Humana & Privia Medical Group–Georgia Partner with Bamboo Health to Earn KLAS Research Points of Light Award
2024年5月16日 - 10:47PM
ビジネスワイヤ(英語)
Program increased visibility into patient
whereabouts to improve Medicare Advantage patient outcomes and CMS
Star Ratings
Lack of real-time data can present serious barriers to care
coordination for patients after they leave the hospital. That
challenge was the motivation for an innovative collaboration
between Bamboo Health™, the leader in Real-Time Care Intelligence™,
Humana and Privia Medical Group (PMG)–Georgia to bridge care gaps
for patients enrolled in Medicare Advantage plans. The program was
one of only 22 presentations selected for a Points of Light Award
on May 14 at the 2024 K2 Collaborative Summit, a KLAS Research
conference for health plans, providers and industry leaders.
"At Humana, we are dedicated to delivering personalized,
high-quality care experiences for our members," said John Cope,
Director of Stars Technology at Humana. "Partnering with Bamboo
Health and Privia in Georgia has enabled us to leverage
cutting-edge technology to optimize care coordination and support
our members' healthcare journeys. This recognition reaffirms our
commitment to driving innovation and fostering collaborative
partnerships that positively impact patient outcomes and advance
the future of healthcare."
The collaboration, launched in Georgia, illustrates the value of
health plans and provider organizations working together to achieve
shared value-based care outcomes. Bamboo Health’s care coordination
solutions, including Pings and Care Gaps, provided real-time
notification flags for Transitions of Care (TRC) and post-ED
follow-up for patients with high-risk multiple chronic conditions
(FMC). This visibility allowed Humana’s health plan and Privia’s
patient care teams to coordinate and monitor care from admission to
discharge to post-acute and follow-up care. The proof-of-concept
worked to avoid any gaps in care as patients pivoted from inpatient
to follow-up settings within a 72-hour window.
By working together, the collaborative team was able to improve
patient outcomes, reduce the risk of hospital readmissions, lower
cost of care and better CMS Star Ratings. The results of the
program included:
- Increased visibility into patient whereabouts via Bamboo
Health’s Pings platforms’ TRC & FMC flags over a 90-day
period
- 8.2 percent improvement in TRC measures by Privia
- 3.2 percent improvement in FMC measures by Privia
- 84 percent of Pings alerts closed by Privia, resulting in
timelier follow-up, better care coordination for patients/members,
and improved provider satisfaction
"We are honored to be recognized alongside Bamboo Health and
Humana for our collective efforts in driving innovation and
improving patient care," said Ryan Graham, Vice President of
Practice Operations and Value-based Care at PMG–Georgia. "This
collaboration exemplifies the power of technology-enabled solutions
in bridging care gaps and enhancing care coordination. Through
real-time insights and proactive interventions, we are improving
health outcomes for our patients and strengthening the healthcare
ecosystem as a whole."
The project demonstrated that using technology to create strong
governance structures and streamlined communication networks among
all stakeholders is essential in improving alignment between health
plans and care teams. Bamboo Health and Humana are currently
assessing opportunities to add additional electronic health records
(EHR) integrations and plan to expand the program to other provider
organizations and markets across the country.
For more information about how stakeholder collaboration can
improve care transitions and patient outcomes, visit
bamboohealth.com/closecaregaps.
About Humana Inc.
Humana Inc. is committed to putting health first – for our
teammates, our customers, and our company. Through our Humana
insurance services, and our CenterWell health care services, we
make it easier for the millions of people we serve to achieve their
best health – delivering the care and service they need, when they
need it. These efforts are leading to a better quality of life for
people with Medicare, Medicaid, families, individuals, military
service personnel, and communities at large. Learn more about what
we offer at Humana.com and at CenterWell.com.
About Privia Medical Group—Georgia
Privia Medical Group—Georgia is part of Privia Health, a
technology-driven, national physician enablement company that
collaborates with medical groups, health plans, and health systems
to optimize physician practices, improve patient experiences, and
reward doctors for delivering high-value care in both in-person and
virtual settings. The Privia Platform is led by top industry talent
and exceptional physician leadership, and consists of scalable
operations and end-to-end, cloud-based technology that reduces
unnecessary healthcare costs, achieves better outcomes, and
improves the health of patients and the well-being of providers.
For more information, visit priviahealth.com.
About Bamboo Health
Bamboo Health, the leader in Real-Time Care Intelligence™,
delivers actionable insights on a patient’s physical, behavioral
and social health – empowering healthcare professionals to provide
the right care at the right time for the right outcomes. Delivered
through our Smart Signals™ network – the largest and most
interoperable care collaboration community in the nation – our
insights improve more than 1 billion patient encounters a year
across more than 2,500 hospitals, 8,000 post-acute facilities,
25,000 pharmacies, 32 health plans, 50 state governments and 1
million acute and ambulatory providers. Connect with Bamboo Health
on Twitter, LinkedIn and Facebook. Visit BambooHealth.com to learn
more.
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version on businesswire.com: https://www.businesswire.com/news/home/20240516621580/en/
Abby Rosenau Bamboo Health arosenau@bamboohealth.com
Caty Carrico Pushkin Public Relations caty@pushkinpr.com