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Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013

Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013 Dr. Richard Shonk Market Medical Director UnitedHealthcare. Our Community at a Cross Road. Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America.

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Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013

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  1. Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013 Dr. Richard Shonk Market Medical Director UnitedHealthcare

  2. Our Community at a Cross Road

  3. Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America The ONLY community in America with all these programs: • 1 of 7 Comprehensive Primary Care Initiative communities, • 1 of 16 Aligning Forces for Quality (AF4Q) communities, • 1 of 17 Beacon Communities, • 1 of 62 Health IT Regional Extension Centers, • Among first seven communities selected for CMS Care Transitions • >80% of physicians and hospitals exchanging data through HealthBridge • 500 Physicians, 20+ Hospitals on YourHealthMatters.org • 109 Patient-Centered Medical Homes

  4. Payment at a Cross Road We’re being watched… By the Feds… By the State… By the Commercial Health Plans By National Companies …But is it scale-able?

  5. Quality at a Cross Road So many metrics… So little time… • YourHealthMatters • CPCi Measures • ACO Metrics • HEDIS • CG-CAHPS • Health Plan Report Cards • Internal System Scorecards Triple Aim Sounds Good! ... But sometimes it is hard not to feel like the target.

  6. When you come to a fork in the road… • Control your data • Focus on what matters • Speak the same language • Insist on transparent methodology • Timing can be important • Neutral Third Parties are important • Continuously Improve

  7. Thank You!

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