The Healthmonix Advisor

Lauren Patrick

Lauren is the founder and president of Healthmonix. She brings a vision of assisting organizations and providers in improving the quality of healthcare through innovative approaches. Lauren has a background as a consultant at Ernst and Young and holds a Master’s Degree in Computer Engineering. She loves to bike and kayak!
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Recent Posts

PCOC 2018: Top Takeaways

Posted by Lauren Patrick on November 26, 2018

Value-based care seems like such a good idea. Who doesn’t want better health, and better care, at a lower cost? It is one of the premises of the MACRA legislation: “Change the way that Medicare rewards clinicians for value over volume.” We all think, in theory, preventive care is better than fixing problems after they occur. That’s why we take our cars in for regular maintenance, we have our furnace checked each year before winter, we get our teeth cleaned and checked every six months.

Yet, the current evolution to value-based care is adding burden and distracting from care in many ways, rather than focusing on the intended goals. I attended the Patient-Centered Oncology Care (PCOC) 2018, the annual meeting presented by The American Journal of Managed Care, last week and listened to some of our most highly-trained and most needed oncologists talk about how the current payment models have affected their practices. Oncology practices have been asked to take on risk for the cost of care and manage that cost. These practices are now responsible for costs that are not within their control, and that they don’t even know about until long after decisions have been made.

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It's All About the Data: Optum Forum 2018

Posted by Lauren Patrick on August 9, 2018

 

When I was in graduate school, I quickly gravitated to projects and classes that focused on the relatively new field of database design and database technology. I loved the deep analysis of data and exploring the question of how to leverage technology to support storage and access to data in order to find answers. It was challenging, it was new, and it was a field that I knew would have a huge impact. My thesis was about data organization and optimization, and I was lucky to be able to experiment with all sorts of database challenges and software as I ultimately built my own contribution to the science.

At the Optum Forum conference this year, once again I was brought back to the data. As a recent partner with Optum, Healthmonix provides MACRA (MIPS and ACO) reporting for Optum clients in addition to our existing client base. At the conference, I heard the cries of how fundamental the data really is as we move forward in the value-based care market. As much as we need to work with providers and payers to change patterns of practice, a critical component is the data that supports the change and that measures the impact.

This is because data is what drives precision medicine and AI initiatives. It drives understanding, affirms what we already know, points out new patterns that we haven’t realized, and shows us where our perceptions are correct and where they are not.

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Coming Soon to MIPSPRO: Plain English Mapping

Posted by Lauren Patrick on June 28, 2018

Healthmonix has just announced several types of increased functionality in the MIPSPRO measure engine, including new options to input the outcome of a measure for a visit using an “English” code. In this post, we’ll outline exactly what that entails, and what it means for our users and the future of interoperability.

Our measure status upload functionality will soon provide you with the ability to “tell” MIPSPRO the outcome of a measure for a visit using an English code, such as “Met”, “Not Met”, or “Exception”. Plain English expressions can be used in either spreadsheet or manual entry situations. This new feature will especially save time and energy for users whose EMR already tracks data in this or a similar format.

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Announcement: New and Upcoming MIPSPRO Features

Posted by Lauren Patrick on June 21, 2018

Here at Healthmonix, we’re always looking for ways to make it easier for our customers to navigate complicated Medicare reporting requirements and optimize their Quality outcomes. In the spirit of that mission, I am pleased to announce the following new and upcoming improvements to our MIPSPRO reporting system, which enable our customers to make even better use of the data they already have and provide a more seamless, less burdensome reporting experience.

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Nail Your 2018 QPP Reporting with the Help of our MACRA Specialists

Posted by Lauren Patrick on May 15, 2018

Over the past year, we tracked over 11 million patients with over 2 BILLION quality actions in MIPS reporting alone! We are already back to work and developing some really cool new analytic solutions to help our clients optimize their Quality outcomes.

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Topics: MACRA, MIPS, Advanced APMs

One Important Takeaway From HIMSS 2018

Posted by Lauren Patrick on March 15, 2018

Last week’s 2018 HIMSS Conference presented, as every year, a profusion of insights into the current landscape of healthcare technology. With over 300 education sessions, 1,300 vendors, and hundreds of special programs and events, a HIMSS conference can be hard to boil down into just a few key points. Still, I wanted to share one particularly salient impression that stuck with me after I attended, one that I think anyone with an interest in healthcare should stick a pin in.

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How The 2018 Congressional Spending Bill Affects MACRA

Posted by Lauren Patrick on March 8, 2018
On February 9th, a new Congressional spending bill was signed into law, ending our second government shutdown in less than a month. The Bipartisan Budget Act of 2018 keeps the government funded until March 23, boosts spending on military and domestic programs for two years, extends the debt ceiling, increases aid for recent natural disasters and to fight the opioid crisis, and extends the Children’s Health Insurance Program (CHIP) for an additional four years (on top of the six years authorized earlier in 2018).
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Topics: MACRA and MIPS

Value-Based Care: Why You Should Go for the Gold!

Posted by Lauren Patrick on March 1, 2018

 

 The 2018 winter Olympics wrapped up this weekend in PyeongChang, leaving us at Healthmonix contemplating the many analogous connections between the Olympian athletes and providers of value-based care. So in honor of this year’s champions, we’re laying out why you should follow their example and go for the gold:

1. If you want to place, strive for peak performance.

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Interested in providing feedback to CMS about the burden that MIPS places on your practice?

Posted by Lauren Patrick on February 25, 2018

Apply to help CMS in its new study, running from April 2018 through March 2019, and make your voice heard.

CMS is looking for groups and individuals that are eligilbe for MIPS to help study the burden that the MIPS program, particularly the Quality component, place on eligible clinicians. In return, successful participants will receive full credit for the Improvement Activity component of MIPS this year (2018).

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Topics: MACRA and MIPS, MIPS Quality Component, MIPS, MACRA

Improvement Provision for Quality and Cost Measures

Posted by Lauren Patrick on February 22, 2018

In year two of MIPS and beyond, CMS is including an Improvement score for Quality and Cost measures. This week we take a deep dive into what this score entails, as well as what you need to know to keep yours ahead of the curve.

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Topics: Quality Performance Category, MIPS, Cost Performance Category