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Monthly Newsletter

December 2017

2017 December Newsletter: AssureCare develops new MTM module, part 2.

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2017 December Newsletter: AssureCare develops new MTM module, part 2.

Monthly Healthcare Buzz…

 

CVS Health announced its plan to acquire Aetna with the intention of offering lower-cost care. The deal is valued at $77 billion and will undergo federal review.

 

Ascension and Providence – St. Joseph’s Health talk about a merger between the two non-profits. This merge would create the largest hospital chain in the U.S.

 

Congress passes short-term solution for the Children’s Health Insurance Program (CHIP). They are allocating nearly $3 billion to keep CHIP funded through March.

 

ADA released their 2018 Standards of Medical Care in Diabetes that they will continue to revise with the latest information throughout the upcoming year. There have been several updates to recommendations including an increased awareness for social determinants of health.

 

FDA addressed a number of regulations in 2017 with the increase of digital health clearances and the appointment of a new commissioner Scott Gottlieb. The FDA began accepting applications to a pilot program for pre-certification in which the companies would not need the FDA’s blessing on every individual product.

AssureCare® Develops New Medication Therapy Management Module, Part 2

Proper implementation of MTM is a win-win-win for members, providers, and payers. Medication mismanagement can be fatal for the members. The American College of Prevention Medicine reported that poor medication adherence takes the lives of an estimated 125,000 Americans annually.(1) MTM services help members take a more active role in managing their comorbid chronic conditions. Providers also benefit by saving crucial time and resources currently spent on addressing recurrent clinical problems. As the healthcare reimbursement model shifts from a strictly service-based model to a more outcome-based model, providers find MTM services very pertinent. The payer’s advantage to MTM is straight forward. By preventing complications and drastically reducing readmissions, the cost is significantly reduced. “AssureCare’s® MedCompass® product already captures salient clinical and demographic information needed for care coordination making MTM a perfect evolution of our product. We also see a huge opportunity in expanding our MTM solution for a complete, end-to-end, pharmacy solution,” commented Dr. Yousuf J. Ahmad, President & CEO of AssureCare®.

 

1. Medication Adherence Clinical Reference. Retrieved from http://www.acpm.org/?MedAdherTT_ClinRef

Join us at HIMSS 2018

45,000+ professionals from around the world gather to share insights into the ever changing landscape of health IT. Join us in Las Vegas, NV from March 5-9, 2018. We’d love to chat with you. Register today!

November 2017

2017 November Newsletter: AssureCare develops new MTM module, part 1.

AssureCare Logo for healthcare management software

2017 November Newsletter: AssureCare develops new MTM module, part 1.

Monthly Healthcare Buzz…

 

On November 13th, the FDA announced approval for the first use of a digital pill that monitors a patient’s medication intake. The ingestible sensor sends a signal to a wearable patch which passes it on to a mobile app.

 

Amazon considers entering the pharmacy space. Some pharmaceutical companies welcome the prospect of Amazon challenging the current system with technological improvements.

 

Senate Republicans have decided to include a change to the Affordable Care Act in their tax bill proposing a repeal for requiring most American’s to have health insurance.

 

The American Heart Association released new high blood pressure guidelines. Hypertension is now defined as above 130 over 80 instead of the previous 140 over 90.

 

CMS announced 18 areas the new Meaningful Measures program will track. The goal is to alleviate burdensome paperwork and refocus on meaningful patient outcomes and improved communication.

AssureCare® Develops New Medication Therapy Management Module, Part 1

“Medication Therapy Management (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse events, and improve medication adherence.”(2) Pharmacists and other providers review a patient’s complete medication history including prescription, nonprescription, traditional, alternative, nutritional supplements, and vitamins. This information is then used to improve compliance and adherence to chronic medications, review side effects and drug interactions, address potential issues to the providers, and educate the patients. Medication mismanagement and medication-related problems lead to an estimated, “1.5 million preventable adverse events occur[ing] each year that result in $177 billion in injury and death.”(1) MTM services are targeted to lower these alarmingly high rates and improve patient outcomes. “In all my healthcare experience I have found that pharmacists are the most underutilized healthcare professionals in America given the depth and breadth of their training. Our solution will allow pharmacists to spend more quality time with their patients in optimizing their medication therapy.” said Dr. Yousuf J. Ahmad, President & CEO of AssureCare®.

