Blog posts

Blog posts

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As a physician, my goal is to be respectful of my patients’ wishes while also educating them, to the best of my knowledge, on all things medically related. Immunizations have risen as a controversial topic, really spiking since a well-known celebrity mother voraciously purported that vaccinations can lead to autism. Since then, I’ve watched the debate grow, I’ve done my own research, and I’ve come to a few conclusions of my own that I believe are useful to know – For all parties, pro-vaccine and anti-vaccine alike.

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Warmer weather sparks the outdoor adventurer in many of my patients. Whether you’re hoofing it 5-10 miles to a secluded campsite or have decided to invest in “glamping” this year, it’s important to keep yourself healthy so you can continue to enjoy these activities for years to come. There’s not much that’ll ruin a camping trip faster than a sudden illness or injury where resources are scarce, especially when it is preventable.

Camping Precautions Paladina Health Dr. Kelly DeMeyere-Coursey

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Paladina Health and ERChealth have partnered to offer an innovative Direct Primary Care option for ERChealth employees and families in Ohio. This new ERChealth option named PCP+ (Personal Care Physicians) provides employees of ERChealth companies access to Paladina Health doctor's offices in Northeast Ohio. Learn about this primary care option available at no cost to ERChealth employees and families. 

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Paladina Health good bad cholesterol

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One of the most common phone calls I make to my patients is the dreaded “cholesterol results” phone call. Medicinal treatments for cholesterol have advanced greatly since I’ve been in medical school, and the guidelines have similarly changed. Whenever I receive a result, I find most often that the “good” cholesterol is low, and the “bad” cholesterol is high. The basic elements which make up a cholesterol panel include but are not limited to:

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Allergies are one of those annoying things your body may have or do for no apparent reason. I took two full courses of immunology, and while these may have explained to me the “why” of them, it still doesn’t really explain…Why. There’s no benefit I can fathom to having itching eyes, skin, nasal passages, accompanied by sneezing, mucous, and congestion. In the caveman days, allergies certainly wouldn’t be advantageous to running from a saber tooth tiger.

My job, as your doctor, is to try and mitigate all these horrible symptoms. How do we do that? What treatments are available?

paladina health seasonal allergy

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This is the final article in our five-part series, “Onsite Clinics 2.0: The New Model for Employer Sponsored Healthcare.” Now is an exciting time for employers interested in deploying innovative healthcare solutions to address rising costs and chronic disease rates across their employee population.

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In the previous article, we looked at the limitations of the Onsite 1.0 Model. This segment explores the resurgence of onsite clinics and what types of organizations are getting finding value in onsite and near-site care.

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This is the third in our five-part series, “Onsite Clinics 2.0: The New Model for Employer Sponsored Healthcare.” In the previous article, we looked at the changing role of employer-sponsored clinics. This segment explores the limitations in the Onsite 1.0 Model that must be overcome to address root cause healthcare cost and quality issues.

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Onsite clinics have had an ever-changing role since the beginning of their history, discussed in the previous article, The History of Onsite Clinics. Now let's look at the roles onsite clinics have played and the benefits driving renewed interest from employers.

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Depression is the most common type of behavioral health illness, affecting more than 26% of the U.S. adult population.  By the year 2020, depression will be the second leading cause of disability throughout the world, behind only ischemic heart disease.  It has also been shown that behavioral health disorders, especially depression, are strongly related to many chronic diseases including diabetes, cancer, cardiovascular disease, asthma and obesity as well as risk behaviors that contribute to chronic disease e.g.

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Now is an exciting time for employers interested in deploying innovative healthcare solutions to address rising costs and chronic disease rates across their employee population. Explore the evolution of employer sponsored clinics and find out what current limitations exist to better understand how they operate today. Download your free version of the white paper today.

 

Democratization of Healthcare

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So much has been written recently about the “Democratization of Healthcare” that it merits a deeper investigation. Is this just a trendy buzzword or is it really a phenomenon?  Dr. Eric Topol highlighted the trend in his recent book, “The Patient Will See You Now.” In the book, he provides detailed evidence for a knowledge-driven shift of power from doctors to patients facilitated by emerging technologies. Dr.

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This month the Patient-Centered Primary Care Collaborative (PCPCC) issued an update to their longitudinal study of the impact of patient-centered medical homes on healthcare costs and quality. On February 2nd, they shared the information with the bipartisan Congressional Primary Care Caucus on Capitol Hill to help lawmakers assess implications for Medicare payment reform.

