Thursday, January 26, 2012

#CISummit Mohit Kaushal - Care Delivery/Primary Care Innovation Case Study


Panel 1

Care Delivery/Primary Care Innovation Case Study

Moderator: Mohit Kaushal, MD, MBA

Executive Vice President of Business Development and Chief Strategy Officer, West Wireless Health Institute 

Christopher Chen, MD

Chief Executive Officer, ChenMed 

Frank Ingari

President and Chief Executive Officer, Essence Healthcare 

Brian Prestwich, MD

Assistant Professor of Family Medicine, Keck School of Medicine, University of Southern California 

Lonny Reisman, MD

Chief Medical Officer, Aetna 

David P Kirchhoff

President and Chief Executive Officer, Weight Watchers
Lonny Reisman - AETNA:

Tiered Networks as an emerging standard. Constrained networks (to ACO as most constrained) driving quality improvements.

AETNA is building HIT tools to power ACOs.

Sharing and Interoperability is important. ETNA has acquired Medicity to provide a Health Information Exchange.

Analytics are important. 

We need precision of information. We need workflow tools to maximize performance.

AETNA has 3 models:

1. Enhanced Clinical capabilities
2. Population Management
3. White Label Payer 

Eliminating co-pays for patients have demonstrated improvements in care. ie. reduce the patients barrier to care.

Free drugs after a heart attack led to only 51% compliance. This indicates that there is far more to be done in caring for the patient.

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