 

1. APhA MTM Central. (2013, October 13). Retrieved from http://www.pharmacist.com/mtm
2. Health Literacy Tools for Providers of Medication Therapy Management. Content last reviewed July 2017. Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/pharmhealthlit/mtm.html

Join us at HIMSS 2018

45,000+ professionals from around the world gather to share insights into the ever changing landscape of health IT. Join us in Las Vegas, NV from March 5-9, 2018. We’d love to chat with you. Register today!

March 2017

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March 2017

Automated Prior Authorizations Save Time and Money

Automated Prior Authorizations Save Time and Money

Prior authorizations were created to cut costs faced by payers and to reduce the number of unnecessary surgeries, tests, and medications. In theory, it seems like a logical concept that its benefits would trickle down to both patient and provider. In practice, however, based on years of provider feedback, many providers feel it has served to aid payers.
Prior authorization practices currently cost the healthcare industry between $23 and $31 billion each year per the Journal of the American Board of Family Medicine…..read more

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Built upon its Flagship MedCompass® Platform, the New Module Will Help Dental Care Professionals Deliver Quality across the Complete Continuum of Care

CINCINNATI, March 27, 2017 — AssureCare®, the leading provider of healthcare management software and solutions, announced the release of a new dental module in their patient
healthcare platform, MedCompass®. This new dental care management capability is expected to enhance and transform the way the dental authorization processes occur, especially for low income families….
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February 2017

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February 2017

In this Issue…
We Practice What We Preach

Effective Disease Management Software is More Important than Ever

AssureCare® CEO to Speak at 10th Annual World Congress

We Practice What We Preach

We strive to help our clients provide better healthcare for their members. With that knowledge, we incorporate that thinking into our daily lives at AssureCare® headquarters. For instance, we know that protein is the building block for good health. It’s not uncommon to see employees making protein shakes at all hours of the workday. We are just as passionate about our own health as we are about the clients who use our technology.

Each week, fresh fruit is delivered to the office. Most of us use our lunch hour to go to the gym across the street. At the gym, AssureCare® employees take part in cardio classes, weightlifting, and motivate one another to stay active. We are also encouraged to participate in company fundraising runs. That’s a whole lot of healthy right there. Don’t be fooled though. Sometimes we are treated to pizza, because what is life without pizza (with veggie options, of course)!

AssureCare® knows healthcare. 75% of our staff come from healthcare and medical backgrounds. What’s more, our software developers and business analysts have come to AssureCare® with years of experience in software development, combining their knowledge to make our product even stronger. Our jobs require our minds to remain sharp and our bodies healthy so that we can show up each day and work to perfect our product for you.

In addition, our parent company, the Vora Group, offers AssureCare® employees wellness incentives. The Vora Group and AssureCare® employees get a premium discount for completing a form for a tobacco affidavit or smoking cessation learning series. We also get a discount for turning in results from our yearly physical exam and can get credit for preventative exams, physical activity logs, race participation, health coaching calls and more.

We all bring our experience and our passion (and our protein shakes) together and strive to make the everyday tasks of healthcare management easier for you and your team. After all, what good is managed care software if it doesn’t improve and extend the lives of your patients or members?

Disease Management

Effective Disease Management Software is More Important than Ever

Disease Management is an enormous task for payers and providers. To defeat the challenges faced by society in managing patient illness, many different types of technology and personnel are needed to make a measurable difference. Healthcare thought leaders have defined a term that helps break down a strategy to conquer these challenges. This term is often referred to as “Triple Aim”. According to the Institute for Healthcare Improvement (IHI), the Triple Aim is comprised of three specific goals meant to enhance care at every level. The IHI states that those three goals are:

  • Improving the patient experience of care
  • Improving the health of populations
  • Reducing the per capita cost of healthcare

With an aggressive disease management strategy, each one is attainable. The CDC states that chronic diseases account for 7 out of 10 deaths every year. Treatment of patients with chronic diseases account for about 86% of America’s
healthcare costs. Due to the consistent rise of healthcare costs, patient count, and chronic disease diagnoses, we must face these issues head on with all three goals in mind. From provider to insurer, disease management technique matters.

Thanks to something called the Healthcare Read missions Reduction Program (HRRP), hospitals are now seeing reduced payments for an excessive rate of read missions. This puts more pressure on providers to manage illnesses and chronic diseases more effectively. Effective and measurable disease management is an integral component of the care coordination toolbox and has quickly gained merit for its capabilities.

Let’s discuss a specific patient named Sally. She is a smoker who was diagnosed
with diabetes a few years ago. Her smoking habit and poor diet causes her blood sugar to skyrocket. Her medical chart suggests she has been admitted to the hospital multiple times over the span of a few years due to diabetic complications. With a disease management program powered by an actionable care management software solution, she is flagged as someone who can benefit from some additional care management. Sally is then assigned to a case manager who contacts Sally to learn more about her lifestyle habits.

