Blog Posts

Turn-Key Health’s Chief Clinical Officer, Terri Maxwell, Captures 2020 Penn Nursing Alumni Award for Innovation

Blog Post | May 07, 20

Author: Greer Myers, President, Turn-Key Health Each year, the Penn Nursing Alumni Awards Committee recognizes outstanding alumni, students and friends who demonstrate the power of Penn Nursing through their varied contributions to the profession and to healthcare in our nation and around the world. We are proud to announce that Terri Maxwell (GNu’85, GR’06), Ph.D., APRN, chief clinical officer, Turn-Key Health, earned the 2020 Lillian Sholtis Brunner Award for Innovation. This award recognizes a Penn graduate for innovation in interprofessional, collaborative practice impacting the nursing profession and/or the health care delivery system. Terri was nominated for this award by our own advisory board member, Mary Naylor, Ph.D., RN, FAAN, Marian S. Ware Professor in Gerontology, director of the New Courtland Center for Transitions and Health at the University of Pennsylvania School of Nursing and widely recognized for developing a transitional care model that improves outcomes for older adults and their family caregivers. Naylor says, “Terri is a remarkable and visionary leader. As early as 2013, Terri recognized that many people with serious or advanced illness received care at the end of life that did not reflect their wishes. She made it a priority that the model implemented at Turn-Key Health...
Blog Post, | Apr 13, 2020

Managing Breathlessness in Persons with COVID-19: An Evidence Review of the Role of Opioids

Written by: Terri Maxwell PhD, APRN, Chief Clinical Officer, Turn-Key Health Although most people with COVID-19 recover without needing specialist treatment, about one in six becomes seriously ill and develops difficulty breathing, most often due to pneumonia. When the lungs become infected with coronavirus and filled with inflammatory material that inflame air sacs, the body’s […]

Blog Post, | Mar 11, 2020

Caregivers: Protect Yourself – and Seriously Ill Patients – During the Coronavirus Outbreak

With the coronavirus (COVID–19) rapidly spreading across the United States, caregivers responsible for a loved one who has a serious or advanced illness should know what steps to take to protect their own health, their family and the health of their vulnerable patient. It’s important to understand that the coronavirus is not likely to be […]

Blog Post, | Feb 10, 2020

Going Beyond Clinical Care: Optimizing the Value of Medicare’s Supplemental Benefits

Enrollment in Medicare Advantage (MA) has nearly doubled over the past decade, and a new study shows that overall, at least 364 plans will take advantage of CMS’s more flexible MA policies in 2020 by providing certain types of supplemental benefits. Expanded MA supplemental benefits is largely tied to CMS’s updated guidance allowing plans to cover anything […]

Blog Post, | Feb 06, 2020

Medicare Advantage Organizations Gain a Competitive Edge for Inclusion in CMMI Hospice Carve-In VBID Model

Written by: Terri Maxwell, Ph.D., APRN, Chief Clinical Officer, Turn-Key Health VBID Hospice Carve-in application process open to Medicare Advantage Organizations (MAOs), with applications due by 11:59 p.m. EST, Monday, March 16, 2020. The Centers for Medicare & Medicaid Services Innovation Center (CMMI) recently released a Request for Applications (RFA) to participate in an expansion […]

Blog Post, | Jan 15, 2020

Enhancing the Role of Case Managers to Resolve Social Determinants of Health

When case managers partner with a structured community-based palliative care (CBPC) solution, they gain a set of “eyes and ears” into the homes of members struggling with a serious illness, resulting in better care coordination and better outcomes for members and their families. As care for members with a serious illness increasingly shifts to the […]

Blog Post, | Dec 20, 2019

Winter Weather Forecast: Snow Mixed with Social Isolation

With the onset of harsh winter weather, people living at home with a serious illness often find themselves unable to get out of the house and visit with friends or family. Gray skies and icy conditions mean more than taking it slow on the roads. Very often, bad weather contributes to social isolation, loneliness and […]

