Blog Posts

Creating the Buzz Around Supplemental Benefits

Blog Post | December 03, 18

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 accelerated discussions and continued coverage. Perspectives from the Panelists Andrew MacPherson, principal at Healthsperien, senior policy advisor, Coalition to Transform Advanced Care (CTAC), explained that this is the first time real value has been placed on palliative care by CMS – and more specifically on home-based, community-based palliative care (CBPC). MacPherson is also quoted in the MH article: “When a model of care is fully responsible to one's goals, values and wishes and objectives in care and life, they tend to receive higher-quality care in the home, the setting of choice…and just as a bonus, it tends to save money because you are avoiding hospital admissions that the person didn't want in the first place.” David Sand, M.D., MBA, chief medical officer, Care N’ Care Health Plan, shared an experience with his organization’s adoption of palliative care saying, “We found much earlier referral to hospice...
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 […]

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