HOW WE WORK WITH HEALTH PLANS AND HEALTH SYSTEMS
We combine our decades of strategic and hands-on experience in business, health care, and philanthropy to provide health plan and health system leaders with the information, advice, tools and support they need to invest their resources to maximize impact. This work is informed by our collective experience in supporting health plans and health systems in the design, implementation, and evaluation of sustainable, high-quality palliative care programs across settings. This has given us a rich understanding of the challenges and opportunities faced by health plans and health systems in implementing and evaluating programs aimed at caring for the most complex and seriously ill patients and members.
Strategy Development and Market Research
We help you design the optimal serious illness program for your goals based on your current state, market opportunities, and the people you serve.
Clinical Program Evaluation and Optimization
We help you implement the optimal serious illness program for the population you serve.
Conduct Due Diligence for Network Providers or Strategic Partnerships
We assess operational, clinical, and financial structures, processes, and outcomes to give you a complete picture prior to either purchasing or contracting with a new partner.
Typical engagements with Health Plans and Health Systems
We work with clients to determine the exact set of tools they need to maximize their impact. By leveraging our diverse skill sets—across strategy, finance, operations, human-centered design, and market research–we customize solutions that align your vision with your execution strategy.
Strategy Development and Market Research
We help you design the optimal serious illness program for your goals based on your current state, market opportunities, and the people you serve.
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Conduct SWOT analysis based on existing and emerging best practices
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Identify how trends and new or expected regulations regarding delivery of serious illness care (staffing, processes, technology, program design, payment) could impact existing and future programs
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Construct, administer and analyze surveys for payers and providers to fill knowledge gaps
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Identify strategies and develop implementation plans to close gaps between current state and goals
Clinical Program Evaluation and Optimization
We help you implement the optimal serious illness program for the population you serve.
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Assess outcomes of clinical programs
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Recommend approaches to quantify and improve operational, clinical, and financial outcomes
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Evaluate how information is being used to improve services and communicate the value of the program
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Recommend ways to optimize clinical practices/adopt best practices
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Core program components (staff, services, eligibility)
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How relationships are managed with providers or plans
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Best practices for integrating palliative care with other programs across the continuum
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How technology can be leveraged to maximize clinical care, efficiency, quality, and reporting
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Best practices for benefit and payment model design
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Conduct due diligence for Network Providers or Strategic Partnerships
We assess operational, clinical, and financial structures, processes, and outcomes to give you a complete picture prior to either purchasing or contracting with a new partner.
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Adequacy of care model, training programs and other structures and processes, compared to national best practices
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Processes for identifying and engaging with potential patients and organizations in the community that might be referral sources
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Analytic practices and capabilities
WHAT OUR PARTNERS SAY ABOUT US
The opportunity to work with Kathleen has been a game-changer in our ability to design our quality dashboard, evaluate our services, identify and articulate needs for service expansion, and make the case to leadership to sustain our services.
Wendy G. Anderson, MD, MS, Chief of Palliative Care, Alameda Health System
Kathleen listened and really “got” us. Kathleen understood our goals and the role that measurement and data plays in catalyzing the changes we wanted to bring about. The work TCP outlined has served as a blueprint for much of our data-driven quality improvement.