Blog Post, | Nov 14, 2019

Key Take-Aways from HLTH 2019 Forecast What Lies Ahead in Healthcare

Amid 6,500 conference participants and 400+ exhibit booths at HLTH 2019 in Las Vegas, we hit the target as the only company in attendance that was singularly committed and focused on palliative care.  Judging from the high level of interest among participants — primarily payers and provider organizations — our specialized community-based palliative care (CBPC) […]

Blog Post, | Oct 10, 2019

Expanding the Definition of Care Coordination for Members with Serious Illness

Addressing clinical and non-clinical issues creates a better patient care experience, promotes improved outcomes and strengthens the medical home. There’s little doubt that care coordination challenges are especially daunting for plan members who are seriously ill, living at home and struggling with multiple issues on a daily basis. While there is no industry consensus on […]

Blog Post, | Sep 16, 2019

Physicians Go the Last Mile to Manage Patients in the Home

How physicians can leverage community resources to improve outcomes and patient experience   Caring for a burgeoning Medicare population – many with a serious or advanced illness – places increased demands on physician practices.  Making this even more complex for physicians is the fact that the center of care is shifting outside the hospital and […]

Blog Post, | Jul 29, 2019

Invictus: Increasing Patient Choice in Advanced Illness and End-of-Life Care

Author:  Randall Krakauer, MD, FACP, FACR, participates on the Advisory Board for Turn-Key Health When this article was originally published in 2011, it pointed to many of the identical concerns that we have in 2019: in many cases of serious or advanced illness, people are given the choice of where to die too late, or […]

Blog Post, | May 16, 2019

Positive Results and Cost Benefits of a Population Health Community-Based Palliative Care Program

We’re excited to announce the publication of an eight-month pilot study in this prestigious, peer-reviewed Journal of Palliative Medicine. “ Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization” appears in the April 5, 2019, issue and reports the positive results of Turn-Key’s  Community-Based Palliative Care Program (CBPC) solution delivered to members […]

Blog Post, | May 09, 2019

Managing End-of-Life as its Own Disease State

Don’t miss John Halsey, Vice President, Payer Development, Turn-Key Health when he presents “Engaging a Medicare Population in Managing End of Life Decisions,” at this year’s fourth annual Population Health Payer Innovations for Medicaid, Medicare & Duals, 11:50 a.m. Wednesday, May 15. “We are witnessing the gradual expansion for defining end-of-life to extend beyond the […]

Blog Post, | May 02, 2019

Medical Directors Express High Praise for
Community-based Palliative Care

A growing number of payers are examining or actively deploying community-based palliative care (CBPC). So, it’s not surprising that health plans and other risk bearing entities are beginning to adopt Turn-Key’s Palliative Illness Management (PIM) solution.  What’s more, the CMS directive that palliative care is now a reimbursable benefit under Medicare Advantage plans and the […]

Blog Post, | Mar 13, 2019

Home-Based Palliative Care Programs Follow Needs and Growth of Medicare Advantage Plans

Of the 20 million Americans enrolled in Medicare Advantage (MA) plans, well over one-third can be categorized as “high need” — meaning they have a serious or advanced illness that interferes with their ability to lead independent lives. These individuals are more likely to have limited financial means, low levels of education and social isolation, […]

Blog Post, | Jan 11, 2019

How are Provider Organizations Adopting Specialized Palliative Care to Effectively Manage a Serious or Advanced Illness

Statistics just released in September 2018 from the U.S. Census Bureau sound an alarm for provider organizations that are challenged to take on the dual role of caring for seniors and functioning like health plans and other payers, such as health systems, provider risk-bearing entities, Medicare Advantage plans, Medicaid and dual eligible plans, managed long […]

Blog Post, | Dec 17, 2018

Addressing Social Isolation and Loneliness Through Community-based Palliative Care

Once simply considered social dilemmas, loneliness and isolation are finally getting the attention they deserve from public and private sectors that recognize their impact on individual health and well-being. While people of all age groups can experience this lack of connectivity, it is particularly troublesome for seniors, especially those who are experiencing a serious or […]

