MARIA K TODD International Healthcare Expert Contracted reimbursement • Shared risk • Cost information • Steerage to exclusive providers / lockouts • Failure to pre-certify /pre-auth penalties • Social media reputation used for vetting • Telehealth reimbursement - evisits • Domestic health tourism paid by insurers • Employer direct contracting • Increase in ERISA employer plans Shared risk • Zip code level data • Community Health Needs Assessment (CHNA) • Community health status indicators (CHSI) • Age, gender, lifestyle, education, SES, longevity, health status, access, quality, outcomes, nutrition, built environment, crime, safety Physicians • Employment by hospitals • ACOs, IPAs, PHOs, MSOs • Mega practices • “Doc fix” • Concierge medicine • Direct practices • Technologies in office • House calls • Telehealth / remote telemonitoring Bundled case rates • Episodic care • Bundle construction • Inclusions / exclusions • Case rate definitions / attachments
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Health tourism • Destination attraction • Marijuana tourism • Anonymity • Rapid access to care • Dialysis travel • Caregiver respite care • Experimental care • Clinical trials • Employer options / Private exchange • Cadillac tax avoidance • Executive checkup programs / MICE • Support / convenience • Physician renown • Branded health • Cost considerations • IRC213D expenses Marijuana industry • Medical marijuana tourism • 90% of mountain town recreation sales; 7% overall sales • Real estate / move-ins • ED utilization / coverage issues • Exchanges / ONET coverage • Chronic and costly disease therapies • Clinical trials UColorado-Boulder • Conflicts with patent meds • Children + edibles accidents Social media in healthcare • Content marketing • Reputation intelligence • Content marketing • Brand / Patient engagement • Budget:$200-$350/day (*Content Factory)
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