| | DECEMBER 201919UTLOOK Healthcare Tech Coreo. Coreo integrates data analytics, care coordination, cross-continuum patient management (acute, post-acute, and home), and in-home caregiver services and tools. The platform serves as the foundation for the deployment of Navvis' person-centered, physician-led, and team-based care model. Coreo includes:· Cross-continuum visualization of a person's `life map' (Navvis' next-generation approach to care plans)· A provider-friendly model that provides critical data, dashboards, and tools for providers and their teams to better support patients· Activation of caregivers and social service organizations· Team-based care coordination, including physicians, all care team members (clinical and non-clinical), community resources, and family members· Data-powered clinical decision making · Seamless data and workflow integrationThe Coreo platform is person-centric, placing every person at the center of his or her care. Coreo works to coordinate an interdisciplinary team around each person and his or her unique needs. The platform enables Navvis and their client partners to capture what matters most to every person and to define and support a life map (next-generation care plan) that encompasses a longitudinal view of each person and the direct involvement of providers, community resources, and family members.Case Study: The First Statewide Value-Based Primary Care Model in the U.S.Navvis' approach and their solution have helped healthcare organizations across the country create positive population health outcomes. One example is their work with Hawaii Medical Service Association (HMSA), the Blue Cross Blue Shield health plan in Hawaii, to develop and deploy a value-based payment model to primary care physicians (PCPs). In 2014 HMSA decided to accelerate a transition to value-based care. Their first step was to roll out a pioneering payment program for their PCPs. The payment transformation program swaps the traditional fee-for-service model with a single monthly payment for every HMSA patient in a PCP's practice. In the new model, payments are adjusted to reflect the needs of patients while compensating physicians when they engage patients with preventive measures.Further, the PCPs are rewarded for quality, efficiency, cost-effectiveness, and innovation. Together Navvis and HMSA worked to include all of the physicians and other community stakeholders. Through value-based payment models, physician governance, practice transformation, and physician engagement, Navvis and HMSA empowered physicians and other care providers with tools and resources so that the physicians can do their best work and deliver exceptional care to patients.The results of the pilot program published in the Journal of the American Medical Association (JAMA) show a 2.3 percentage point increase in the quality of patient care with no increase in healthcare costs. Additionally, physicians report improvements in preventive care with higher percentages of patients receiving colorectal cancer screenings, mammograms, immunizations, and diabetic eye exams. The work in Hawaii is an industry-leading example of value-based payment models and is serving as a national example for payment transformation.The Journey AheadHaving established itself as an innovator in population health, Navvis aims to create a tipping point by improving the health of over 20 million people. To achieve this goal, the company is working with market leaders including HSMA, the Blue Cross and Blue Shield health plan in Hawaii; Florida Medical Clinic (FMC), an industry leader in value-based healthcare; Horizon, New Jersey's oldest and largest health insurer; and SSM Health, a large health system serving communities across the Midwest. Navvis recognizes that ultimately, the U.S. healthcare system has to pivot from a system that currently asks people `What's the matter with you?' to one that asks `What matters to you?' When this becomes the core question, solutions no longer stop and end with treatment, and the system dramatically changes to one that never stops caring for people, supporting them throughout their lives. HTChuck Eberl Chief Strategy Officer
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