Blog Post, | Dec 03, 2018

Creating the Buzz Around Supplemental Benefits

Turn-Key’s expert AHIP Panel initiated some thought-provoking discussion about non-medical supplemental benefits coverage, igniting a reporter from Modern Healthcare who was in the audience to publish a follow-up article. Clearly, when the Centers for Medicare & Medicaid Services (CMS) loosened reimbursement limitations on home healthcare and home-based palliative care, these issues became high-profile areas for […]

Blog Post, | Nov 20, 2018

Join Us in Paying Tribute to Family Caregivers

People who are experiencing a serious or advanced illness depend upon the love, dedication and extraordinary personal care provided by family members. This is a time to honor these caregivers and to also recognize the value of hospice and palliative care for helping these patients and their families. November 2018 marks National Family Caregivers Month […]

Blog Post, | Oct 10, 2018

Medicare Advantage Supplemental Benefits Coverage and Palliative Care Take Center Stage at Upcoming AHIP Expert Panel

The Centers for Medicare & Medicaid Services (CMS) has finalized guidance and policies for the Medicare Advantage (MA) program that will expand the supplemental benefits afforded to beneficiaries to include items and services that address certain social determinants of health (SDOH). Supplemental benefits will include additional services that increase health and improve quality of life, including […]

Blog Post, | Oct 01, 2018

Social Determinants of Health: Shaping Patient Health from the Ground Up

Social determinants of health (SDoH) include a combination of genetic, environmental, economic, political, and social factors, as well as access to health care. Evidence shows that stress negatively affects health across the lifespan and that environmental influences may have multi-generational impacts. Addressing SDoH is essential to reducing health disparities that are often rooted in social and economic disadvantages. […]

Blog Post, | Aug 23, 2018

Home-based Palliative Care: A Value-Based Strategy that Supports ACOs in MSSP “Pathways to Success”

The challenge from the Center for Medicare & Medicaid Services (CMS) to Accountable Care Organizations (ACOs) is very specific: take on more risk going forward and get serious about delivering value. Some say these changes under a new federal program called “Pathways to Success” may upend the entire ACO movement, with estimates that it could […]

Blog Post, | Aug 17, 2018

Palliative Care & Cancer Pain Awareness Month

People who are diagnosed with cancer, as well as their loved ones, often feel overwhelmed by thoughts of prognosis, treatments, and potential complications. They wonder how cancer will alter quality of life, and fear potential pain and other symptoms that may arise. Dealing with all of these concerns requires a team effort and support from […]

Blog Post, | Aug 08, 2018

Redefining Supplemental Benefits for Seriously Ill Patients

New Medicare Advantage Policies Are More Flexible Medicare Advantage (MA) is moving into new terrain with its ability to customize care for the needs of patients with an advanced or serious illness. For the first time, recent regulatory and legislative policy changes to MA will give plans more flexibility around matching and reimbursing for services […]

Blog Post, | Jul 25, 2018

Duke University Healthcare Policy Research Report Highlights Value of Turn-Key Health Model

Innovations in Medicare Advantage to Improve Care for Seriously Ill Patients For organizations attempting to solve for the problem of high cost, poor quality end of life care, this report signals an inflection point that has been experienced by other adjacent healthcare solution providers, such as telehealth or urgent care. This benchmark study confirms growing […]

Blog Post, | Jun 22, 2018

A Strong Signal from NCQA: New Standards for Population Health Management

The National Committee for Quality Assurance (NCQA) has introduced a new category that helps health plans set and achieve population health goals. We’re pleased to see the 2018 Health Plan Accreditation (HPA) standards and guidelines: a new category — Population Health Management (PHM) — is a shift from evaluation of single-disease state toward a whole-person […]

Blog Post, | Jun 14, 2018

2018 AHIP Institute & Expo

Let’s meet at AHIP Institute & Expo and explore the value of palliative care for your members with serious and advanced illness Stop by our booth #631 or let us know a good time to meet and grab a cup of coffee. Click here to schedule a meeting with us.   You’ve probably been hearing a lot […]

