructure, and analytics and reporting teams required for Financial And Administrative Management
  • Organizational governance and design, physician-led practice transformation, and change management to drive “inside-out” System Transformation
  • Data integration, clinical and business content, EMR optimization, and value-business applications through our purpose-build technology solution—IdentifiSM

From Evolent’s S-1:

Financials

2013               2014

Revenue         $40.3M           $100.9M

Loss                 $32.8M           $52.3M

Assumptions

They believe the current market opportunity is $10B and will be $46 by 2020, that health expenditures will increase from $2.1T to $3.2T by 2020, value based care will increase from 10% to 50%, the provider sponsored health plan market will grow to 15% of the total health plan market and they estimate $1T in waste in the system.

A good blog on the topic by Stephanie Baum

6 Takeaways from Evolent Health $100 Million IPO Registration

An interesting piece from Rock Health on who might be next for an IPO

http://medcitynews.com/2015/05/digital-health-ipo/

 

Topic 2 – Quantified Self, Data, Privacy and Meaningful Use

The second issue we’ll discuss is the quantified self, and the incredible growth in personal data that is being gathered and used from wearable devices and other sources.

The Washington Post had a recent article entitled The Revolution will be Digitized by Arianna Eunjung Cha, May 9, 2015

http://www.washingtonpost.com/sf/national/2015/05/09/the-revolution-will-be-digitized/

Kojo Annamdi from NPR had a show on The Digital Fingerprints We Leave Behind Online with some interesting information and statistics

http://thekojonnamdishow.org/audio/#/shows/2015-05-19/the-digital-fingerprints-we-leave-behind-online/88470/@00:00

There have been numerous data breaches including this one:

CareFirst Data breach

http://www.nytimes.com/2015/05/21/business/carefirst-discloses-data-breach-up-to-1-1-million-customers-affected.html?_r=0

And the recent hacking of an adult dating site and sharing of intimate details online:

http://www.welivesecurity.com/2015/05/22/adult-dating-site-hacked-leaking-private-information/

Issues like who owns the data, whose using it, its value, the No MU without Me campaign and others will be addressed. So join us at 12 pm eastern at www.pophealthweek.com and follow us on twitter @pophealthweek.

 

 

 

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Last day for Early Bird Registration to the PHA Forum 2014

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Whether you’re a population health provider, an ACO, provider group, health system, employer, health plan, have products or services used to support population health management or an investment firm interested in the space, you need to attend the Population Health Alliance Forum 2014 in Scottsdale Arizona December 10 – 12. At the Forum you’ll get real world information on what’s worked and what hasn’t. You’ll hear from programs and PHM services in Medicare, Medicaid, employer groups and the military.

The Forum is bringing together great speakers like Rain Henderson, CEO, Clinton Health Matters Initiative, Esther Dyson, founder of the Way to Wellville, Brian Klepper, CEO, NBCH, David Nash, MD, Dean of the School of Population Health at Jefferson and Kaveh Safavi, Global Managing Director of Health, Accenture.

Add to that great tracks on Analytics to Action, Excelling in Engagement, Powerful PHM Strategies, and Tech Touch: Strategies in mhealth and Apps.

For Employers looking at wellness and other population health programs we are offering the Workplace Healthcare and Benefits Institute, on December 10, and if you register for this as an employer, you can attend the rest of the conference at no additional cost.

The Forum is an incredible opportunity to learn and Network with leaders in the population health space. In fact today is the last day for early bird registration so now is the time to sign up. You can learn more about the Forum here and register by clicking on the Logo below:

PHA Forum Logo

And have you seen the hotel? Think December…. think Scottsdale, great place, great time of year,

Fairmont Princess, Scottsdale, AZ

Fairmont Princess, Scottsdale, AZ

Hope to see you there.

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