Comprehensive Primary Care
Bending the cost curve

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Paladina Health Vice President of National Business Development, Karen Hjerleid, explains why employers and benefit advisers are increasingly looking at onsite and near-site clinics as a means of bending the trend of rising healthcare costs and poor outcomes. 

PODCAST OVERVIEW

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Healthcare costs continue to skyrocket in the U.S. despite government regulations aimed at moving us towards a more value-based healthcare reimbursement model. According to the Milliman Medical Index, the average total healthcare cost for a family of four including both employer and employee spending has risen 167 percent since 2002 from $9,235 to $24,671. These increases have negatively impacted both employer profitability and employee disposable income in a big way.

Employer Healthcare Solutions
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Part 5: Best Practices to Empower Consumer Driven Healthcare

This is the last article in our five-part series, “The Evolution of Consumer Driven Health Plans: From Cost Shifting to True Healthcare Consumerism.” The goal of the series is to help employers and plan managers assess both the positive and negative consequences of CDHPs, and to recommend steps they can take to better equip employees to be informed healthcare consumers.  In our last article, we assessed the impact of CDHPs on employee finances, health and satisfaction.  Here we will recommend changes to the CDHP delivery m

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Since 2009 the number of freestanding emergency departments (FSEDs) has more than doubled from approximately 200 to nearly 500.  Yet, during the same period, there has been widespread reporting on the overuse of expensive emergency room (ER) care, and many provisions were built into the Affordable Care Act to incent plans and providers to adopt programs that provide lower cost alternatives to ER use for patients. 

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patient_satisfaction_and_net_promoter_score

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At Paladina Health we approach patient satisfaction differently.  We don’t use healthcare industry benchmarks to set our targets because, frankly, patient satisfaction across our industry is far too low.  Instead, we’ve studied leading, consumer companies such as Zappos, Nordstrom, Marriott and Apple and incorporated their best-practices into our service delivery model.

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Part 4: Impact of Consumer Driven Health Plans on Employees

This is the fourth in our five-part series, “The Evolution of Consumer Driven Health Plans: From Cost Shifting to True Healthcare Consumerism.”  The goal of the series is to help employers and plan managers assess both the positive and negative consequences of CDHPs, and to recommend steps they can take to better equip employees to be informed healthcare consumers.  In our last article, we defined the various forms of CDHPs available on the market and explored the rapid adoption of these plans.

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Growth of CDHPs

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Part 3: Growth of Consumer Driven Health Plans

This is the third in our five-part series, “The Evolution of Consumer Driven Health Plans: From Cost Shifting to True Healthcare Consumerism.” The goal of the series is to help employers and plan managers assess both the positive and negative consequences of CDHPs, and to recommend steps they can take to better equip employees to be informed healthcare consumers. In our last article, we shared the primary drivers of the cost increases that have given rise to the CDHP movement.

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The healthcare industry continues to struggle with rising costs, access constraints and the burden of an aging population where 49% of Americans suffer from one or more chronic conditions.  2016 will see more innovations aimed at addressing these monumental issues.  Some of the most exciting trends are helping speed the migration of the U.S.

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Mapping the Genome

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There’s so much happening in healthcare right now, it’s hard for me to narrow the important things to pay most attention to in 2016. Here are the top 5 changes in healthcare on my radar to track this year:

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Part 2: Drivers of Healthcare Spending Increases

This is the second installment in our five-part series, “The Evolution of Consumer Driven Health Plans: From Cost Shifting to True Healthcare Consumerism.” The goal of the series is to help employers and plan managers assess both the positive and negative consequences of CDHPs, and to recommend steps they can take to better equip employees to be informed healthcare consumers.

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Sir Luke Award Presentation

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In late November 2015, Luke Clark of Oswald®, one of the nation’s largest independent insurance and risk management firms, was awarded the Paladin by Steve Hook, VP of Business Development at Paladina Health.  The award was given in recognition of Mr. Clark’s contributions and partnership in securing a Direct Primary Care Medical Home agreement that is structured to expand to multiple employers in the Cleveland, Ohio marketplace over the next several years.

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Part 1: Healthcare Spending – The Facts

This is the first in our five-part series, “The Evolution of Consumer Driven Health Plans: From Cost Shifting to True Healthcare Consumerism.” Here we will explore the trends that have led to a dramatic rise in consumer driven health plans (CDHPs) and the impact these plans are having on employees.  The goal of the series is to help employers and plan managers assess both the positive and negative consequences of CDHPs, and to recommend steps they can take to better equip employees to be informed healthcare consumers.

