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Mishka Glaser, Managing Associate, Joins the Health Directions Team

Posted by Matthew Smith on Nov 18, 2014 11:02:00 AM

Mishka Glaser, Health Directions, Managing AssociateHealth Directions is pleased to announce the addition of Mishka Glaser, CISA, Managing Associate, to the Health Directions team. As a key strategist in the Population Health Management Solutions Group, Mishka leads the implementation of clinical integration, accountable care and other innovation strategies for the firm’s clients. 

"Mishka's wealth of strategic insight and experience in the field of population health brings an exciting new dimension to our Population Health practice area," says Daniel J. Marino, Health Directions President/CEO. "Her in-depth knowledge of value-based care operations provides the context for assisting our clients in navigating their population health journey."

Mishka brings over 15 years of experience in various sectors of healthcare—from physician practices to insurance and pharmaceuticals. Her past positions include IT Audit Manager at Sparrow Health System, Project Manager for a Statewide HIE project at Michigan Public Health Institute, Project Manager at Roche Pharmaceuticals, Territory Sales Representative with Aventis Pharmaceuticals, Program Manager Life Operations and Process Improvement at Blue Shield of California.

Prior to joining Health Directions, Mishka served as the Director of Implementation Services for Collaborative Health Systems in Houston, Texas, working with over 30 Medicare Shared Savings Program Accountable Care Organizations across the US. 

She holds memberships in the Health Information Management Systems Society (HIMSS) where she is serving a two-year term as a member of the Quality, Cost, and Safety Committee; the Information Systems Audit and Control Association (ISACA); and the Healthcare Financial Management Association (HFMA).

Mishka earned a Bachelor of Science in Business Administration (Accounting Information Systems) from Central Michigan University and a Masters of Diplomacy and International Relations (Global Health and Foreign Policy) from Seton Hall University.  

Please join us in welcoming Mishka to the Health Directions team!

To download a PDF version of Mishka's latest article, MSSP Year 1 Results – New Surprises or Business as Usual? please click on the button below (no form required).

MSSP, Accountable Care, Population Health

Topics: ACO, MSSP, Medicare Shared Savings Program, Mishka Glaser, Accountable Care Organizations

MSSP Year 1 Results – New Surprises or Business as Usual?

Posted by Matthew Smith on Oct 28, 2014 3:01:00 PM
By Mishka Glaser
Managing Associate, Health Directions

Shared Savings, MSSP, ACOWhile a fair amount of bashing and fear mongering have occurred with the release of the MSSP Year 1 Results, there are other important factors to consider.

The results should come as no surprise to those who have been around healthcare for a while. There are two main reasons for this statement:

  1. Change is uncomfortable. The healthcare industry and the landscape/structures for successful change are just beginning to form.
  2. Change is not a regular occurrence in the industry nor is it filled with early adopters/risk takers. For example, today there are dozens of articles discussing how EHRs should be put out to pasture because they are difficult to use, a waste of time, and—as many pointed out after the first U.S. Ebola case—detrimental to patient care.  EHRs (and the data they are capable of providing to support sound decisions) are key components to the changes that must be made. 

At the heart of the Medicare Shared Savings Program is a fundamental change in the way healthcare is conducted and measured. Make no mistake; there aren’t any tried and true recipes for success; however there are some key indicators that are emerging. Two of these are care coordination and analysis of clinical and claims data to understand the entire population and also drill down to understand the individual patient. 

Without these, the MSSP ACOs in particular, will be hard-pressed to reach shared savings. Certainly some of them can have early wins based upon their experience with other risk programs because they are a small, close knit group who have great relationships with local hospitals, etc. However, the key to taking the next step to continue to find savings will be analytics and care coordination.   

Much to the dismay of some organizations, this isn’t an exercise where money is handed out for doing nothing. This program was built to incentivize the changes that are needed to move toward value-based care and population health and, frankly, as a learning center. The first-year performance exemplifies this point.  

  • About a quarter (25%) of the 2012 and 2013 ACOs were successful at generating and earning savings from which about 40% of those were ACOs launched in 2013. 
  • As CMS announced in their fact sheet, “this year, the ACOs improved significantly for almost all of the quality and patient experience measures.” (source)
  • Also, “organizations showed improvements in 28 of the 33 quality measures.” (source)

Ultimately, as an industry, we need to learn to measure success from a different angle. While financial windfalls are certainly at the top of the list of how to measure success, when dealing with the large scale changes that are needed to right this ship, there are many other factors that must be utilized to understand success. Much has been learned along the way, and there is much more to learn. 

All healthcare silos are still learning how and what to measure for quality, how that relates to “performance,” how to best utilize and connect the data points, etc. All of the HIT push from the past 10 years has set the stage for the incremental wins that are now occurring. It is now up to all of us to continue connecting the dots and helping retrain and retool the way healthcare is viewed and is conducted. 

 

Mishka Glaser, Health Directions, ACO, MSSPAs a member of the Health Directions Population Health Management Solutions Group, Mishka leads the implementation of clinical integration, accountable care and other innovation strategies for the firm’s clients. Her in-depth knowledge of value-based care operations provides the context for assisting clients in navigating the population health journey. Prior to joining Health Directions, Mishka served as the Director of Implementation Services for Collaborative Health Systems in Houston, Texas, working with over 30 Medicare Shared Savings Program Accountable Care Organizations across the US. Mishka may be reached by email at [email protected]
 
MSSP, ACO, Health Directions, Accountable Care

Topics: ACO, MSSP, Medicare Shared Savings Program, Mishka Glaser, Accountable Care Organizations

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