Jordan Harmon

Also don’t outsource your hospital’s core services to a GPO ran by foreign PE… I do find it so odd that Vizient’s own contracts couldn’t stand on their own so they had to create a aggregation group with Mayo Clinic called Capits. (https://lnkd.in/gpiVDKvn) Which by the way Mayo Clinic is being sued because not only does Mayo control pricing on supply chain contracts for Vizient, but guess who controls pricing on their self insured insurance plan. (https://lnkd.in/guvx5mqr) Oh and as of November of last year Mayo Clinic lead their state in adverse healthcare events. (https://lnkd.in/gXsPi2sw) Should I go on or have I made my point clear on why Oklahoma hospitals should not blindly follow Vizient, Captis, and the Mayo Clinic?

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Key Strategic Insights = A Successful OP CDI Program The challenge of value-based care starts with a collaborative approach, when launching an Outpatient Clinical Documentation Integrity (OP CDI) program. Here are some key strategic insights to success: 1. Engage with Population Health Understand Pain Points: Begin by understanding the specific challenges faced. This fosters collaboration. Tailored Questions: Use customized questions to facilitate productive discussions and ensure alignment with needs. 2. Effective Software Implementation Manage Patient (Pt.) Volumes: Implement software solutions to efficiently handle pt. volumes. OP CDI Calculator: Utilize a calculator to determine Full-Time Equivalent (FTE) needs. Data Analytics and Reporting: Emphasize the importance of continuous improvement via data analytics. 3. Workflow Creation Establish Robust Workflows: Create strong workflows before integrating reviewers. 4. Collaboration & Communication Promote Strong Collaboration: Encourage robust communication between key stakeholders. Leverage Software: Use technology to reduce physician burnout & streamline communication. 5. Patient-Centered Approach Address social determinants of health (SDOH) & ensure accurate documentation of conditions and care plans. Patient Outcomes: Keep patient care at the center of all doc. & workflow processes. 6. Regulatory Compliance Adhere to Guidelines: Follow regulatory requirements such as CMS guidelines on Hierarchical Condition Categories (HCC) coding to avoid penalties and enhance credibility. 7. Measurable Outcomes Set Clear Goals: Aim for measurable outcomes like improved HCC recapture rates, enhanced RAF scores, better HEDIS measures, and addressing SDOH needs. 8. Stakeholder Engagement Involve All Stakeholders: Ensure that executives, clinicians, and other relevant parties are involved in planning and implementation process. Success Stories Recently, I helped several CDI directors validate their cases for OP CDI programs within Accountable Care Organizations (ACOs). By engaging with population health leadership, we identified key issues such as RAF gaps and HEDIS measures, and tailored processes to address them. For instance, a CDI director I guided successfully identified HCC and HEDIS recapture as their biggest pain points. With strategic solutions in place, they are now ready to implement the project for the 2025 budget yr., aiming to improve their HCC recapture rate by 20%, leveraging data analytics for outcomes and improvement needs. Benefits of Implementing These Strategies Align Risk Stratification: Properly align risk stratification with chronic conditions and healthcare needs. Quality Measures: Improve quality measures and address SDOH. Collaborative Team: Ensure success with a collaborative team supported by technology. Overall, these strategic actions will enhance patient care and operational efficiency. #Healthcare #Leadership #CDI #PatientCare #ValueBasedCare #HealthcareInnovation

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I believe every #healthcare organization—#hospital, provider group, #pharmaceutical, managed care, startup—should aim to be at least 10% better every year. If we can each be 10% better— 10% more timely. 10% more effective. 10% more efficient. 10% more equitable. 10% more patient-centered. 10% less costly. And be 10% better every single year— Over time—the compounding improvement will lead to the real transformation we seek. Ten percent does not sound like a lot and improving the first 10% won’t be hard. Because we all know we have some easy opportunities in our sight. But the next 10 and the next 10 and the next 10 will test our ingenuity and our guile. Unlocking that extra 10% is going to require an improvement mindset. Obsession with detail: with getting the big and small things right 100% of the time. Humility: the ability to call your business ugly. Flexibility: the willingness to try new approaches or introduce new talent Perseverance: the ability to keep going even when things are hard. and most of all Accountability: the ability to take responsibility for outcomes and lead. Too many of us are preoccupied with defending the status quo when we *know* we can be better. Time to change our tune—and industry culture. #leadership #motivation #saudi #uae #saudiarabia #uaehealthcare #medicine #patientcare NMC Healthcare Cleveland Clinic Johns Hopkins Aramco Healthcare (JHAH) #apollohospitals #fortishealthcare #asterdmhealthcare #manipalhospitals

