Center for Improving Value in Health Care
Mar 27, 2017 | 0 comments | Posted by Global Administrator
Delivery System Redesign, End-of-Life Care, Palliative Care, Change Agents
Read HopeWest’s Change Agent Profile .
Listen to CIVHC CMO, Jay Want MD Chat with HopeWest’s President and CEO, Christy Whitney.
Check out the slides from the Chat.
Historically, Grand Junction has low Medicare costs. How much does that have to do with HopeWest?
Death in Grand Junction is a different experience than it is in the rest of the country. Is HopeWest part of the reason for this difference?
How can providers help to make hospice successful?
How was hospice a social movement?
How do you balance between the social movement and the business of hospice?
Should there be for-profit hospice?
How is HopeWest a social movement in Grand Junction?
Did the notion of Death Panels impact hospice care?
Why does it seem that hospice makes care make sense?
If you could change one thing about existing system, what would it be?
Coming in April:
It is estimated that by 2030, Colorado’s population over the age of 65 will increase by 150 percent. Colorado is known for being an active state, and as the demographics of the population shift, the demand for costly joint replacement procedures is likely to grow.
Across the nation and in Colorado, prices for knee and hip replacements vary widely. According to comedprice.org, out-of-pocket cost for knee replacements in Colorado can be anywhere from $20,000 - $58,000, while hip replacements can be as low as $21,000 and as high as $36,000. The Colorado Public Employees’ Retirement Association (PERA), a self-insured organization, is proactively addressing variation in joint replacement cost and quality through their PERACare Select Program for Hips and Knees.
“PERACare members receive about 100 joint replacements a year,” explains Jessica Linart, PERA’s Insurance Manager, “and PERA’s costs for in-network knee and hip replacements can vary by as much as $80,000 depending on the location and facility.” To minimize this variation and simultaneously improve care, the PERACare Select program is working with facilities that have agreed to provide joint replacements for a pre-determined price.
PERA has partnered with five metro-area HCA/HealthOne facilities to offer the procedures to eligible members with no out-of-pocket cost for most patients. “The providers who are participating in this new option are highly qualified and experienced surgeons. These providers boast lower site infection rates and shorter hospital stays than the national averages,” Linart notes. “This select group of doctors and facilities have set a fixed price for a full suite of services from intake to discharge, including surgery, hardware, anesthesia as well as pain block and management.”
Has PERACare Select been a success? What cost savings have been realized through the program? How has PERACare effected outcomes?
Join us during lunch on Friday, April 28th when CIVHC’s Chief Medical Officer, Jay Want, MD chats with PERA’s Executive Director, Gregory Smith.
Click here to register
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