Posts Taged personalized-healthcare

The Shift to Value-Based Care

As the shift in healthcare focuses more on value-based care, many healthcare providers, patients, and manufacturers are seeing positive trends. This shift allows for less focus on paying for prescription drugs with specific costs that are not guaranteed to meet a patient’s needs. As things are progressing in the world of value-based care, here are a few points many are making about the transition that focuses on value.

Improved Quality and Cost-Effectiveness

Increased focus on value improves overall quality of healthcare, and with this comes lower costs. High quality care does not necessarily mean it’s more expensive, which is relieving for many patients. The one issue with improved quality or performance is that it can sometimes be measured too narrowly, like in the case of length of stay. For example, patients staying at a hospital for a shorter amount of time and recovering more quickly shouldn’t be discharged as soon as possible. If their ailments are not completely cured, the hospital could face high readmissions, which leads to loss of credibility. Overall, performance and quality have improved over the past five years because of the way healthcare organizations are managing populations and putting emphasis on quality.

Quality in Specialty Industries

“Value-based care is all about shifting the incentives from paying exclusively based on volume, and instead paying for value delivered. I think it makes physicians and care providers think holistically about the patient,” said Durral Gilbert, president of supply chain services at Premiere Inc. Due to many speciality therapies having higher costs, this is especially true. When there are multiple drugs on the market that claim to cure the same condition, which one is giving patients the results they want? Because of the costs of so many of these specialty drugs and services, it’s often assumed that it’s all about how much money will be required to receive specialty treatments. Having an optimized outcome will lead to lower costs for patients, employers, and caregivers.

There are many shifts happening in the world of healthcare and Catholic Benefits Trust is keeping up with everything. Our members will receive a number of benefits, such as lower fixed costs, asset protection, and valuable data. Contact us today for more information on what we provide to our members and how we could help you.

 

Read More

How You Can Benefit From Joining An ACO

cost effective health care focusing on preventive medicine with accountable care organizationsThe traditional health care payment system favors quantity over quality. Because health care providers are compensated on a per service basis, they profit more from a high volume of patient visits, treatments, and procedures. This system isn’t conducive to preventative medicine because a healthy person wouldn’t generate as much profit as an unhealthy person.

How do accountable care organizations (ACO) solve this problem?

An ACO differs from the traditional system by rewarding health care professionals for keeping their patients healthy and reducing the number of procedures they need. Partnering with an ACO means the focus is on quality of care instead of quantity. Here are 3 reasons why you should consider partnering with an ACO:

1. The focus is on the patient, not the paycheck. The compensation system of an ACO facilitates more communication among caregivers and patients. Because one single doctor doesn’t have all the answers all the time, communication among a patient’s multiple doctors is important for giving accurate diagnoses and treatment. The ACO system requires communication by giving physicians an incentive to find care options specific to each patient’s needs.

2. Patients will have access to a larger team of healthcare professionals. An ACO brings health professionals and providers that share similar values together. As part of an ACO, patients and professionals will have access to the expertise of other professionals within their ACO’s network. This network also means that patients waste less time filling out forms and answering questions about their health. Because every member of the ACO is connected, patient information can be shared easily and securely among them.

3. Preventative care becomes essential to reducing costs and keeping patients healthy. This cost-effective care model means everyone benefits by improving and maintaining the health of patients. Not only does a patient’s health become more of a priority, but preventative care reduces long term spending. When you identify and treat a health problem early on, you save on possible costly, invasive treatments that would have been needed in the future.

At the Catholic Benefits Trust, we take a similar approach with our healthcare payment system. Instead of focusing on profits, we focus on providing the best care options for our members. You can learn more about our flexible, low-cost health care solutions on our website or when you contact us.