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Improving healthcare affordability is a complex challenge that requires a multifaceted approach. One key strategy is to advocate for policies that promote transparency in pricing and reduce administrative costs. By increasing competition among healthcare providers and insurers, we can drive down prices and make quality care more accessible to all. Additionally, expanding access to preventative care and chronic disease management programs can help reduce overall healthcare spending by preventing costly medical emergencies. Empowering consumers with information about healthcare costs and options through education and technology can also lead to more informed decisions and better outcomes. Check out this article from Fast Company for more insight. #Healthcare #Affordability #Collaboration #Patients #Transparency

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Folks! Make sure you #follow UNC Center for the Business of Health to learn about the future of #healthcare's workforce. This latest article on AI and EHRs by Joshua Barrett and the #CBOH team demonstrate the potential promise and pitfalls of #AI in clinical operations. Will #AI improve clinical workflows? Will #AI integration into #EHRs be cost-prohibitive for many hospitals, widening disparities? What do you think? Check it out and drop me a comment!

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Join me on June 6 for an important webinar on the future of personalized healthcare! 🚀 Hear from leaders Nick W. at Philips, Laura Westercamp at Accenture, and myself (Validic) about leveraging patient-generated health data and hybrid care models to transform patient outcomes. This is a must-attend event discussing practical applications for innovation and advancing healthcare for patients—register at the link below! #healthit #digitalhealth #personalizedcare #telehealth #remotepatientmonitoring #hospitalathome

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Stop assuming everyone in your organization understands Risk Adjustment. Instead, do this: ◆ Conduct interdepartmental meetings to enhance understanding of Risk Adjustment (RA) across all teams. ◆ Clarify each department's role and contributions to RA during these discussions. ◆ Increase visibility of each other's work Have more ideas? Drop them below.

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🔎 Senators See Possible Conflicts of Interest in Health Care Pricing Tools The chairmen of two Senate committees overseeing health policy, Ron Wyden of Oregon and Bernie Sanders of Vermont, are looking into the practices of data analytics firm MultiPlan. Concerned about companies prioritizing their own profits over patient well-being, the senators are investigating MultiPlan's business model, which recommends lower payments to medical providers. This model could lead to a conflict of interest, as MultiPlan and insurers can collect higher fees when payouts are lower. The senators have called on MultiPlan to discuss their investigation and address concerns raised by a recent New York Times article. Read the full article here: Senators See Possible Conflicts of Interest in Health Care Pricing Tools MultiPlan has stated that they are working with the Senate committees to explain the complexities patients face when choosing high-priced care outside their networks, emphasizing their commitment to making healthcare transparent, fair, and affordable for all. This inquiry reflects the growing scrutiny of MultiPlan, which has faced allegations of anticompetitive behavior and collusion with insurers to fix prices. The Department of Labor also has ongoing investigations into the type of pricing services provided by MultiPlan. The attention on MultiPlan highlights the importance of employer-based health insurance, which is the most common way Americans receive coverage. Employers are increasingly looking into the cost of administering their plans and are frustrated by limited access to claims data. Legislation has been introduced to address this issue, requiring insurers to provide employers with claims data. As the investigation unfolds, it remains to be seen how MultiPlan and insurers will address concerns and ensure that patient well-being is prioritized over profits. #HealthCarePricing #PatientAdvocacy #HealthInsurance #DataAnalytics #SenateCommittees

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In my weekly piece, I discuss AI-based services in healthcare. The integration of AI-delivered healthcare services is poised to revolutionize patient care, but a significant question remains: will payers equitably reimburse these services compared to care provided by human practitioners? my piece delves into the financial implications and policies surrounding AI in healthcare, highlighting the necessity for fair compensation frameworks. It emphasizes the potential benefits of AI for enhancing healthcare quality and accessibility while advocating for equitable reimbursement structures. Follow https://lnkd.in/ewwss6wy

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Per Andrew Witty, CEO of United Healthcare: ..."I think [it is] important for the country that we [UHC] own Change Healthcare." (n8- he's not kidding?) UHC's CEO goes on to say, "This cyberattack has unfortunately created another true validation of why that was the right thing to do because it meant UHG was in a position to resolve this much more quickly than I think would ever have been imaginable in a stand-alone situation." I want to ask: What is He Smoking, and What Does He Think We Were Born Yesterday - but that would be inappropriate. So it goes n8 PS Where is the healthcare press to push back on this nonsense? PPS:  despite Change Healthcare paying the ransom for their files to be deleted by hackers, another cybercriminal group called RansomHub has begun leaking files online, demanding a payment of their own. The affiliation between Blackcat and RansomHub is unknown, but the latter is claiming on the dark web to be the actual culprit behind the breach.* *https://lnkd.in/gwDFEYFm #healthsystems #hospitals #healthinsurance #medicareadvantage #valuebasedcare