Blog Post, | May 02, 2018

The Pulse: Industry News & Knowledge

The Pulse: Industry News & Knowledge Data vulnerabilities, federal exchanges and value-based care programs are in the news this month. Read how Medicare Advantage plans have been cleared to go beyond medical coverage. This blog takes a birds-eye view of the most relevant industry news, opinion and research to help you keep up to date with […]

Blog Post, | Apr 06, 2018

Specialized Community-Based Palliative Care Extends Reach of Patient-Centered Medical Home, Enhances Physician Practice

Specialized Community-Based Palliative Care With growing interest in Community-based Palliative Care (CBPC), industry observers and media analysts are turning to Turn-Key Health as a source of information and guidance. When we received a request from MD Magazine – which reaches 50,000 physicians nationwide – we took the opportunity to provide relevant background on specialized CBPC, […]

Blog Post, | Feb 23, 2018

Palliative Care Clinicians Improve Care Coordination

Palliative Care Clinicians Improve Care Coordination Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient’s care to achieve safer and more effective care.  This means that the individual’s needs and preferences are known ahead of time and communicated at the right time and to […]

Blog Post, | Feb 02, 2018

New Model Of Home-Based Palliative Care For Patients With Serious Illnesses

Written exclusively for Health Affairs, this article provides key information about Turn-Key’s community-based palliative care model Palliative Illness Management™.  Readers will learn how the TKH model is improving quality of life for persons with serious illness while lowering cost of care for payers. Here are some key take-aways:   Optimal Allocation of Resources Turn-Key contracts […]

Blog Post, | Jan 19, 2018

Palliative Care and Hospice: Understanding the Differences Part 2

In response to many inquiries about the difference between hospice and palliative care, we are taking this opportunity to provide information in our Blog. Part I provided an overview of the differences and more closely defines hospice care. Click here to read it. Part II examines palliative care in greater detail     A Closer […]

Blog Post, | Jan 12, 2018

Palliative Care and Hospice: Understanding the Differences Part 1

In response to many inquiries about the difference between hospice and palliative care, we are taking this opportunity to provide information in our Blog. Part I provides an overview of the differences and more closely defines hospice care Part II examines palliative care in greater detail – Read it here.     Disproportionate spending on […]

Blog Post, | Dec 15, 2017

Recalibrate PHM End-of-Life Care Strategies: A Business Perspective for Health Payers

It’s no secret that health payers have a list of pain points when it comes to addressing the challenges of providing quality care, creating associated care strategies, and reducing the cost burdens of end-of-life care. With a growing population of members and caregivers facing advanced illness, health plan leaders are taking a more focused approach […]

Blog Post, | Nov 27, 2017

American Diabetes Month: Palliative Care and Management of Diabetes & Chronic Kidney Disease

Observed every November, American Diabetes Month is an important element in the American Diabetes Association’s efforts to focus our nation’s attention on the disease and the tens of millions of people affected by it. Chronic Kidney Disease and Diabetes As we consider the many people affected by diabetes who are coping with chronic kidney disease […]

Blog Post, | Nov 17, 2017

Recognizing the Demands on Caregivers during National Family Caregivers Month

November 2017 is an opportune time to acknowledge the intense pressures on the average American caregiver. The Caregiver Action Network provides this overview of a day in the life of the average family caregiver: Morning: Getting off to work The average family caregiver is a working mother of school-aged children. Mornings become a tricky balancing act […]

Blog Post, | Oct 19, 2017

JAMA Publishes New Study on End-of-Life Care, Identifies Disparities & Worsening Trends

We took special note of this study in JAMA Internal Medicine because it is so relevant to the need for improved care quality at the end-of life, and the role of community-based palliative care for these individuals who are facing the specialized challenges of advanced illness. According to the survey results, respondents encountered deficiencies in […]

Blog Post, | Sep 25, 2017

Payers Adopt Innovative New Population Health Management (PHM) Models to Battle High Costs of End-of-Life Care

