Featured Vendor Showcase – An Introductory Deck: Edison Healthcare

Edison Healthcare was founded by Tom Emerick, a health benefits icon of the last several decades who oversaw benefits for companies like British Petroleum, Burger King and then Walmart. Tom became well known for his  good sense, innovations and open-mindedness. Those traits are on display in Edison, which brings together a network of best in […]

An Interview with Eric Haberichter, CEO of Access HealthNet

Eric Haberichter’s organization, Access HealthNet, develops episodic case rates (i.e., procedural bundles) for employers, health plans and providers. Here’s a quick 4.5 minute overview of this next generation reimbursement methodology. Click here to see the next Valid Points article: Tids n Bits.

Tids 'n Bits

Linda Riddell, VP, Strategic Initiatives, Validation Institute No Pain, Still Pills? Claims for almost 30 percent of physician office visits where an opioid is prescribed do not have a pain-related condition listed among the first five diagnoses, according to a recent Annals of Internal Medicine article.  It may be that something funny is going on, […]

Alternative Payment Models (APMs) as the “New Norm:” Is Your Provider Organization Ready

Eric Haberichter A national survey of providers showed that providers expect 39% of commercial payments will come via APMs in 2019. That’s an enormous, if not monumental, shift from fee-for-service arrangements made with PPOs. There are several emerging APMs: is your organization ready to accept payments from the APMs gaining the most traction? Reference Based […]

Focusing on Health Care Quality

Brian Klepper At its core, America’s health care value crisis is really rooted in our system-wide failure to focus on managing quality. Health outcomes for specific conditions and procedures vary wildly across providers, health plans and markets. A highly regarded 2008 PricewaterhouseCoopers study estimated that more than half of US health care spending provides no […]

Tids ‘n Bits (Interesting Stuff)

Linda Riddell, VP, Strategic Initiatives, Validation Institute Watch Your Steps: why the 10,000 daily goal is built on bad science from the Guardian. Who knew this started as an advertising campaign in Japan in the 1960s? It’s an example of flimsy things pretending to be fact. “See Your Dentist Twice A Year” also came from […]

An Interview with David Contorno

David Contorno, formerly of Lake Norman Benefits, now of ePowered Benefits, has burst onto the scene as an articulate and passionately activist voice for wholesale health care change, particularly for small and middle market employers. In this 10 minute video, he lays out his perspective. Go to next Valid Points article:Linda Riddell – Tids n’ Bits

The 20:1-40:5 Campaign

Brian Klepper Several critical value-based programs have come together through the Health Value Institute’s acquisition and revitalization of The Validation Institute (VI). First is the VI’s original validation process, which evaluates the credibility of a vendor’s performance claims through examination of external literature, data sources, data and performance calculation methods. In that sense, the validation […]

An Introductory Deck: Allergy Choices

Allergy Choices is a Wisconsin-based allergy management firm that has refined an alternative approach, The La Crosse Method Protocol of Sub-Lingual Immunotherapy, to modify allergy – a massive set of conditions – as a disease. Their performance claims – better health outcomes at about half the cost of conventional care – have been validated by […]

My Why

Dave Chase Originally posted 9/04/2018 on LinkedIn. I’m often asked why my life’s work has become helping build a new health ecosystem that restores humanity to patients and clinicians while achieving the Quadruple Aim. I give my most personal explanation why in the Preface to my book that publishes tomorrow. Every day, I’m inspired by […]

Validating Health Care Performance

Brian Klepper Posted 8/20/18 in Valid Points, the Newsletter of The Validation Institute The beginning of wisdom is calling things by their true names. – Confucius For purchasers, health care is the Wild West. Vendors of all types – disease managers, wellness companies, care navigation firms, ambulatory surgery centers, benefits advisors, worksite clinic firms, and on […]

Fred Goldstein on the Health Value Movement

Fred Goldstein, CEO of Accountable Health LLC, has been a hospital CEO, a Medicaid HMO General Manager, led a Medicaid specialty disease management company, been on the senior team of a prominent wellness firm, and has been Executive Director of the Population Health Alliance. As an activist for health value and a judge for the […]

The Triple Aim, Well, Two Out of Three…Really is Bad

Originally Posted August 19, 2018 on The Accountable Health Blog Fred Goldstein One of the Triple Aim‘s has gotten lost. Will anyone in the healthcare sector publicly declare that they are in fact working on the Double Aim? The Triple Aim, that lofty set of goals that the healthcare system claims to have embraced: Improving the […]

High Performance Health Care and the Shift to Higher Value

Brian Klepper “How many businesses do you know that want to cut their revenue in half? That’s why the health care system won’t change the health care system.” Current Florida Governor and Former Columbia/HCA CEO Rick Scott at a 2012 Investor conference Health care management expert Fred Goldstein recently related an encounter with health system […]