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I am looking back on the challenges and milestones in healthcare that have occurred in the last year. Here are my top highlights from 2015:

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2015 was a year of continued upheaval in the healthcare industry driven by rising costs and changing regulations. But as necessity is the mother of invention, some of the industry’s toughest challenges have led to innovations that are steering patient care in a positive direction. Below is a recap of the most important healthcare news of 2015:

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Chronic condition costs

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Employers are spending big bucks on workplace wellness programs ― designed to improve the health and well-being of their employees, increase their productivity, reduce their risk of developing costly chronic diseases and improve management control of chronic conditions. In 2003, PepsiCo introduced two corporate wellness initiatives for their employees: one program was focused on overall lifestyle and health management, while the other was dedicated to chronic condition management.

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In 2001, the Institute of Medicine (IOM) released a detailed report, Crossing the Quality Chasm:  a New Health System for the 21st Century, which examines the gap between what is considered good healthcare and the level of healthcare that people actually receive. According to the report, “The U.S. healthcare delivery system does not provide consistent, high quality medical care to all people.

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A Q&A with Kimberly Shine, MD, Paladina Health Physician

I was able to sit down with Kimberly Shine, one of our physicians who practices in the Los Angeles area, at our provider summit this summer to ask her a few questions about her approach to healthcare. She’s been practicing medicine for over 15 years, the last three of which have been with Paladina Health. She shared insights about her approach to medicine and what she sees as different about the Paladina Health model of care.

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Ever wonder how an organization came up with their name or logo? We do too. So we thought we’d share the story behind Paladina Health and what our branded shield means to us.  At Paladina Health, our shield has far more meaning than just a logo. It stands for who we are. And, really what is most important, are the visionary people behind the shield. 

Champions of our noble cause: transforming healthcare

At Paladina Health, we share a common vision to be the leader in transforming how primary care is delivered for our patients, providers, and clients.

Paladina Health Shield
Kelly Bryant Headshot

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Part two: Key considerations leading employers to consider direct primary care options

What are considerations for employers considering direct primary care and its advantages, or the medical home concept, as a health and wellness strategy?

1. Do I have escalating healthcare costs and have I deployed traditional containment strategies?

There has been a long and variable history of cost containment strategies deployed by mid-sized and large employers and their benefits consultants.

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Part one: What is direct primary care and why should employers pay attention to it

Why employers seeking to control healthcare costs and provide differentiated health benefits are turning to direct primary care, combined with a medical home program

The direct primary care healthcare delivery mechanism for primary care providers continues to evolve in the industry, moving from individual , concierge-style, practice conversions to full-scale medical home programs available to large organizations on a fixed fee or membership b

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Rick Gantt Area Vice President for Gallagher Benefit Services

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A Q&A With Health Benefits Expert Rick Gantt

At Paladina Health, I’ve had the opportunity to work with many thought leaders in healthcare. One thought leader I always learn something new from is Rick Gantt, Area Vice President for Gallagher Benefit Services. I had the chance to sit down with Rick recently to talk healthcare benefit design—drawing on his more than 20 years of experience in healthcare innovation.

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Many employers feel powerless to control healthcare costs driven by the fee-for-service healthcare system. To reduce or contain healthcare costs, look outside of the fee-for-service payment structure and change this upside-down incentive dynamic. By leveraging innovative care models, such as direct primary care other value-based payment mechanisms, we can begin to control healthcare costs—and move the needle on long-term negative health outcomes and cascading healthcare costs down the line.
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One of the biggest contributing factors to the primary physician shortage is doctor burnout. Today's primary care physician is forced to work in an overwhelming and too often unrewarding medical environment. Here's why many modern doctors are burning out at an alarming rate.

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Playing the waiting game is not something you want to be doing when you’re in need of medical care. But that seems to be the most common past time for ailing Americans, with many people waiting several weeks just to see their doctor. When you consider how important timing can be for catching certain illnesses, a long wait time is especially nerve-wracking.
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Paladina Health Logo

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Paladina Health encourages their patients to stay on top of their own health so that their doctor can provide them with sound medical advice. There are digital tools out there that can provide awareness, support, and even a chance to save your life. This list of health management tools features some of the most innovative consumer technology in the healthcare industry.

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