Death and dying are no longer taboo subjects. After decades of attention and the dedication of resources toward generalized pop health solutions, the marketplace – payers, providers, and health IT professionals — is recognizing that PHM needs a specialized focus on health plan members and their caregivers facing advanced illness.  The specialized needs of this […]

Blog Post, | Aug 30, 2017

Americans Need Advance Directives to Ensure Personal Health Care Goals at End-of-Life

Completing advance directives (ADs) — legal documents that instruct physicians on how to carry out medical decisions – is one of the most important things that every adult, regardless of age or health status, should do.  This is a person’s best way of ensuring that their wishes for end-of-life care will be carried out.  ADs […]

Blog Post, | Aug 23, 2017

23 End of Life Care Buzzwords You Need to Know

As a result of our recent blog post, Advanced Illnesses Spawn A New Lexicon of Buzzwords and Acronyms, we have been engaging with feedback and suggested terms from our colleagues. We appreciate your interest in this lexicon of new healthcare buzzwords – especially with the growing number of at-risk patients and the associated, escalating costs of […]

Blog Post, | Aug 16, 2017

Health Plan Medical Directors Adopt New Palliative Care Model

Health Plan Medical Directors Adopt New Palliative Care Model for Members with Advanced Illness Today’s health plan medical directors are innovative leaders, always seeking new solutions and opportunities to overcome tough challenges.  As they take on a wider range of responsibilities that require a greater focus on strategic business issues — such as the quality […]

Blog Post, | Jul 21, 2017

Hospitals Face Daunting But Not Impossible to Overcome Population Health Challenges for Patients with Advanced Illness

Problems with a Generalist Approach to Population Health Management While many hospitals have general population health management (PHM) solutions, they need to identify and implement a more effective way to optimize their programs for seriously ill patients. Too often, a generalist population health approach lacks specificity with unrefined analytics that simply tracks the member’s disease […]

Blog Post, | Jun 21, 2017

Advanced Illnesses Spawn A New Lexicon of Buzzwords and Acronyms

As the challenges mount for payers and providers regarding how to address the issues facing patients with serious illnesses, there is a growing lexicon of buzzwords – the terms and acronyms that are becoming an important part of the discussion. While it took years for the healthcare marketplace to fully embrace the terms PCMH, PHM, […]

Blog Post, | Jun 16, 2017

5 Key Components for Successfully Managing Advanced Illness within Broader Population Health Management Programs

Our new PIM™ model generated a lot of buzz at the recent AHIP Institute & Expo in Austin, Texas.  Congratulations to the AHIP team for planning and hosting such a successful event. While health plans expressed significant interest in PIM™ predictive analytics and its capabilities to identify members with serious illnesses, they understood that the […]

Blog Post, | May 04, 2017

Community-Based Care Model Helps Reduce Rehospitalization for Medicare Beneficiaries

Audrey is an 82-year-old is a Medicare beneficiary who lives alone at home with advanced chronic obstructive pulmonary disease (COPD). Her healthcare providers are participating in Model 2 Bundle Payment for Care Improvement (BPCI), a retrospective payment arrangement with CMS in which actual expenditures are reconciled against a target price for an episode of care. […]

Blog Post, | Apr 24, 2017

Managing Serious Illnesses: Predictive Analytics for Patient Selection & Population Health Management

Written by: Terri Maxwell Ph.D., APRN, Chief Clinical Officer Join Terri Maxwell, Ph.D., APRN, chief clinical officer, Turn-Key Health, and Ian Duncan, FSA, FIA, FCIA, FCA, MAAA, Adjunct Professor, University of California Santa Barbara, when they present a population health approach to serious illness care at the National Hospice and Palliative Care Organization’s (NHPCO) Management […]

Blog Post, | Apr 20, 2017

National Cancer Control Month: Innovative Palliative Care Models Improve Care, Increase Patient Satisfaction

Written by: Terri Maxwell Ph.D., APRN, Chief Clinical Officer April is National Cancer Control Month, marking a time when many organizations are raising awareness about cancer. In addition to understanding cancer and ways to help prevent it, we think it is a good time to reflect on the positive effects that palliative care has in […]

