Kevin Dedner, MPH

CMS released the new Medicaid rule and it’s over 900 pages. The experts at Sellers Dorsey have summarized this to reflect the major components and what they might mean to your stakeholders and your business. Let the experts help you comply with this new rule! #medicaid #medicaidpolicy #medicaidmanagedcare

6

Patient involvement in HTA decision-making is a critical concern, and in this study focused on Latin America, findings echo experiences in other regions. These include undervaluation of patients in HTA decision-making, lack of transparency, lack of a clear methodology for the integration of the patient perspective, and lack of support from government institutions in mainstreaming patient representation. This is great research and highlights a continuous need to find better ways of integrating patients into decision-making. Great job, Aline!

11

2 Comments

The Marketplace Affordability Project Report (MAP-Report) is out! CHLPI Director of Health Care Access Elizabeth Kaplan participated in the Working Group that helped create the report! Here are some key findings: 1. #ACA reforms expanded coverage, especially for marginalized communities. Now we can build on that success by making sure enrollees can afford premiums and needed care. 2. Expensive cost-sharing can make it hard to afford services that prevent and manage chronic conditions. This disproportionately impacts marginalized communities and should be a priority for policymakers looking to build on the success of the ACA. 3. High deductibles can cause financial burdens for marketplace enrollees without large emergency savings, meaning that unanticipated medical expenses limit wealth building in marginalized communities. 4. Enhanced #PremiumTaxCredits have made more generous plans accessible to low-income enrollees, addressing barriers to care. Policymakers should make them permanent. Policymakers can build on the success of the ACA by supporting consumer assistance programs. Doing so is crucial for improving healthcare access and empowering individuals to make informed and cost-effective decisions. Thank you to everyone who worked to get this report out! Check out the Center on Budget and Policy Priorities blog on the report here: https://lnkd.in/eADkvzze #MAPReport Read the report here: https://lnkd.in/e-pgAzmd

2

Thank you to Mary E Foley and Marty Dellapenna RDH for inviting me to deliver a keynote presentation at the MSDA 2024 Spring Symposium. In the keynote, I spoke about how the Medicaid Utility, powered by SKYGEN, will leverage new technology to solve old Medicaid problems. Medicaid Utility will be focused on making Medicaid work better for everyone. It will bring together the essential technology infrastructure to more efficiently connect all the key stakeholders, so together we can increase access and engagement, improve health outcomes, and advance health equity. The challenge is bigger than just one organization or company, so the solution has to be bigger. By engaging with our State and MCO partners, we believe we can more effectively work together to help roughly 85 million members get and stay healthier. With no public investment required, Medicaid Utility 1.0 aims to collaborate with states and managed care organizations to solve communication, administration, and information challenges that have plagued Medicaid programs for too long. We envision a time when the Medicaid Utility could evolve into a public-private partnership successfully joining key stakeholders for the betterment of the Medicaid program, and most importantly the members. To keep the conversation going or, if you are interested in learning more about how we can work together to drive Medicaid forward, please contact us: https://lnkd.in/gjmVpsB6

65

3 Comments

Start your week with a quick but insightful analysis of the state of investments in #digitalhealth by Michael A. Greeley at Flare Capital Partners. "The opportunities to “transform the business of healthcare” (Flare Capital’s tag line) remain obvious and acute, notwithstanding that the level of investment activity has receded from the $30 billion highwater mark in 2021 to a more manageable $10 – $12 billion annual pace. Healthcare technology now represents approximately 8% of all venture capital investments. Just as important is the number of companies funded which is trending back to 400 – 500 companies per year, implying that round sizes have decreased dramatically to ~$20 million, according to data from Rock Health." Read the full article. Julien de Salaberry John Nosta Gil Bashe John Ruffolo Michael Wasserman Suzanne Grant, CD Donald Jones Rizwan Kheraj Alexei Doudkine Laetitia MacDougall Levi Shapiro

10

Agilian's CEO, Jamey Harvey, put together a great overview of the Medicaid Health Equity Ecosystem. It's packed with both information and perspective of a true expert in the intersection of Medicaid, health equity, and digital liberation. This is the first part of the presentation... definitely worth asking for part two! #digitalliberation #Medicaid Agilian.com

3

1 Comment

Here is a disruptive idea we have been working on: Moving payments for ED clinicians from fee-for-service to global budgets. There is an opportunity to potentially test this in Maryland if we can get the stakeholders aligned. Here is an article on the topic we just published in Annals of Emergency Medicine Payment Innovation in Emergency Care: A Case for Global Clinician Budgets with Jonathan Oskvarek Arvind Venkat Bernard Black Ali Moghtaderi Marika Kachman Nishad Rahman Dr. L Anthony (Tony) Cirillo Arjun Venkatesh Dhimitri Nikolla. Emergency department should be thought of (and paid like) fire departments. Fire departments are paid a fixed amount and are paid for fire safety, not by the fire. The same applies to EDs, we should be paid to take care of a communities' needs and to prevent ED visits and to make sure people are ok afterwards. Makes sense, right? Michael Bond American College of Education Aisha Terry (formerly Liferidge) Michael Silverman Alison Haddock, MD, FACEP Ryan Stanton Robert Glatter, MD Gabe Kelen, Click this link for the article: https://lnkd.in/g7bfp-hz

219

49 Comments

Today's behavioral healthcare is broken due to misaligned incentives. This is one of the core reasons why we started Integral Health -- to fix the incentives to reorient toward patient outcomes. With technology and data, we can now build outcome-based behavioral health to scale. Integral Health #vbc #outcomebasedcare #behavioralhealth #incentivealignment

