A Redeterminations Disaster: The Necessity of Patient Engagement with Carrie Kozlowski and Ed Marx

In this episode of the Chilcast, Managing Partner John Moore is joined by Carrie Kozlowski, COO and co-founder of Upfront Healthcare, and Ed Marx, CEO and Founder of Marx Advisory, to discuss the importance of engagement, trust, and technology as part of community outreach in the context of the ongoing post-PHE Medicaid redetermination process.

The episode opens with an introduction to the problem: the concerning number of individuals who have lost Medicaid coverage so far – approximately 38% of those evaluated, largely due to trivial administrative issues – and the significant impact to children when health access is denied during key developmental years. This is also a significant financial hit to already struggling disproportionate share hospitals (DSH means high Medicare / Medicaid populations), creating significant uncertainty around ongoing access to care in some of these communities if margins are eroded any further, possibly resulting in closures or reduction in services provided.

The three then get into a discussion about some of the social factors contributing to this issue, how technology can address aspects of the problem when applied appropriately, and the importance of recognizing that everyone is different so you really need to meet people where they are to have a meaningful impact. A lot of ground is covered, so it’s best to just go and listen.

Key Takeaways:

1. Focus on the patient: The guests emphasize the need for a patient-centric approach, understanding patients' unique needs and preferences, and delivering culturally sensitive content in multiple languages and literacy levels.

2. Utilize technology effectively: Technology plays a crucial role in patient engagement – but keep in mind that the right people and processes are critical to achieve the intended outcomes of any tool. Leveraging the right data and adopting an omnichannel care approach can improve both communication and outcomes.

3. Collaborative system redesign: Collaboration and system redesign are essential in driving change. Leaders should work together across departments and with community representatives to implement innovative outreach and activation campaigns. Education and buy-in from local leaders is a must to establish trust.

4. Experimentation and adaptation: Healthcare systems must be willing to adapt quickly and experiment with new approaches, as seen during the COVID-19 pandemic. Learning from companies outside of healthcare and incorporating community awareness can lead to more consumer-friendly care experiences.

5. Prioritize the patient and equity: The guests stress the importance of prioritizing what is best for the patient as a whole person and taking steps towards equity. Providing a hyper-personalized experience and focusing on the wellbeing of entire communities are some of the best ways to drive better outcomes.