A personalized care plan is then developed based upon what the case manager uncovers during her interaction with Sally, enabling the case manager to create a custom treatment plan based on Sally’s history, assessments and medications. Alerts are then tailored to Sally, with real-time notifications of changes to her critical values.

Sally is given nutrition plans that she incorporates into her daily life and attends smoking cessation classes. Her risk factors for diabetes complications decrease significantly, as do her chances of read missions, continued unplanned testing, and increased trips to the doctor. Now, not only is Sally healthier, but she has received higher quality, more comprehensive care, while her healthcare costs have decreased.

Similar issues are faced by insurers, with slightly different goals in mind. When a patient continues to be readmitted for the same issues, especially when those issues stem from a manageable illness or disease, insurers look for new and innovative ways to lower patient costs and improve health. By utilizing enhanced care team models within the payer environment, and coupling these models with care management software, patient lives improve and costs are reduced. Healthcare costs can be used towards Sally in the event of an emergency, necessary testing and regular provider appointments instead of Sally’s frequent read missions.

The CDC released how much chronic diseases cost and the numbers are astonishing. Healthcare costs that could be linked to obesity reached $147 billion in 2008. In 2012, diabetes diagnoses costs reached $245 billion. Because healthcare costs are always on the rise, these numbers are much higher today in 2017.

Because the cost of healthcare is skyrocketing, disease management is more important than ever. In addition, healthcare technology is the bridge to lower cost, better care, and enhanced patient satisfaction. As healthcare costs continue to rise, it is vital to discuss cost reducing mechanisms that also increase patient satisfaction and overall population health. The Triple Aim was born out of necessity, but now all parties involved see that it not only consists of attainable goals, but that is it highly effective and offers many benefits. Providers and insurers alike strive to meet the ultimate goals of the Triple Aim, not only because they feel it fiscally necessary, but also because they have seen that it truly works.

AssureCare’s® President and CEO Presenting at the 10th Annual World Congress

AssureCare’s® President and CEO, Yousuf J. Ahmad, DrPH, MHSA, MBA, FACHE is Presenting at the World Congress on “Social Determinants of Health and How to Optimize Care Coordination Through Innovative Technology“

This year’s theme is “Advance the Shift to Value-Based Care, Address Social Determinants of Health, and Align Services with Managed Care Requirements”

February 27 –28, 2017 – Sheraton Pentagon City Hotel, Arlington, VA

We know navigating the care management terrain can be difficult. Let us make the journey easier with MedCompass®.

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January 2017

MedCompass logo, healthcare management software solutions such as utilization management (UM), case management (CM), disease management (DM), and medication therapy management (MTM).

Underlying our core philosophy is the belief that effective care
management through the use of technology can directly and positively
affect the social, ethical, and financial health of the country and its
population. 

Through MedCompass®, our care coordination solution, AssureCare®
works with organizations to improve patient satisfaction, reduce costs
associated with healthcare and enhance patient care.

In our January issue…

AssureCare’s® President and CEO Slated to Present at February World
Congress

MedCompass’s® Featured “Module of the Month” – CASE MANAGEMENT

We Invite You to Get to Know Us Better – Learn About our Diverse Team

AssureCare’s® President and CEO Presenting at the World Congress on
Social Determinants of Health and
How to Optimize Care Coordination
Through Innovative Technology


AssureCare’s® President and CEO, Dr. Yousuf J.
Ahmad, DrPH,MHSA, MBA, FACHE, recognized for
leading large health systems in developing ACO’s and
advancing their population health management
initiatives, will be explaining how crucial it is to have
technology that can keep up with the increasing demands from providers, payers and state agencies at February’s upcoming World Congress.

The World Congress 10th Annual Medicaid Managed Care (MMC) Summit is set to take place February 27-28, 2017 at the Sheraton Pentagon City Hotel in Arlington, Virginia.

Dr. Ahmad will discuss:

  • How to best utilize demographic information not covered by traditional EMRs to analyze and address social determinants of health that impact the delivery of care.
  • How a modular, highly configurable care coordination platform assists states
    in coordinating care for their members.
  • How to assess the way in which state Medicaid agencies can better assist
    with managed care plans and providers to assimilate data.
  • How to successfully coordinate care management using a database that
    integrates member and provider data.
  • How to use data to evaluate the enrollment process, authorizations, and to
    understand history and trends to best prepare for serving different populations.

