Martha Lawrence’s Post

AccendoWave - A Pain #Data Company Now, CMS is calling for plans to update utilization management committees with a person that has expertise in health equity. It also wants an annual report on health equity analysis of prior-auth policies. Those results should be posted online. "The goal of the health equity analysis is to create additional transparency and identify disproportionate impacts of UM policies and procedures on enrollees who receive the Part D low-income subsidy, who are dually eligible, or who have a disability," said a CMS fact sheet. A Top 4 Global Health #Equity Solution and Top 15 Global Remote Monitoring Company, AccendoWave, benchmarks objective brain wave pain data (specialty, gender, age) and has nine #pain databases: Emergency Department, Maternal Health, Oncology, MSK, Medical Surgical, ICU, Women, Adults, Seniors to eliminate bias, improve outcomes and reduce health care costs. If desired, AccendoWave can also create customized pain databases for partners that can be accessed on the Datavant platform.

AccendoWave - A Pain #Data Company KEY TAKEAWAYS Employers are asking payers for cost data but are hearing crickets The Consolidated Appropriations Act requires health plans to share information about cost and quality of medical services Employers are turning to federal investigations and lawsuits to resolve their frustration with payers A Top 4 Global Health Equity Solution and Top 15 Global Remote Monitoring Company, AccendoWave, benchmarks objective brain wave pain data (specialty, gender, age) and has nine #pain databases: Emergency Department, Maternal Health, Oncology, MSK, Medical Surgical, ICU, Women, Adults, Seniors to eliminate bias, improve outcomes and reduce health care costs. If desired, AccendoWave can also create customized pain databases for partners that can be accessed on the Datavant platform.

Recent CI insights identify unique and innovative features across the #medicare space, specifically concerning health plans addressing seniors' #mentalhealth. Corporate Insight #userexperience #digitalexperience #digitalhealthcare

How often are we considering the “𝐢𝐧𝐯𝐢𝐬𝐢𝐛𝐥𝐞 𝐜𝐨𝐬𝐭𝐬” #patients face just to access the care they need ❓ Beyond financial strain, these are the time, stress, and frustration of navigating a complex system that can make #healthcare feel like a second job. 𝐓𝐡𝐞𝐬𝐞 𝐡𝐢𝐝𝐝𝐞𝐧 𝐛𝐮𝐫𝐝𝐞𝐧𝐬 𝐝𝐢𝐬𝐜𝐨𝐮𝐫𝐚𝐠𝐞 𝐭𝐢𝐦𝐞𝐥𝐲 𝐜𝐚𝐫𝐞 𝐚𝐧𝐝 𝐨𝐟𝐭𝐞𝐧 𝐡𝐢𝐭 𝐯𝐮𝐥𝐧𝐞𝐫𝐚𝐛𝐥𝐞 𝐩𝐨𝐩𝐮𝐥𝐚𝐭𝐢𝐨𝐧𝐬 𝐭𝐡𝐞 𝐡𝐚𝐫𝐝𝐞𝐬𝐭. But there’s hope... 🙏 Across the industry, we’re seeing a shift toward a more supportive, personalized experience. Hospitals and clinics are simplifying processes, prioritizing human-centered care, and using technology to empower patients on their health journeys. From AI-driven treatment plans to holistic care models that address mental and social health, healthcare is finally focusing on human connection, and patient empowerment. This movement has the potential to transform healthcare into a system that supports and empowers patients every step of the way. ⭐ For anyone passionate about #patientsupport and #patientaccess, this article is worth a read. #PatientExperience #HealthcareInnovation #HealthEquity #PatientEmpowerment #PatientEngagement #PatientAdvocacy #Pharma #HealthDisparities

