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A Blueprint for Next Generation Utilization Management

By Dan Lessler, MD, MHA, FACP, Chief Clinical Officer | Blog,  10/26/2022,   0 comments

As much as the practicing medical community recoils at the thought of prior authorization (PA), the need to address inappropriate and unnecessary medical care remains paramount. In 2012, Berwick and Hackbarth estimated the cost to society of overtreatment to be between $158 billion and $226 billion. A 2019 update to this estimate approximated the cost of overtreatment or low-value care to be between $75.7 billion and $101.2 billion. (The latter study used more conservative cost assumptions that likely explain most of the discrepancy between the two estimates.) Other similar data suggests that low-value care contributes substantially to health care costs. For example, the Washington Health Alliance — a regional health improvement…

 

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Celebrating National Recovery Month

By Christi Hildebran, LMSW, CADC III, Senior Director, Research and Evaluation
Blog,  09/02/2022,   1 comment

By now we’ve all heard the staggering rates of overdoses — over 100,000 dead in one year. There is another side to this story. The side of redemption, hope, recovery.

It is estimated that over 20 million people are in recovery from addiction.

September is National Recovery Month, an observance held annually to promote evidence-based treatment and recovery practices, acknowledge the strong and proud recovery community, and highlight the dedication of providers and community…

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Health Data Interoperability: We Have the Tools We Need — Let’s Use Them

By Richard Gibson, MD, PhD, Medical Director
Blog,  08/16/2022,   0 comments

Health data interoperability can encompass different types of data: Clinical data, social determinants of health (SDOH) data, community-based organization (CBOs) services and appointments data, and claims data, to name several.

Health data interoperability can involve many parties: Patients and families; providers, surgery centers, lab and imaging centers, hospitals, health systems and pharmacies; dentists; allied health personnel; public health; community-based organizations; state…


Addressing Social Determinants of Health Through Multisector Collaborations and Community Engagement
Even before COVID-19, we knew that where a person lived impacted their health and well-being. But the pandemic has laid bare profound health disparities caused by structural… more
Modernizing Data Governance to Meet Population Health Needs
Over the last two years, public health data systems have been recognized for their ability to provide valuable insight into the pandemic. However, there are many other critical… more
Addressing Substance Use in the Working Population
In the United States, an estimated 11 million people struggle with substance use disorder (SUD). More commonly referred to as addiction, SUD is a complex medical condition where a… more
Person-Directed Care: A New Way of Thinking
As a practice coach, I have been teaching and preaching the virtues of patient-centered care in primary care settings for over a decade. Patient-centered care is a method intended… more
Three Ways Health Care Organizations Can Use Data to Promote Health Equity
Health equity means that everyone has a fair and just opportunity to be as healthy as possible.
Better Maternal Health Means Providing Better Care Before Pregnancy
Sara will be moderating the panel discussion “Using Linked Health Data Sets for Population Health Science” at the National Association of Health Data Organizations (NAHDO) annual… more
How Misinformation Leads to Vaccine Hesitancy
We’re back for part two of our series with Dr. John H. Vassall, physician executive for Quality, Safety and Equity.
How to Address Vaccine Hesitancy With Your Loved Ones
As vaccinations ramp up, so do our hopes of putting the pandemic behind us. But our path to a post-pandemic Washington requires an all-in effort. And it’s one that may hit close… more
Building Successful Vendor Relationships
We recently sat down with Comagine Health’s director of Health IT Consulting, Nick Faulkner, to talk about how state and federal agencies can build successful collaborative… more
A Letter From Marc Bennett
Comagine Health President and CEO Marc Bennett sent this letter to employees the morning of April 20, 2021, prior to the verdict in the trial of former police officer Derek… more