65

4 Comments

Good question Prof. Georgi Chaltikyan, MD, PhD, I think worldwide this could be already the case but not in Germany. We need to do a lot of work I would say. #digitalhealth #digitalization

3

3 Comments

Brag Moment: Advanced Health Outcomes' CEO, Dr. Sharon Hibay, was reaccepted to the Mathematica and Centers for Medicare & Medicaid Services CCSQ Hospital Harm Technical Expert Panel (TEP) for measure development. Such a great way to give back to our healthcare industry, generating measures that genuinely drive care transformation, outcomes, and just accountability. #MeasureGeek #PatientSafety #ReduceHospitalHarm

57

11 Comments

Father's Day is approaching and it feels like the ideal reason to reshare the piece I penned earlier this month on prostate cancer and how technology can be leveraged to combat the disease. This morning, I attended a Men's Health Summit at the U.S. Department of Health and Human Services (HHS). One speaker mentioned that every man in his family had been diagnosed with prostate cancer. The stats are alarming: 💬 16% of Black and 20% of Hispanic men are diagnosed with prostate cancer. 💬 Prostate cancer is the #2 cause of death of all cancers in Black and Hispanic men. It's evident that while AI solutions are prevalent across various industries, they often lack the essential elements of #culturalempathy and #personalizedcare for these individuals. From my perspective, this gap presents an opportunity for meaningful change. #cancer #cancercontrol #Healthdisparities #healthequity #aihealthcare #prostatecancer #fathersday https://lnkd.in/ed_wy2mz

19

🚀 Excited to be tagged in Dylan Reid(Moskowitz) announcement about the FY24 LEAP in Health IT! This initiative marks a significant leap towards integrating #AI and #BehavioralHealth in our healthcare systems, aligning perfectly with the urgent need for innovative health IT solutions. The focus on enhancing health care data quality for AI applications and accelerating health IT in behavioral health settings is not just timely but critical. These efforts by the ONC to push for scalable, interoperable health IT solutions could dramatically improve care coordination and patient outcomes. 💡 I'm particularly intrigued by the emphasis on developing lightweight IT solutions for behavioral health—a sector that has long awaited such forward-thinking integration. It's an area ripe for impactful innovations that could reshape patient care dynamics. Hats off to the teams at HHS and ONC for driving this change. Looking forward to the transformative projects that will emerge from this initiative. 🔗 For more details on the funding opportunity and how to apply, check out the full announcement here: HHS LEAP in Health IT Announcement https://www.hhs.gov/news #HealthcareInnovation #DigitalHealth #HHS

1

Next week I will be a speaker at the Aspen Institute’s @AspenDigital's inaugural Product Equity Summit. 👇🏾 Here are my talking points for discussion with the summit attendees: 🎤 Community (patient) engagement and intersectionality when designing products and solutions  🎤 The role data plays in addressing disparities in health and what lessons we can learn as it relates to data collection; referencing women’s health data gaps and diagnosis challenges as examples 🎤 Emerging trends or technologies I foresee shaping the future of health equity and the healthcare industry more broadly (federated machine learning, synthetic data, patient opt-in data generation/collection methods) What did I miss? Are there points you think I should discuss? Let me know in the comments below👇🏾 or send me a message 📩 . I'm looking forward to learning from and getting to know other innovators dedicated to health equity. If you are in DC, consider attending the summit. The three-day event unites product equity leaders within tech and key civil society stakeholders in a collective effort to advance industry standards and collaboration in product equity. #TechAccountabilityCoalition #WomensHealth #Healthequity #ResponsibleAI #TechForAll #ProductInclusion #ProductEquity

69

8 Comments

I’ve been given advice that the fastest way to monetize HER Heard without charging the end user (woman) is trackers and selling data. Instead, I’d like to build something more trustworthy. I don’t want to be in a headline like this. If you are not paying, then you are the product (you/your data are being sold). There are newer ways to deindentify data or even to aggregate things women search for that can be of interest to various stakeholders. In theory that could be okay to sell, but in a post-Roe world with laws encouraging bounty hunting, I am vetting the choices ahead. I am all for moving fast, without breaking things.

6

Here are 5️⃣ critical evaluation points to include in your next Maternal Health Equity solution RFP to ensure you select the right partner for your organization: 1. Integrates seamlessly with existing systems, EHRs, and workflows 🔄 2. Captures actionable Social Determinants of Health (SDOH) information 📊 3. Augments staff through patient navigation support to Community-Based Organizations (CBOs) to support food insecurity, transportation needs, and more 🤝 4. Addresses “whole person” health needs 🌟 5. Promotes high patient or member engagement rates with relevant education to empower their health 💪 Download our full Maternal Health Equity RFP template and let's improve maternal health outcomes, reduce complications, and build a healthier community together! 💜 Download now: https://lnkd.in/eUx5_38G #MaternalHealthEquity #HealthcareInnovation #RFPTemplate

9

1 Comment

CMS Releases Update on National Quality Strategy Sharing insights on the CMS National Quality Strategy, a groundbreaking initiative to enhance healthcare quality, safety, and accessibility, especially for underserved communities. This strategic framework prioritizes a person-centric approach across all stages of care, fostering collaboration with key partners to turn quality goals into action. You can learn more about CMS's efforts in this transformative journey toward a more equitable and outcomes-driven healthcare system for everyone. https://lnkd.in/g-CBHdkk #humanexperience #patientexperience #healthcare #equity #saftey #engagement #outcomes

15