Read More

3 Ways To Get Cost-Effective Benefits

find cost effective healthcare at Catholic benefits trust for nonprofits

Health insurance rates are still on the rise despite recent legislation making it more accessible to a larger population of people. Staying on top of increasing rates is a major obstacle nonprofit organizations and employers must face. So, what can you do to cut costs while maintaining decent health care services for your employees? Here are a few ways employers can start saving:

  • Invest in Employee Wellness

Helping your employees develop and maintain a healthy lifestyle now will save your organization money in the future. It’s estimated that 60-75% of healthcare expenses in the U.S. could have been avoided with better lifestyle choices. For example, encouraging employees to quit using tobacco is one way a wellness program can effectively help your employees while also cutting health costs.

  • Consider a Private Plan Exchanges

You also have the option of a plan-exchange approach. Nonprofits can work with a private health insurance exchange to select a plan that meets their needs. A private exchange collects a limited number of plans from different commercial insurers. While there aren’t as many options in a private exchange, it makes certain commercial plans more accessible to nonprofits.

  • Opt for Self-Insurance

Instead of purchasing a fully-insured plan from an insurance carrier, you can save money by outsourcing administrative services. These self-insured plans allow employers to have more flexibility when it comes to plan design and savings. Outsourcing services such as claims processing and provider networks will let you select an insurance partner who will work with you to cut costs. Partnering with a trusted organization that shares similar values is a great way for self-insured employers to mitigate risk while navigating the options flexible plan design allows.

Partnering with an organization such as Catholic Benefits Trust will guarantee you access to certain member benefits. At CBT, we offer legal protection of employee benefit funds as well as secure management and analysis of medical data. With years of experience, expertise, and Catholic values, our benefits and services will provide your nonprofit the guidance you need to find a flexible plan that works for you. As a member of CBT, your organization will also join the CBT Board of Directors where all major decisions are made. You won’t find that kind of control anywhere else.

Contact us today to find out if the Catholic Benefits Trust is right for you!

Read More

CBT Partner Recognized For Superior Care Solutions

catholic organization awarded for health care solutionsWe are pleased to share the news that Conifer Health Solutions has been recognized once again by a national accrediting agency for their quality and effectiveness. Conifer Health Solutions is a pioneer when it comes to customizable health care that benefits your organization’s financial health as well as patient health. Their care delivery system is one of the innovative services that sets Conifer apart. As our business partner, Conifer provides cutting-edge data analytics for each of our member’s health plans.

Conifer Health ranked No.1 for categories including Best of Breed Technology and Process Improvement, Client Relationships and Cultural Fit, and Innovation and Customization. Conifer ranks so well for accountable care and value-based reimbursement solutions because of their diverse and innovative services. For example, Conifer delivers peer-reviewed Revenue Management and Patient Experience services and solutions to the health system of their members, a service designed to alleviate cost and ensure better treatment options.  

Why Is This Important To CBT?

At CBT, our most valuable service is the coordination of patient care where we employ nurses as patient advocates to help our members navigate the complex medical system. This service sets us apart from the competition and results in better treatment outcomes with less wasted dollars. We chose Conifer as a business partner to deliver value-based care to the members of the Trust in addition to our exceptional services.

Together, Conifer Health Solutions and CBT are able to cultivate a culture of collaboration and provide superior health care options on a budget for our members. Here are some of the advantages to having this prestigious organization as a business partner:

  • Highmark shares all of the medical data from our members with Conifer to allow for efficiency and collaboration.
  • Conifer maintains all of this data for our members in an independent and secure “warehouse.”
  • Conifer frequently conducts a comprehensive analysis on the patient data.
  • Health experts hired by Conifer reach out to the employees of our members who have complex medical issues or health risks to provide one-on-one guidance.
  • With permission from patients, Conifer nurses facilitate a dialogue between all points of contact in patient care to arrive at more informed decisions for the patient.
  • CBT members have documented cost savings to be nearly 4 times higher than the costs of patient advocacy.

To learn more about the CBT and the advantages we deliver to Catholic organizations, please visit our website or contact us!

Read More

Franciscan University of Steubenville to Join Catholic Benefits Trust

The Franciscan University of Steubenville

The Catholic Benefits Trust (CBT) is pleased to announce that the Franciscan University of Steubenville will be joining as an official member on January 1, 2016. The decision to join the trust was made after considering the cost benefits and Catholic values upheld by the trust.