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“Disruption” is something most pundits claim to want in healthcare. And so any non-traditional entrant to any part of the industry is typically labeled “disruptor” (or if the author wants to be coy, maybe “would-be disruptor”). It comes with an automatic “outsider” label, usually a positive trait in an industry beset by frustration. But who or what actually deserves the title? Whenever any non-healthcare giant jumps into the healthcare world, it definitely elicits clicks to call it a disruptor. But what is almost always labeled as “disruption” is usually just “participation.” A new competitor joins the fray and life goes on much as before. But that’s not always true, and it’s definitely not always true that actual disruption comes from the outside. In today’s Union Healthcare Insight post, our chief education officer Amanda Shoemaker Berra shares some insight from her recently aired Strategy Bootcamp on the state of healthcare disruption, with thoughts on how to recognize true disruption from old-fashioned market entry. Like/repost/subscribe—and message us if you want to learn more about our Bootcamp series. #healthcare #disruption #healthcareinnovation

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Main Point of Value-Based Care Value-based care is a healthcare model that ties the amount providers earn to the quality and cost-effectiveness of the care they deliver to patients. Unlike the traditional fee-for-service system where providers are paid for each service rendered regardless of outcome--value-based care rewards providers for improving patient outcomes while keeping costs down.

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Valuable discussion with lawmakers, government officials, and experts at POLITICO's Transforming Health Care event this week on policy solutions to expand access to innovative therapies and digital health technologies. 🏥 Digital health and medical diagnostics were in the spotlight as innovations that could meet urgent needs for a healthcare system facing staffing shortages, a burnout epidemic, growing access gaps, and rising costs as demand grows. 🏥 "The user interface should be a priority for development of digital health tools. Ease of access and ease of use are all factors in promoting adoption and addressing health disparities with these innovations." 🏥 AI in healthcare was a hot topic as panels weighed regulations to ensure patient safety and privacy while supporting health system ability to adopt the technology to alleviate administrative burden and improve outcomes 🏥 Several sessions focused discussion on reimbursement reform, the need to rework Medicare Advantage (MA) quality ratings, and how payment systems can be improved to keep up with innovations. 🏥 "I try to be more prudent" in using diagnostic imaging to treat patients, because it's not covered like other medical options. "We're well aware patients must pay out of pocket...new tech is "not cheap..." 🏥 Panelists, including U.S. Rep. Ami Bera, MD considered how government incentives could support medtech innovation and advancement of digital health to expand access and advance health equity. Good insights from Paul Blanchfield, Lantheus, Susan Coller Monarez, Advanced Research Projects Agency for Health (ARPA-H), Dartmouth Health, and Alexander Ding, MD, MBA. #POLITICOHealth #digitalhealth #diagnostics #healthtech #medtech #healthcarepolicy #healthcareregulation #healthcareinnovation

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Embracing the Future of Telemedicine: The Path Toward Integrated and AI-Enhanced Care I fully concur with Spencer Dorn's recent post with a balanced perspective on the evolution and current limitations of telemedicine. While telemedicine has indeed not lived up to the initial sky-high expectations, its integration into our healthcare system still holds vast potential. Here are some additional points to consider: ·     Care needs to be multimodal: Effective healthcare should seamlessly blend in-person visits, telemedicine, and other forms of digital communication. This integration will cater to different patient needs and scenarios, enhancing accessibility and effectiveness. ·     Technology needs to evolve further to provide better comprehensive solutions: The current telemedicine platforms must evolve to offer more holistic healthcare solutions that are not only technologically advanced but also user-friendly for both patients and healthcare providers. ·     Adoption needs to happen: For telemedicine to truly become an integral part of healthcare, widespread adoption is necessary. This means not only by patients but also by healthcare providers who must embrace these new tools as part of their everyday practice. ·     Reimbursements need to improve: One of the major hurdles to the adoption of telemedicine has been the lack of adequate reimbursement models. As these improve, it will encourage both healthcare providers and patients to utilize telemedicine more extensively. ·     Future generations will likely be more attuned and comfortable receiving digital care: As digital natives age into needing more medical care, their familiarity and comfort with technology will lead to greater adoption of Telehealth services. Conclusion: The evolution of telemedicine is inevitable, though perhaps not immediate. With rapid technological advancements, particularly in AI, the future of integrated telehealth is promising and might arrive sooner than we think. The journey towards a technologically enhanced healthcare system is on its horizon, and it's only a matter of time before it becomes a new standard of care. That's why Idrees Mohammed and I @The Cloud Intelligence Inc are working tirelessly to bring solutions that not only foster change in our current healthcare landscape but will truly revolutionize it. #HealthcareEvolution #Telemedicine #HealthTech #DigitalHealth #AI

