JOEL ALLISON, CEO, Baylor Scott & White Health (Dallas)
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“As the largest nonprofit health system in Texas, the most significant population health challenge we face is that our state has the highest uninsured rate in the U.S. Despite that, Texas has chosen not to expand Medicaid under the Affordable Care Act.
To counteract this, our system has created more than 36 delivery system reform projects that address more than 100 quality measures under the state’s Medicaid 1115 waiver to expand access to those who often experience healthcare disparities. Those projects address primary and specialty care expansion, chronic disease management, behavioral health, medication management, home health visits and palliative care.
We also formed an ACO — the Baylor Scott & White Quality Alliance — that emphasizes caring for the 5 percent of our patients who account for about half of the system’s healthcare costs. We use health coaches who are registered nurses to do care coordination. Our ACO uses data analytics that allow proactive engagement with patients by assessing health risks and assigning appropriate care resources. This predictive modeling has prevented high-risk health episodes and saved lives. We have decreased all-cause readmission rates by 10 percent, cut hospital admissions per 1,000 by 9 percent and increased wellness visits by 20 percent.”
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