“It will help us to effectively manage our health care costs while, at the same time, providing access to the best healthcare network in the U.S. and will also allow the University to offer benefits that are consistent with its Catholic identity,” said Brenan Pergi CPA, SPHR, Vice President of Human Resources at the Franciscan University of Steubenville.

As a member of the CBT, the University will have access to a national network of Blue Cross/Blue Shield providers and other partner vendors along with several other additional services including lower fixed costs, a health improvement program and patient advocacy via a Personal Health Nurse. Patient advocacy means the employees of the University will be served by a Personal Health Nurse assigned to help them navigate the healthcare system. Pergi said the University is also looking forward to participating in telemedicine where members can access physicians, via audio or video, for common ailments from the convenience of their home or office.

About The Franciscan University

The Franciscan University, established in 1946, integrates academic excellence and Catholic intellectualism into a faith-based community. At the Franciscan University, students receive an exceptional education through faith-based learning. The school has a broad range of programs and majors for students to choose from as well as a student to teacher ratio of 15:1. If you’d like to learn more about the University, check out the school’s website.

Our Background

The Catholic Benefits Trust (CBT) is a 501(c)(3) non-profit dedicated to serving the Catholic Church through the improvement of group medical plans.  Any organization listed in the Catholic Kenedy Directory is eligible to become a member.  Each member organization has a seat on the Board of Directors to manage the vision and goals of the CBT.  Our services include the legal protection of funds intended for employee benefits.  We give our members ownership of their medical data and perform a robust analysis of that data. This information is used to provide a personal health management plan to specific individuals and provide feedback on performance with a full range of HIPPA-compliant management reports. The Trust assigns a team of Personal Health Nurses to assist our members. Your team of Personal Health Nurses are dedicated to your organization and will assist your employees (including priests, if applicable) in developing a care management plan.

We’re excited to begin our official relationship with the Franciscan University in the new year. If you’d like to learn more about the Catholic Benefits Trust, feel free to contact us!

Read More

How Geographic Information Systems Can Improve Healthcare

improving healthcare with geographic information systems Maps have more to do with health care than you might think. Mapping patient data is becoming a major part of how we interpret illness and create treatment plans. Geographic information systems (GIS) is mapping software that allows users to connect data with locations. Seeing data visually displayed on a map is helpful for any number of industries, especially healthcare. Mapping occurrences of diseases and illnesses from patient demographic data gives users a whole new approach to studying medicine.

Finding Geographic Patterns

The mapping of illnesses, diseases, and other patient information lets researchers find geographic patterns in the data. As patients go about their daily lives, the geographic information of where they live, work, and visit is tracked. This information alerts researchers to problem areas. For example, if a residential area experiences an usually high number of cancer diagnoses then they can search for a cause related to the environment. This was the case for some agriculturally intensive areas in California where researchers found a link between the pesticides used by the nearby farms and prostate cancer.

Regional Treatment Plans

The mapping of patient data can also improve personalized healthcare options. GIS gives researchers the tools and information necessary to find long-term trends and patterns in the health of different demographics and regions. Especially with data from wearable technology to track heart rates, sleeping patterns and sun exposure, the possibilities for specialized treatment are innumerable.

Track Infectious Diseases

Not only can GIS be used to find existing patterns and trends, but it can also help identify areas where diseases are likely to spread next. This will help with the management of disease outbreaks by tracking where patients have been and who they may have been in contact with while contagious. For example, the 2014 outbreak of measles in Disneyland required mapping to find where the children lived and who else could be affected.

Social Media

In addition to wearable tech, researchers are also able to pull geographic data from social media. In 2012, researchers used Twitter to search for hashtags related to the flu such as #flu and #influenza to plot the geographic locations of flu symptoms and outbreaks.

Mapping systems are a great way to improve how healthcare is administered to patients. With GIS systems and data collecting technology, researchers can provide sophisticated healthcare options tailored to individuals based on location. How else do you think GIS can be used to improve healthcare?

Read More