Thoughts from Centricity™ LIVE and the promise of collaboration

Michael Rose

On this final day of Centricity LIVE, I want to reflect back on the three days we spent in Orlando, Florida.  Centricity LIVE included:

  • Approximately 1700 customer and partner attendees
  • Approximately 70 sponsors
  • 42 Exhibitors
  • Over 230 individual sessions covering financial management, care delivery management, population health, enterprise imaging and technology and included 338 speakers
  • 3 fantastic keynote speakers – Atul Gawande, surgeon, author and public health researcher; Melissa Etheridge, rock singer-songwriter, guitarist and environmental activist;  and LeVar Burton, award-winning actor, presenter, director, producer, author and literacy advocate
  • Hundreds of meaningful customer conversations

I attended so many dynamic, impactful sessions that it is difficult for me to choose my “top 10” sessions so I want to focus on one session that I particularly enjoyed as it addressed one of my favorite topics – Payer and Provider collaboration.  This expert panel discussion included:

  • Rahul Dubey, Managing Director, AHIP Innovation Lab
  • Devin Jopp, President and CEO, WEDI
  • Tom Pfiffner, Executive Director Revenue Management and IS/IT Applications , Advocate Medical Group (IL)
  • Richard Sadja, CFO, COO and CIO, Family Practice of Glendale (CA)
  • Jon Zimmerman, VP and GM, GE Healthcare

The panel focused on the journey from volume to value-based care delivery.  We all know that for health plans and providers to be successful in this environment of increased risk sharing, organizations will need to be more closely aligned.  It is a given that the promise of IT will play a critical role in improving transparency and driving alignment yet it was interesting to me that there is still a culture of distrust between payers, providers, hospitals and patients.  After HIPAA, the Affordable Care Act and Meaningful Use, it is disappointing that, according to Dubey, the perception still exists that “this is my proprietary data” and “these are my claims”.  I also think that Providers still say “these are my patients” and hospitals still say “these are my data”.

The panel discussed sharing “non-threatening data”.  For example, sharing accurate prescription therapy compliance data would benefit providers, payers, pharma, and of course patients.  This was intriguing to me so I decided to dig into the topic of sharing prescription compliance data and became aware of national awareness campaign called “Script your Future”.  This campaign identified troubling trends in prescription compliance1:

  • 20% – 30% of medication prescriptions are never filled
  • Medications not continued as prescribed in about 50% of the cases
  • The World Health Organization estimated that by 2020, the number of Americans affected by at least one chronic condition requiring medication therapy will grow to 157 million
  • Rates of medication adherence drop after first six months
  • Only 51% of Americans treated for hypertension are adherent to their long-term therapy
  • About 25% to 50% of patients discontinue statins within one year of treatment initiation

The economic cost of non-compliance is astonishing2.

  • Direct cost estimated at $100 billion to $289 billion annually
  • Costs $2000 per patient in physician visits annually
  • Improved self-management of chronic diseases results in an approximate cost-to-savings ratio of 1:10
  • Non-adherence causes ~30% to 50% of treatment failures and 125,000 deaths annually

Prescription therapy adherence is just one example of the promise of collaboration instead of competition, sharing instead of hoarding.  When we meet at Centricity LIVE 2016 in Phoenix I am looking forward to many more sessions regarding payer-provider collaboration and hearing about our customers’ success in tackling this thorny issue.

  2. Ho 2009, Circulation; Levine et al. 2013, Annals of Neurology

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