Jan 25, 2018 | News Release
MHN risk stratification method predicts cost of care and hospital utilization
Cheryl Lulias presents case study highlighting success of MHN ACO at health summit
ATLANTA— Medical Home Network’s dynamic and predictive risk stratification methodology using medical, social and behavioral determinants of health, was highlighted January 25th in a presentation by Cheryl Lulias, President and Executive Director of the Medical Home Network (MHN) and CEO of the MHN Accountable Care Organization (ACO), at the 4th Annual ACO Population Health Management Summit in Atlanta.
Lulias presented a case study titled “Identify and Manage the Rising-Risk Population to Improve Health Outcomes,” describing how MHN’s risk stratification approach is proven to be predictive of subsequent total cost of care and hospital utilization. She emphasized the innovative methodology is crucial to MHN’s care management process and enables the creation of customized care plans which in turn results in the improvement of patient outcomes and reduction in the cost of care.
“Our solution proactively assesses patient risk and stratifies the patients most in need of care by using addressable medical, behavioral, and social barriers that can impede a patient’s treatment plan and, if unidentified, may increase their risk over time,” said Lulias, who made her presentation to industry professionals at the Renaissance Atlanta Waverly Hotel & Convention Center. “Using this tool, care coordinators can continuously reassess risk, and make auto-risk adjustments based on patient performance to prioritize outreach and engagement.”
With more than 20 years of experience working with complex health care systems and health plans, Lulias is driving healthcare delivery redesign and practice innovation for safety net populations. She leads the MHN ACO, the first Medicaid ACO in Illinois, which is owned and governed by leaders from 12 health care organizations, representing nine federally qualified health centers and three hospital systems.
Lulias joined the speaking faculty of the Care Coordinator and Technology Congress to help summit attendees gain valuable strategies for improving care coordination and patient outcomes through the use of technology, predictive modeling, and population health strategies.
The ACO Population Health Management Summit brings together thought leaders from ACOs around the country to leverage available data and resources to create valuable population health initiatives to lower costs, improve quality of care, and prepare organizations to take on more downside risk and increase shared savings.
About Medical Home Network
Medical Home Network is transforming health care delivery for Medicaid patients by fostering collaboration and innovation. Our proven model of care unites communities of providers and patients around a common goal: To redesign health care delivery and transform the way care is delivered and managed, resulting in improved patient care, lower costs and better health in the communities we serve.