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Best Practices in Managing Advanced Illness though Population Health Management 
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The old view of advanced (or terminal) illness was that a person went into hospice to die comfortably. To facilitate a “good death,” the person received palliative care, which delivers relief from the pain, symptoms and stress of a serious illness. Palliative care does not try to treat an illness. Forward thinking doctors and caregivers began to question this approach. They challenged the notion that patients at a certain point of their illness should not also receive treatment for the illness itself. They contended that people should not have to choose between care to treat their illness and care that provides comfort on a day-to-day basis, and that giving people with advanced illness more options for care is the compassionate thing to do.

A natural progression of this school of thought is to apply population health management practices and techniques to the advanced illness population. Those with advanced illness represent 28% of all Medicare costs, and thus carries the greatest potential for stakeholder impact, such as with Accountable Care Organizations and Medicare Advantage plans.

Population Health has been an important component of stakeholder initiatives advancing innovation and transformation of healthcare to deliver improved outcomes, quality and value. Population Health News included this definition of population health in a recent issue quoting advisory board members:  “Population health is the ability to define and understand the health status of every individual patient and proactively deploy medical resources to support those patients, whether it is to push resource to them where they are, or effectively connect them to the optimal resource in a patient specific manner, accelerated by technology.”

Aetna's Compassionate Care Program has been addressing the advanced illness population for ten years, and involves trained, experienced case managers that provide case management education, support and resources to members, family and caregivers; pain and symptom management; facilitation of informed care decision making; and communication about understanding of prognosis. The program gives access to hospice care earlier and allows people to continue receiving curative care while in hospice. Aetna's nurse case managers receive special training in advanced illness and palliative care issues and frequently help address concerns that may be difficult to share in a face-to-face setting.

Program results can also help reduce unnecessary costly hospitalizations and emergency room (ER) visits. Aetna typically experiences a drop of about $12,000 in health care costs for each person in their compassionate care program. For example, the Aetna Medicare Advantage members in the care management portion of the program program have seen an 82 percent reduction in days spent in a hospital receiving acute care; an 86 percent reduction in days spent in Intensive Care Units; and a 78 percent reduction in ER use.

Please join us Friday, September 12th, 2014 at 1:00 PM Eastern as Aetna's Doctor Randall Krakauer conducts an in-depth session addressing Best Practices in Managing Advanced Illness through Population Health Management.
Learning Objectives
Participants will be able to:
  1. Understand the evolution and spectrum of approaches in treating the advanced illness population
  2. Ascertain the scope and opportunities for stakeholders in treatment and care of advanced illness
  3. Consider the implications of the application of population health management practices and techniques for advanced illness
  4. Review Aetna's Compassionate Care program and program results
  5. Explore best practices in managing advanced illness through population health management
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Medical Directors
  • Population Health Executives and Staff
  • Care and Case Management Executives and Staff
  • Strategy and Planning Executives and Staff
  • Innovation and Transformation Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans 
  • Provider Networks and Accountable Care Organizations
  • Hospitals and Health Systems
  • Hospice and Other Providers
  • Employers and Third Party Administrators
  • Pharmaceutical Organizations
  • PBMs
  • Population Health and Care Management Organizations
  • Solutions Providers 
  • Associations, Institutes and Research Organizations 
  • Media
  • Other Interested Organizations
Best Practices in Managing Advanced Illness though Population Health Management 
  Individual Registration Fee: $195. webinar flash drive with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure. Attendees will also receive a complimentary trial three-month subscription to Population Health News.
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
Randy Krakauer, MD

Randall Krakauer, MD, FACP, FACR, Vice President, National Medical Director, Medical Strategy

  Randall Krakauer, M.D., is Aetna's National Medical Director for Medical Strategy . Dr. Krakauer graduated from Albany Medical College in 1972 and is Board Certified in Internal Medicine and Rheumatology. He received training in Internal Medicine at the University of Minnesota Hospitals and in Rheumatology at the National Institutes of Health and Massachusetts General Hospital/Harvard Medical School, and received an MBA from Rutgers.

Dr. Krakauer is a fellow of the American College of Physicians and the American College of Rheumatology and Professor of Medicine at Seton Hall University Graduate School of Medicine. He is past chairman of the American College of Managed Care Medicine.

Dr. Krakauer is a recognized leader in geriatric care and has more than 30 years of experience in medicine and medical management, has held senior medical management positions in several major organizations.
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