WellPoint Exec Shares Lessons Learned from PCPC Pilot

Margaret Dick Tocknell, for HealthLeaders Media , October 9, 2013

Hummel says the success of the pilot reflects ongoing collaboration with physicians. "This isn't something you do to physicians and providers, it's something you do with them."

While there is general acceptance that healthcare needs to reflect value and patient outcomes, payments, Hummel says the transition is marked by physician uncertainty. "They worry about having the tools, knowledge, skills, and resources to be successful in the value-based environment."

Among the essentials is how to write a patient care plan. Hummel notes that most physicians did not learn how to write a patient care plan in medical school.

So WellPoint has a team of patient-centered care consultants to help physicians master the elements of patient-centered care. It also offers monthly 90-minute webinars to aid in the transition.

During the first year the webinars have focused on basics such as how to manage work flow, creating care coordination across the healthcare delivery system, and how to use data to improve patient care.  Hummel says a second year of more advanced webinars is being developed.

Actionable Information
Incorporating claims data and predictive modeling, a hotspot report is developed for each PCPC. The report identifies members at high risk for an adverse event, a hospitalization or a readmission.

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