MedCompass’s Featured
“Module of the Month” –
CASE MANAGEMENT
___________________________

CASE MANAGEMENT

Case management may take many
forms – from managing multiple transitions of
care for a member to linking a member with community resources. MedCompass® allows you to assess, coordinate and plan collaboratively.

___________________________

Our revolutionary technology was originally built in partnership with the Case Management Society of America.

Our unique approach facilitates proactive care management through a fully integrated database of consumer and provider information. MedCompass coordinates all
interactions using collaborative workflow management. It supports the real-time communication of information between all members of the care team, inside
and outside the four walls of traditional healthcare settings.

MedCompass’s® resources include:

  • Needs assessments
  • Care planning
  • Home and community-based treatment plans
  • Third party integration
  • Alerts, triggers, notifications
  • Reporting, dashboards, analytics
  • Appeals and grievances
  • Authorization requests


MedCompass® automatically generates system and user created tasks for specific
activities while tracking timeliness of task completion. The system allows users to
quickly review their outstanding tasks for the day, as well as flag tasks such as follow-up actions weeks in advance.

These activities can be established during implementation and added/edited/removed while in production to support the organizations current business processes.

MedCompass® is modular and highly configurable, allowing organizations to implement case management services to establish, maintain, and govern core business processes and manage case management activities.

Additionally, efficiency and effectiveness are increased through the configurability of MedCompass®, as each organization can document and govern the treatment plans and business processes that are the most effective for their population. All of this allows the care team members to spend less time navigating technology and more time providing quality care to more patients.

(Some of the AssureCare® staff enjoying the celebration of Diwali in November 2016.)

We Invite You to Get to Know Us Better

Without our diversity, AssureCare® would not exist today…

AssureCare’s employees come from all backgrounds and walks of life. Our staff includes employees from all regions of the world. Talk to any one of us and you will find out that we are from very interesting and diverse places, including but not limited to: the United Arab Emirates, India, China, Pakistan and a variety of states throughout North America.


AssureCare® is a Vora Group company, and the Vora Group is also well known for
diversity and inclusion within its portfolio of companies. We pride ourselves not only our diverse technical knowledge and backgrounds, but we also pride ourselves on taking an interest in one another’s cultures and backgrounds.


Each of us at AssureCare® like to take a few minutes of our day to ask each other how their families are, how their family vacations were, where we are from originally, and when we plan to go back to visit family or friends next.


Our diverse group of people are also encouraged to take care of our own health. After all, at AssureCare®, our focus is on bettering patient health worldwide. Our interest in a healthy work environment is clear. We are encouraged to use our lunch breaks to workout at the gym across the street or to enjoy fresh fruit supplied by our company. We even have the stress relief of escaping our work for a few minutes when our virtual gaming room is open on occasion.


With our open-air office space, we support personal dialogue between employees.
Camaraderie and human interest makes our company stand out as an enjoyable place to work, a place to share our diverse ideas and grow in both our business and personal lives.

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assurecare.com
855-995-3364
250 West Court Street, Suite 400W Cincinnati, OH 45202

December 2016

Partnership UCRI and AssureCare small

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Exciting Healthcare Updates

In our December issue…

AssureCare® and University of Cincinnati Form Strategic Partnership to Help Coordinate Care for Millions of Americans by Optimizing Their Medical Treatment

Partnership will be a national model for a public private partnership between an academic institution and a privately held healthcare industry technology leader solving a critical healthcare problem by offering a world class solution.

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Register for The World Congress 10th Annual Medicaid Managed Care Summit, February 27, 28, 2017 in Arlington, Virginia.

Yousuf J. Ahmad, DrPH, MHSA, MBA, FACHE, President & CEO of AssureCare® will be presenting “Optimize Care Coordination Through Innovative Technology.”

  • Learn how a modular, highly-configurable care coordination platform helps one of the largest, most complex states coordinate care for its members
  • Assess how state Medicaid agencies can better work with managed care plans and providers to assimilate data
  • Coordinate care management through the use of a database that integrates member and provider data
  • Use data to evaluate the enrollment process, authorizations, and to understand history and trends to best prepare for serving different populations
  • Utilize demographic information not covered by traditional EMRs to analyze and address social determinants of health that impact the delivery of care

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Also in this issue…

AssureCare® names Norm Goldrich Chief Information Officer and Chief Technology Officer

With over 25 years of Information Technology experience in the fields of Enrollment Management Systems with Predictive Data Modeling, Field Service Management, and Healthcare Systems, Norm brings a wealth of leadership, strategic direction, and management across all aspects of IT, product development, infrastructure, security, operations, and service delivery….(read more)


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