PCMH: A Framework for Practice Transformation

The term ‘Medical Home’ maintains rank among buzzwords in today’s health care industry, specifically as the term relates to seeking formal, national recognition from major accrediting bodies like the National Committee for Quality Assurance (NCQA), The Joint Commission (TJC), or the Utilization Review Accreditation Committee (URAC). However, the term itself dates back to a concept first-introduced by the American Academy of Pediatrics (AAP) in 1967.

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Brea Neri
Taking Control of Your Future Health

We know that only a very small percent (10-20%) of our health is a by-product of what occurs when we visit our family physician or go to the hospital. We also know that chronic diseases consume a huge amount(1) of our health care budget. Why are these chronic diseases so prevalent? They are, for the most part, “lifestyle” diseases…

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Brea Neri
The Value of being a Data-driven Organization

In recent years, we have witnessed a huge shift in recognition around the importance of data as an asset. As the world undergoes a digital transformation, the seemingly small details of our lives are tracked, recorded, and leveraged as data points to make decisions. This cascade of information is growing at a rapid rate, creating innumerable opportunities for organizations to innovate and better serve customers and clients.

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Brea Neri
North Carolina Primary Care Providers: Here's Why You Should Be Paying Attention to the Advanced Medical Home (Part I)

Medicaid’s transition towards Managed Care is complex and represents a fundamental shift in how care to beneficiaries is both delivered and paid for in North Carolina (NC). However, you do not have to digest all 700+ pages of the State’s recent request for proposal to understand how this transition will affect NC primary care providers (PCP). There is a handy shortcut that provides the essential principles and parameters guiding health care delivery under Managed Care: The Advanced Medical Home (AMH).

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Brea Neri
North Carolina Medicaid Opens the Door for Collaborative Care

When the state of North Carolina set out to transform Medicaid over 3 years ago, many in the behavioral health world cringed.

The public behavioral health community has undergone some form of change about every five years for the last 20 years; from the days of community mental health centers, to the formation of the Local Management Entity (LME) system and the current LME/MCO structure.

Each of these major changes have required flexibility and resilience on the part of those working in the public mental health arena, particularly as they seek to help confused consumers navigate the continual system changes. However, as Medicaid Transformation has unfolded, a little ray of sunshine has emerged, symbolizing that we just might be moving toward an era of better care for patients with behavioral health needs. 

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Brea Neri
From Food Deserts to Food Swamps: Interventions to Improve Patient Health

We each make over 200 decisions about food daily. Many of these decisions are strongly influenced by our food environment and may contribute to health status based on what is available. Limited access to nutritious foods, as well as overwhelming access to nutrient-poor foods, can be addressed by health professionals through motivational interviewing with tailored education and knowledge of community resources.

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Brea Neri
Aledade, Emtiro Health Partner to Create Independent Primary Care Physician-Led ACO in North Carolina

Today, Maryland-based Aledade, Inc. and North Carolina-based Emtiro Health, LLC announced they are forming a new partnership to support independent providers in the North Carolina Foothills and Greater Piedmont-Triad area under Aledade’s newly formed, physician-led Accountable Care Organization (ACO). The Medicare Shared Savings Program (MSSP) ACO benefits North Carolina physicians and their patients by offering a model that rewards doctors for improving quality of care and patient health outcomes, while lowering costs.

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Sarah Dohl
Trusting our Gut (Microbiome) in Nutrition-Focused Healthcare

We have all experienced a “gut feeling” about something or someone in our lives. These strong, intuitive instincts have likely lead us to act one way or another, perhaps even serving to protect. In a similar way, research is revealing that the beneficial microbes found in our gut may be influencing our mental state (via the gut-brain axis) and protecting us from a host of diseases and illnesses.

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Sarah Dohl
Project ECHO: Improving Access to Speciality Care

In 2003, Dr. Sajeev Arora, a liver specialist at the University of New Mexico School of Medicine, realized that his specialty clinic for the treatment of Hepatitis C was overrun with patients in need of care. Wait lists were long and many of the patients who were being seen struggled to keep their appointments because of the long distances they had to travel to Albuquerque to receive Interferon, a complicated and sole treatment available at the time.

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Sarah Dohl
Rethinking (Patient Centered) End of Life Care

Technology has done wonders for the medical world, enabling providers to sustain life in ways that were not imaginable 50 years ago. However, when there’s no hope of a reasonable recovery, why is every life sustaining option implemented in spite of what the patient may want?

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Sarah Dohl