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As my staff and customers know, I’m big on performance metrics. Metrics by themselves are innocuous. By definition, a metric is “a standard for measuring or evaluating something, especially one that uses figures or statistics.” But the concept of “metrics” represents a wholesale change in philosophy, management practice, and leadership in health and human services. Metrics are a different form of accountability. Use of metrics presumes that we can quantify the value of health and human services. Metrics force new responsibilities on supervisors, managers, and executives.
In my article, The Right Data to Manage Strategy & Performance: Ten Rules to Follow, I describe how it is important for specially provider organizations to differentiate strategic performance metrics from operational performance metrics when building their performance management operations. Strategic performance metrics are focused on reporting long-term performance and progress towards strategic objectives.
Metrics-based management, data-driven organizations, performance management systems—so many ways to describe the importance for specialty provider organizations to leverage the use of analytics to improve consumer experience and the quality of care, facilitate expanded relationships with payers, and reduce costs.
“In God we trust, all others bring data.” W. Edwards Deming
The pandemic has left the health and human service field with more than lots of virtual visits. The consumer relationship with the health care system is being remade in the post-pandemic era. Consumer expectations have changed—rapid access, great experiences, and low cost are their top priorities.
Heal, the pioneer of in-home primary care for seniors, is now in-network for Cigna Medicare Advantage customers. Cigna Medicare Advantage consumers in Georgia, Illinois, North Carolina, and South Carolina have … Continued
Insurer Humana, Inc., is expanding its use of Cohere Health’s utilization management (UM) technology. Humana will use the platform to enable seamless prior authorization for cardiovascular and surgical services. In … Continued
One Medical, the tech-forward primary care provider organization being acquired by Amazon, recently opened two locations in Dallas, Texas. One Medical partnered with Baylor Scott & White Health to provide … Continued
On October 13, 2022, the U.S. Department of Labor (DOL) released a proposed rule to help employers and workers determine whether a worker is an employee or an independent contractor … Continued
On October 19, 2022, the Boys & Girls Clubs of the Valley and Terros Health in Phoenix, Arizona launched a three-year pilot called the “Whole Child Approach” Program to provide … Continued
On October 26, 2022, Walmart Health announced plans to open 16 new health centers in Florida by the fall of 2023. The new locations will be in Jacksonville (three health … Continued
The Oregon Medicaid program received federal approval for a state plan amendment (SPA) to add mobile behavioral health crisis intervention services as a new state plan benefit. The SPA authorizes … Continued
This highly-detailed report provides a deep-dive into Minnesota’s Medicaid program. Each state Medicaid program is unique and the population’s served, benefit package, and the financing and service delivery systems differ. … Continued
Published in November 2022, this highly-detailed report explains how the Minnesota behavioral health system works – and provides all the market data, analysis, and “insider” insights executive teams need to … Continued
The long-term services and support (LTSS) population refers to individuals with long-term conditions, disabilities, or chronic impairments that require routine assistance. Enrollment in LTSS falls into four broad categories—the elderly, the … Continued
Published in November 2022, this highly-detailed report provides market intelligence on the Minnesota health system to inform a strategic plan, talk to Minnesota stakeholders, and analyze the market for new … Continued
If we’ve learned anything in the health care field post-pandemic, it’s that the current executive experience is akin to a roller coaster ride. We’re all learning what the “new” landscape … Continued
On October 26, 2022, kidney care provider Monogram Health and insurer Humana Inc. announced a new value-based care agreement for Humana plan members in Tennessee, Alabama, Mississippi, and Louisiana who … Continued
On September 1, 2022, the Maryland Department of Health (MDH) announced it selected four organizations to expand the reach of the state’s maternal and child home visiting program. The organizations … Continued
On November 3, 2022, the federal Department of Veterans Affairs (VA) reported that since 2020, the number of homeless veterans has declined by 11%. In the single night point-in-time (PIT) … Continued
On October 27, 2022, Satellite Healthcare launched a new care model for people newly diagnosed with kidney disease requiring dialysis. The model, Kidney Care Connection (KCC), offers people an individualized … Continued
On October 24, 2022, JPMorgan Chase announced that it is collaborating with Vera Whole Health (Vera, part of the apree health brand) and Central Ohio Primary Care (COPC) to launch … Continued
The County of Orange in California is accepting applications to participate in the Wraparound Orange County (Wrap OC) provider network program (PNP). The County of Orange Social Services Agency (SSA), … Continued
On October 27, 2022, the Vermont Department of Health Access released a request for proposals (RFP 03410-200-23) for independent verification and validation (IV&V) services during the design, development, and implementation … Continued
On November 1, 2022, the Colorado Department of Human Services (CDHS) Division of Child Welfare released a request for proposals (RFP 2023000119) seeking one or more vendors to provide supportive … Continued