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With healthcare AI evolving rapidly, patients and providers are rightfully hesitant to embrace intelligent technology. As a practicing physician, I can understand the hesitancy as clinicians need to build confidence to be able to trust that technology will do what is best for their patients -- the stakes could not be higher. So, here are some thoughts on how you can cultivate trust in harnessing AI in healthcare: ➡️ Weigh the advantages and risks of adopting specific applications. Many of us are excited about generative AI, but we also know there are gaps with this technology. It might engage patient populations with unsuited or problematic dialogue if left without consistent oversight to account for issues commonly associated with generative technology — such as hallucinations (incorrect or misleading outputs) and biases. ➡️ Any effective AI selection process will need to include verifying where its core information originates. How can healthcare leaders do this? One way of gauging data quality in healthcare is to discuss data validation. Ideally, AI vendors in the healthcare space should have processes in place to ensure quality information informs their algorithm, maintain care-related content, and update data in tandem with the evolving industry landscape. I’m sharing two more ways we can make inroads to gain trust during healthcare AI adoption here: https://lnkd.in/eNqEvy_M

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“We envision a future where every child receives personalized, high-quality care. To make this vision a reality, we must overcome the challenges of #carecoordination,” said Dr. Amanda Furr, VP of #PopulationHealth at Pediatrics Associates Inc. “We understand the value of #dataanalytics, risk adjustment, quality gap closure and empowering #pediatric clinicians to improve outcomes. As our organization continues to grow, it’s imperative for us to scale our #PHM capabilities. The #Innovaccer platform enhances our understanding of patient populations and helps us make accurate diagnoses, establish and automate TCM protocols, and bridge care gaps. This holistic approach helps us to deliver a seamless, comprehensive #healthcare experience for our patients and families.” “We have an established relationship with the #PediatricsAssociates team, and we are excited to be working with them again as we are setting a new standard for #healthcare, where #technology and compassion converge to enrich the lives of children and their families,” said Abhinav Shashank, cofounder and CEO at Innovaccer. “Pediatric Associates has an impressive track record in managing over 1.5 million lives across Medicaid and commercial contracts. Innovaccer’s AI-powered, scalable PHM platform will help them effectively manage patient populations to meet their goal of managing over 1 million covered lives in the next two years. We look forward to supporting Pediatric Associates in its mission to launch a new era of pediatric care that is both proactive and profoundly impactful.” https://lnkd.in/gvUD-sm4

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I find the sources quoted in this article too one-sided (I count 11 C-suite leaders and 0 front line clinicians). There seems to be a growing gap of insight and confidence between the C-suite and front lines of healthcare when it comes to topics like EHRs. The front-line people I speak to still understand EHRs are all about revenue cycle and is otherwise a regrettable reality which continually inhibits the relationships with the patient. True #healthcaretransformation will be to bridge this gap so entire organizations buy-in to better care models which is able to leverage technology like EHRs when they are actually designed to improve patient care. https://lnkd.in/g4u7HVjD HCT Consulting Group

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Health care spending in the US is projected to have grown 7.5 percent in 2023, much faster than the nominal GDP growth rate of 6.1 percent, according to the wonks at CMS. About 17.6% of the share of the nation’s economy is now devoted to health spending or about $4.8 trillion. The entire GDP if the UK is about 2.3 trillion pounds or just shy of 3 trillion dollars. https://lnkd.in/eg_yK8yK

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I recently had the privilege of conversing with Joe Kiani, a trailblazer in the healthcare industry and a visionary leader. Our discussion centered around his innovative approach to making healthcare more accessible and efficient for everyone. Joe Kiani emphasized the importance of leveraging technology to provide high-quality care  -- including in the comfort of patients' homes. This not only improves patient outcomes but also reduces the burden on our healthcare system. His work is a testament to how technological advancements can bridge gaps in care delivery and bring about transformative change. One key takeaway from our conversation was Joe's commitment to patient-centered care. By focusing on continuous monitoring and early intervention, we can significantly enhance patient experiences and outcomes. His vision aligns perfectly with the growing trend of personalized medicine and the need for more flexible healthcare solutions – including when it comes to addiction. I love talking to leaders – especially in healthcare – and learning more about their style. Take a listen to how he talks about microfixing and his need to tackle big problems, while at the same time, speaking up when he sees injustice. Let's keep pushing the boundaries and working towards a more inclusive and efficient healthcare system! #HealthcareInnovation #HomeBasedCare #PatientCenteredCare #TechInHealthcare #HealthcareLeaders #Inspiration

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