Transitional Care for Older Adults: Demonstration of the Role of a Partnership Payvider.

A payvider organization provides both payer and provider services and has been linked to administrative and patient cost reduction by improving right-sized utilization of patient care services. A geriatric-focused transitional program was offered to patients covered under a value-based care risk contract formed by the payvider relationship of an integrated health system. This article describes a prospective study comparing utilization and cost metrics of patients enrolled in the transitional care program with the goal of analyzing utilization of services to better understand patient behavior patterns and care needs after hospital admission and consecutive enrollment in the program.

Operational Impact of Neurology Rural Access Model: Reflections on the Importance of Demand-Shaping.

Background And Objectives: Demand for specialty neurologic care has been steadily increasing over the past several decades, and health systems are needing to meet the demands of their patients while managing a dwindling workforce. This retrospective study investigates the operational impact of a regional neurology clinic staffed by advanced practice providers with remote physician oversight in a "hub and spoke" delivery model to serve lower complexity patients.

Methods: A retrospective, cross-sectional study was conducted to evaluate outcomes.

Implementation of E-Consults in an Integrated Health System for a Value Population.

The adoption of e-consults, a form of formal, asynchronous provider-to-provider communication in which specialty medical advice is sought, has been proven to reduce unnecessary specialty consultations, build provider relationships, and reduce fragmentation of care. While the utilization of e-consults is generally a well-accepted alternative method of incorporating specialist expertise into a patient's plan of care and adoption has become common, the implementation of this disruptive care delivery modality can be challenging. This article seeks to describe the process and operational outcomes of e-consult adoption in an integrated health system with a focus on the benefits in the context of value-based care.