Alternative payment models lead to strategic care coordination workforce investments

Erikson, Clese; Pittman, Patricia; LaFrance, Alicia; Chapman, Susan

doi:10.1016/j.outlook.2017.04.001

Cited by 12 publications

(6 citation statements)

References 19 publications

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“…MAs' traditional roles involve rooming patients, taking vital signs, checking current medications, and recording medical histories. New or expanded roles include care coordination, health coach, medical scribe, and behavioral health screening (Bodenheimer et al, 2014;Chapman & Blash, 2017;Erikson, Pittman, LaFrance, & Chapman, 2017).…”

Section: Introductionmentioning

confidence: 99%

Frontline Workers’ Career Pathways: A Detailed Look at Washington State’s Medical Assistant Workforce

et al. 2018

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Medical assistants (MAs) are a rapidly growing and increasingly important workforce. High MA turnover, however, is common and employers report applicants frequently do not meet their needs. We collected survey responses from a representative sample of 3,355 of Washington’s MAs with certified status (MA-Cs) to understand their demographic, education, and employment backgrounds; job satisfaction; and career plans. Descriptive analyses showed 93.0% were female with a $19.91 mean hourly wage, and while generally satisfied, 56.2% indicated they would seek training or employment in another health care occupation within 5 years, with higher percentages among MA-Cs who felt overwhelmed by their workload and/or not satisfied with promotion opportunities. Regression analyses showed Hispanic, Black, and Asian MA-Cs were more likely than White MA-Cs to express interest in other health care careers. Strategies that strengthen MA career pathways and retain qualified workers should reward both employers and MAs and contribute to a stable and diverse workforce.

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Section: Introductionmentioning

confidence: 99%

Frontline Workers’ Career Pathways: A Detailed Look at Washington State’s Medical Assistant Workforce

et al. 2018

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“…In addition, the basis for these programs is patient risk segmentation and other big data analyses, an area often overseen by a nurse serving as the director of population health. 18…”

Section: Telehealth and Mhealthmentioning

confidence: 99%

“…Care coordination and care transitions have become essential functions for hospitals and ACOs, and these roles are often filled by nurses. In addition, the basis for these programs is patient risk segmentation and other big data analyses, an area often overseen by a nurse serving as the director of population health 18…”

Section: Developing Nursing's Response To Vbpsmentioning

confidence: 99%

Value-Based Payment

Pittman

Rambur

Birch

et al. 2021

Nursing Administration Quarterly

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Among the many lessons that have been reinforced by the SARS-COVID-19 pandemic is the failure of our current fee-for-service health care system to either adequately respond to patient needs or offer financial sustainability. This has enhanced bipartisan interest in moving forward with value-based payment reforms. Nurses have a rich history of innovative care models that speak to their potential centrality in delivery system reforms. However, deficits in terms of educational preparation, and in some cases resistance, to considering cost alongside quality, has hindered the profession's contribution to the conversation about value-based payments and their implications for system change. Addressing this deficit will allow nurses to more fully engage in redesigning health care to better serve the physical, emotional, and economic well-being of this nation. It also has the potential to unleash nurses from the tethers of a fee-for-service system where they have been relegated to a labor cost and firmly locate nurses in a value-generating role. Nurse administrators and educators bear the responsibility for preparing nurses for this next chapter of nursing.

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“…Combined, the Medicaid expansion and financial incentives have motivated health systems and health plans to consider the delivery of housing programmes to address the underlying conditions that may influence high healthcare spending (Cantor et al, 2020;Kuehn, 2019;Wilkins, 2015). These new stakeholders may bring further innovation that merit evaluation, such as in care coordination (Erikson et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Perceived care coordination among permanent supportive housing participants: Evidence from a managed care plan in the United States

Palimaru

McBain

McDonald

et al. 2021

Health Soc Care Community

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Homelessness is a pervasive public health problem in the United States (U.S.). Under the U.S. Affordable Care Act, the nation's public health insurance program (Medicaid) was expanded to serve more individuals, including those experiencing homelessness.Coupled with changes in financial incentives designed to reduce healthcare costs, health plans, hospitals and large health systems have started to operate permanent supportive housing (PSH) programmes as a healthcare benefit. To better understand patient perceptions of care coordination in a PSH programme operated by a large health plan in Southern California, we conducted 22 semi-structured in-depth patient interviews between October and November 2019. Two coders analysed these data inductively and deductively, using pre-identified domains and open coding.Coding reliability and thematic saturation were also assessed. Findings indicated

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Alternative payment models lead to strategic care coordination workforce investments

Cited by 12 publications

References 19 publications

Frontline Workers’ Career Pathways: A Detailed Look at Washington State’s Medical Assistant Workforce

Frontline Workers’ Career Pathways: A Detailed Look at Washington State’s Medical Assistant Workforce

Value-Based Payment

Perceived care coordination among permanent supportive housing participants: Evidence from a managed care plan in the United States

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