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) solution for members with serious illness is a valuable solution for improving care quality and the overall patient experience.
While the attendees who stopped by our booth were familiar with palliative care, they found our structured, process-driven approach very innovative. We were gratified to hear from so many participants who believe our Turn-Key solution answers their need for palliative care programs and services to ensure consistency of quality care for members who are seriously ill, improve outcomes and offer scalability across broad geographic regions.
Here’s a snapshot of some presentations at HLTH, their focal points and how our programs and services correspond with these market trends.
Presentations Focused on Artificial Intelligence (AI) and Machine Learning
We heard the words AI and NML in virtually every presentation and throughout the exhibit hall.
These terms were used among such high-profile companies as MasterCard, which launched a NML-powered healthcare revenue-cycle management solution, as well as GNC, which introduced a personalized nutrition and wellness program powered by an advanced AI platform that analyzes DNA, health history, diet, family history, medication and more to create an optimal diet, supplementation and fitness routine for consumers. Others included Nuevozen Corp, developing and deploying AI-driven Breast Cancer Diagnostic and risk prediction solutions, and Binah.ai’s AI-powered, video-based health and wellness monitoring solutions.
Our solution echoes these themes: using predictive analytics applied to payer claims data, our solution identifies members earlier in the disease trajectory. That data is further stratified to identify members who are predicted to experience an over-medicalized or inappropriate death. This member-centric, technology and process-driven approach goes beyond the traditional referral model used by payers.
We use this predictive model in combination with real-time referrals from health plan case managers or others to identify members for the program. We do not simply identify members at risk of death in the near-term or solely identify potential high-cost members. Instead, utilizing claims data and leveraging a powerful form of AI and NML, our model identifies members who would benefit from palliative care and do so on a timelier basis.
Participants Tout the Importance of Social Determinants of Health (SDoH)
A keynote presentation from the venerable Kaiser Foundation Health Plan unveiled a Food for Life program, designed to address food insecurity as an important SDoH. The Kaiser program, a multi-pronged social needs initiative set to launch in 2020, is intended to increase healthy food supplies for Kaiser Permanente members by connecting them with underutilized resources. Kaiser is indicative of the attention that payers and primary treating physicians are now giving to SDoH and the myriad of non-clinical issues facing members.
Turn-Key Health has SDoH embedded in its DNA. Along with focused attention to both clinical and non-clinical matters, we are helping payers through specialized care coordination to account for SDoH. In fact, these issues are magnified exponentially for individuals and their caregivers facing serious illness and living at home.
There is increased recognition that even the most mundane household problems or unexpected events associated with daily living can be overwhelming for patients and family members, creating gaps in care that often compromise the overall healthcare experience. This often results in diminished care quality and lower patient satisfaction, as well as unplanned care, overmedicalization and higher costs.
In fact, we make a special point of referencing a non-working refrigerator in our newest white paper, “Unlock the Value of Community-Based Palliative Care to Close Clinical and Non-Clinical Care Gaps,” where an 84-year old woman with diabetes was non-compliant with insulin because she had no place to preserve it. This real-world example typifies a non-clinical issue that may not have been detected by other efforts, including remote monitoring.
Engaging Patients/Consumers to Advance Better Individual Outcomes
A standing-room-only presentation from Facebook and a special press briefing introduced a new tool for monitoring individual compliance with cholesterol and cardiac medication, health screenings and flu shots. Facebook is partnering with some of the nation’s leading advocacy organizations, such as the American College of Cardiology, American Cancer Society and American Heart Association, and anticipates that other preventive measures will be introduced in the coming months.
Additionally, many exhibits focused on ways to engage patients and trigger interventions that mitigate healthcare complications. The focus on engagement transcended every type of healthcare platform and was tied to cost avoidance and improved patient outcomes.
In line with this emphasis on patient engagement, Turn-Key tailors its activities for members with serious illness and living at home, starting with the basic tenets of CBPC and wrapping them in structure and process. Our member-centric approach cares for the whole person, deploys dedicated care teams to engage with members in their homes and aims to identify and close clinical and non-clinical care gaps.
Clinical care teams provide in-home palliative assessments and interventions that strengthen member engagement, including medication reconciliation, symptom management, caregiver support and care coordination back to the treating physician. It is an approach that also incorporates sensitive conversations with members and caregivers around goals of care and advance care planning.
These multiple opportunities for in-home member engagement allow the clinician team to zero in on factors that can lead to improved care coordination and lower ED utilization and preventable hospital readmissions.
Turn-Key Health — Part of the Future of Healthcare
Over our four-day experience at HLTH 2019, we participated in numerous discussions with current and prospective partners, heard from some of the nation’s leading healthcare luminaries and learned what many of the high-profile healthcare companies have planned for the coming years. We are excited to be a part of this evolving healthcare landscape and look forward to shaping the direction of palliative care. Our leadership role in specialized CBPC is highly recognized as we help payers and providers more cost-effectively improve the healthcare experience for people with serious illness.