The promise of #healthcare providers prescribing #DigitalTherapeutics to treat #MentalHealth conditions achieved a major milestone this week - just in time for #BHT2024! The Centers for Medicare & Medicaid Services issued a final rule authorizing three new reimbursement codes for #DigitalMentalHealthTreatment devices. Find details here: https://lnkd.in/dpUFWfBb I share a perspective on the benefits of integrating digital mental health tools into patient care in the Fast Company article below. Science-backed digital mental health tools offer tremendous potential to improve care, provide support between sessions, and help patients proactively develop and practice new skills that lead to better outcomes. I'm grateful to the industry leaders & visionaries pioneering the field of Digital Therapeutics - it's been a long & expensive road with many setbacks. Perhaps someday doctors will prescribe digital therapeutics powered by the SuperBetter methodology to improve care for #anxiety, #depression, #ChronicPain, #NeurologicalDisorders & other conditions. As the industry matures, we're interested in partnerships to realize this possibility. #DTx #DMHT

Milliman reports the cost of care is up 7% and Rx costs are up 13% vs. last year. That's now $7K for individuals and $32K for a family of 4 per year. 💡 Everyone should be paying attention to these numbers—especially if you don't work in healthcare. Unfortunately, numbers like these are why the Nonfiction Research study we commissioned found that 40% of workplace insured Americans are deferring care due to cost. Part of the rise in Rx costs is due to patients getting access to new drugs that are making their physical health better while the financial burden gets heavier. This seems to be the double edged sword of pharmacy innovation. I know we're all dreaming about a world where families don't have to make this choice. Here are a few key questions we should be asking for ourselves and the people we are responsible for (whether that's your kids or your employees): 1. What actions can we take to ensure early diagnosis and chronic condition management stays affordable in 2024? The answer is not just $0 preventive care. 2. How can we fortify our finances in 2024 to be able to afford care needs when they arise? The answer is not just the HSA/FSA. I have a few ideas but I'm curious what others think... https://lnkd.in/geY3pHvG

Employers are still concerned about the rising costs of healthcare, with 82% citing the impact on their organization's competitiveness. Employers are considering various strategies to manage costs, such as using centers of excellence, implementing site of care strategies, and integrating behavioral health into primary care. Are you also concerned about high costs? Leave your thoughts in the comments. #healthinsurance #dentalinsurance  

📉 Patients are less likely to seek #VirtualCare for #BehavioralHealth when paying out of pocket. Explore the financial barriers and potential solutions in this analysis. Read more: https://lnkd.in/gNUNWY9x  #HealthcareFinance #Telehealth #MentalHealthCare #HealthEquity

Patient burnout and physician burnout together underscore the importance of transformation in healthcare. The effects of patient burnout are real—and they are an obstacle to improved health. “Going to the doctor may never be a fun experience, but surely it can be better than it is right now,” Jamie Ducharme writes in this TIME magazine article. At a time when patients want to be engaged by their primary care physician, too often, their encounters feel impersonal and rushed. When this happens, patients feel as though they are being treated by someone who doesn’t know them. It’s one reason why three out of four patients believe the healthcare system has failed them in some way, according to a Harris poll on the patient experience. The U.S. healthcare system that pays for managing sickness rather than promoting health and preventing chronic diseases (60% of U.S. adults have a chronic disease) has led to a deep moral hazard in healthcare. The U.S. spends more per capita on healthcare than any other developed country in the world, but has subpar health outcomes. It’s time for payers and healthcare systems to support primary care providers leading the transformation through new care models that incorporate technology, enhance access to care, use risk stratification models to drive high-touch, team-based chronic disease management, foster effective collaboration with high-value sub-specialists, and deliver patient centered care. “Primary care is supposed to be the bedrock of the U.S. medical system. Yet about a quarter of American adults don't have a primary care provider,” Ducharme writes. How is your organization driving a patient-centered care experience? And, what are you learning along the way? Find out how we’re advancing patient-centered care at Dr. Mary Tilak & Associates. Visit our website at marytilakmd.com. #healthcare #primarycare #value #ptexp

"Improving access to effective weight-loss treatments, including lifestyle interventions and GLP-1 medications, could help alleviate the economic burden of #obesity on #healthcare systems. These findings make a strong case for prioritising weight management strategies as part of broader #publichealth and insurance policies. As the prevalence of obesity continues to rise, adopting and promoting effective interventions could not only improve #health outcomes but also drive meaningful reductions in healthcare spending." #obesitycare #obesitymedicine #lifestylemedicine #ozempic #wegovy