Oct 09 2018
All to frequently we turn to technology as a single-point solution to our most pressing population health and utilization management needs without fully considering how to build a strong sense of community around that technology tool. In fact, without the proper blend of people and process the technology becomes largely ineffective.
Heudia believes the key to making rapid improvements in population health is to maintain the proper balance between people, process and technology without compromising relationships with key community stakeholders.
We accomplishes this using a human-centered design process that inspires ingenuity and unlocks the creative energy of community stakeholders to increase the human capital focused on the needs of vulnerable individuals. This is achieved by creating a new collaborative space that responds to self-interests and collective-needs of community-based organizations who are in the best position to help payors and providers:
- Increase Access to Care,
- Improve Population Health,
- Expand Prevention Services,
- Eliminate Health Disparities, and
- Reduce Avoidable Healthcare Costs.
This framework also serves to increase inter-organizational collaboration and communication while giving community members a more active voice in population health initiatives.
Oct 09 2018
The importance of aligning medical care with the social determinants of health cannot be understated when it comes to managing the care for uninsured and under-insured patient populations. New evidence-based and innovative care models that go beyond the scope of typical social determinants of health platforms are essential to value-based care.
Heudia’s platform – AccessMeCare – allows hospitals to extend their medical perimeter and proactively engage community stakeholders with greater ease and effectiveness.
The characteristic challenges that face our Healthcare partners include:
- High uncompensated/charity care costs associated with one or more patient sub-populations.
- High avoidable readmission rates.
- Overcrowded Emergency Department (frequently due to high weekend mental/behavioral health case load).
- Overworked or understaffed case management and discharge planning operations.
- Underutilized primary-care service line.
- Difficultly responding effectively to community health needs and challenges.
Oct 09 2018
The Medicaid Market is adversely impacted by the complex interplay that exists between healthcare providers, social programs, and the Medicaid Beneficiaries they serve. This translates into unmitigated risk at every transition of care due to a common set of barriers (i.e. culture, distrust, fear, health beliefs, knowledge, language, literacy, and transportation) at the hand of Medicaid Beneficiaries who are:
- Twice as likely to misuse the Emergency Department for non-emergent or primary care treatable illnesses,
- Require additional social support to become and remain healthy, and
- Remain vulnerable to illness because of poor health behaviors, lack of access to care, socio-economic factors, and their environment.
These factors contribute to the high rate of avoidable (non-emergent) Emergency Department visits, unnecessary hospital admissions and readmission, mental health disorders, pre-term births, and other such population health problems. In particular, the Medicaid Market has been challenged by their inability to exert influence beyond the medical perimeter and, up to this point, have had not a sustainable solution that aligns medical care with the social determinants of health.
Here are 6 things AccessMeCare does for payors –
- Encourages beneficiaries to seek care at the right time and place.
- Increases coordination of care between primary care and behavioral health providers.
- Enables health care providers to make social service referrals.
- Improves the efficiency and effectiveness of case workers.
- Engages and empowers community members to serve as health navigators.
- Equips Community Health Workers to better serve their beneficiaries.
- Improves performance and increase market share.
This ultimately translates to 5 points of value –
- Increasing Access to Care,
- Improving Population Health,
- Expanding Prevention Services,
- Eliminating Health Disparities, and
- Reducing Avoidable Healthcare Costs.