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Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013 PowerPoint PPT Presentation


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Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013 Dr. Richard Shonk Market Medical Director UnitedHealthcare. Our Community at a Cross Road. Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America.

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Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013

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Health care at the crossroads trends opportunities and challenges ahead april 26 2013

Health Care at the Crossroads:

Trends, Opportunities and Challenges Ahead

April 26, 2013

Dr. Richard Shonk

Market Medical Director

UnitedHealthcare


Health care at the crossroads trends opportunities and challenges ahead april 26 2013

Our Community at a Cross Road


Greater cincinnati tri state region setting the standard for health care in america

Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America

The ONLY community in America with all these programs:

  • 1 of 7 Comprehensive Primary Care Initiative communities,

  • 1 of 16 Aligning Forces for Quality (AF4Q) communities,

  • 1 of 17 Beacon Communities,

  • 1 of 62 Health IT Regional Extension Centers,

  • Among first seven communities selected for CMS Care Transitions

  • >80% of physicians and hospitals exchanging data through HealthBridge

  • 500 Physicians, 20+ Hospitals on YourHealthMatters.org

  • 109 Patient-Centered Medical Homes


Payment at a cross road

Payment at a Cross Road

We’re being watched…

By the Feds…

By the State…

By the Commercial Health Plans

By National Companies

…But is it scale-able?


Quality at a cross road

Quality at a Cross Road

So many metrics… So little time…

  • YourHealthMatters

  • CPCi Measures

  • ACO Metrics

  • HEDIS

  • CG-CAHPS

  • Health Plan Report Cards

  • Internal System Scorecards

    Triple Aim Sounds Good!

    ... But sometimes it is hard not to feel like the target.


When you come to a fork in the road

When you come to a fork in the road…

  • Control your data

  • Focus on what matters

  • Speak the same language

  • Insist on transparent methodology

  • Timing can be important

  • Neutral Third Parties are important

  • Continuously Improve


Thank you

Thank You!


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