Blog Post, | Apr 03, 2017

Best Practices for High Risk Populations – Part Two

Part Two: Best practices for high risk populations There’s Always More to Learn from Colleagues…and Happy to Share Written By: Terri Maxwell Ph.D., APRN Chief Clinical Officer, Turn-Key Health and Matthew Harker MPH, MBA, Associate Director, Health Policy Hub, Duke Clinical Research Institute   It’s always gratifying to learn about market innovations. My participation on a panel […]

Blog Post, | Mar 27, 2017

Best Practices for High Risk Populations

Part One:  Best practices for high risk populations We’re Always Learning from Colleagues…and Happy to Share:  Written By: Terri Maxwell Ph.D., APRN Chief Clinical Officer, Turn-Key Health and Matthew Harker MPH, MBA, Associate Director, Health Policy Hub, Duke Clinical Research Institute Last week, I was happily in sunny Orlando rather than snowy Philadelphia where I was invited […]

Blog Post, | Feb 03, 2017

The Heart of the Matter: New Palliative Care Models Improve Care for People with Advanced Heart Disease

Written by: Terri Maxwell Ph.D., APRN, Chief Clinical Officer “I don’t think people realize how much my heart problem takes out of me. I can’t do the simplest tasks without getting out of breath, and sleeping comfortably at night is impossible.” -72-year-old with advanced heart failure   February marks American Heart Month, a great time […]

Blog Post, | Jan 31, 2017

Palliative Illness Management™: The Future of Caring for Seniors With Life-Limiting Illness

As Americans age, they face increasingly complex health issues that impact the quality of life and strain individual, family and societal resources. Take a look at the overall economic burdens: roughly 10,000 baby boomers turn 65 every day, and about 10,000 more will cross that threshold every day for the next 19 years,[i] flooding Medicare, […]

Blog Post, | Jan 17, 2017

An Old Story with a New Twist for Improving Care Quality and Member Satisfaction

Written by: Cyndi Seiwert, Chief Operating Officer It no surprise that when people who are suffering from complex, chronic illnesses are transferred back and forth to the hospital and become financially burdened with exorbitant co-pays for doctor visits and expensive interventions that they may not even want, they also become frustrated with their health plan participation. […]

Blog Post, | Dec 13, 2016

Opportunities for Payers and Members to Avoid Over-Medicalized Death

Written by: Terri Maxwell Ph.D., APRN, Chief Clinical Officer Rose, an 87-year-old with advanced dementia, traveled back and forth between the hospital and nursing home four times in her final six months. John, a 64-year- old with stage IV lung cancer, died after spending two weeks in the ICU when his family decided to withdraw […]

Blog Post, | Dec 07, 2016

2017 Forecasts Growing Need for Community-Based Advanced Illness Management

Written by: John Halsey, VP Business Development, Turn-Key Health   With healthcare changes underway, one thing is for certain: the year ahead will likely include more emphasis on maintaining quality care at reduced cost while improving patient satisfaction. With some analysts predicting a troublesome economy, the financial and social consequences of life-limiting illnesses may be magnified, […]

Blog Post, | Nov 21, 2016

Honoring America’s Family Caregivers as Key Participants in Advanced Illness Management for Seniors

Written by: Greer Myers, President, Turn-Key Health During National Family Caregivers Month and the Thanksgiving holiday season, Turn-Key Health salutes the estimated 40.4 million unpaid caregivers of adults ages 65+ — many of whom are elderly and are providing care for loved ones with life-limiting illnesses. As a company serving health plans and at-risk provider […]

Blog Post, | Nov 16, 2016

Palliative Illness Management™ improves care quality, reduces economic burdens for payers, patients and family caregivers

Written by: Greer Myers, President, Turn-Key Health   The senior population in the United States is projected to grow by 135 percent by 2050, with the likelihood that many will experience some form of serious, life-limiting illness, and a pattern of intense spending. This period of life is often marred by unnecessary, costly and even […]

All Blogs Have Loaded...