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September 6
2024 Making Performance The Priority
2022 (An article was not received on 9/6/22)
2021 California Medicaid Awards Statewide MCO Contracts To Molina, Anthe...
2020 (An Article was not received on 9/6/20)
2019 Key To Community-Based Success—‘Partnerships, Partnerships, Partner...
2018 How Do Consumers Pick A Provider? It’s Often Not Quality
2017 A Mosaic Solution To The Opioid Challenge
2016 Pennsylvania Selects AmeriHealth Caritas, Centene & UPMC For $5...
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Replies to This Discussion
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Permalink Reply by Paul Terlemezian on
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2016 Pennsylvania Selects AmeriHealth Caritas, Centene & UPMC For $5...
"On August 30, 2016, the Pennsylvania departments of Human Services (DHS) and Aging announced that the Commonwealth had selected three MCOs—AmeriHealth Caritas, Pennsylvania Health and Wellness (Centene), and UPMC for You—for the new Medicaid Community HealthChoices (CHC) managed long-term services and supports (MLTSS) program."
Oftentimes we will see vendors make announcements of major contracts they win. In this case it is the purchaser making the announcement. What would be the impact of a purchaser making a public announcement of a contract with an external provider?
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2017 A Mosaic Solution To The Opioid Challenge
"We each have our own lens for how we describe a complex consumer. From my lens, that is substance use. We used to think addiction was about drugs, but we know now it’s more about the brain. One of the biggest barriers in any organization is a lack of knowledge of what substance abuse problems are."
Do we really know what causes or prevents performance to the levels expected? Might there be a mosaic that represents the possible solutions? How would we develop such a mosaic? How would managers and performers use it?
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2018 How Do Consumers Pick A Provider? It’s Often Not Quality
"For home health services, 94% selected a home health service with lower quality scores on the Medicare’s Home Health Compare. When selecting a skilled nursing facility, 85.3% selected a facility with lower quality scores in on Medicare’s Nursing Home Compare."
- "Insurance coverage
- Brand awareness and positive brand perception
- Access and convenience
- Customer experience"
Do these decision factors influence our choices for learning too? What corresponds to "insurance coverage?"
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2019 Key To Community-Based Success—‘Partnerships, Partnerships, Partner...
"If you are a specialist organization operating today, payer preferences for community-based care and care coordination is changing the market landscape —and bringing with it new strategic challenges. Delivering “best practice” home- and community-based services requires collaborative, interdisciplinary teams capable of delivering services designed to support integration and inclusion."
What role do partnerships play in your performance assurance strategy?
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2021 California Medicaid Awards Statewide MCO Contracts To Molina, Anthe...
How do we learn whether to build, buy, or partner? How do we teach others this competency? Is it possible or desirable?
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How do we understand the terns - "Diversity of thought" and "Alignment?" Is it a paradox or a contradiction?
How many ways might someone learn?
How many ways do we educate?
How do allow for diversity of thought and alignment related to education, learning, and performance?
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2024 Making Performance The Priority
What are the components of performance?
What are examples of components that are in opposition to each other?
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© 2024 Created by Paul Terlemezian.
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