August 2 – Thomas Jefferson University was named Monday
Cacchione, 60, was until recently executive vice president of clinical network services at Ascension, a
The
I think the best is yet to come in terms of integration. The back office is important, but what we really need to do next is integrate the clinical entities. If we want to have a greater impact in the
You said that a health system is responsible for the health of the communities it serves. How do you measure this?
It is difficult to measure community health, but there are proxy measures, such as avoidable emergency room visits. People… do they have primary care providers? Are they food insecure? Do they have health literacy? These are things that are very, very important when we think about the health of our communities. There is not one perfect measure that gets us there. We just need to start measuring things that have scientific validity. Then we have to act on these things deliberately. Not all impacts come from the health system. They come from our partners.
How it works
Obviously, it’s Medicaid-forward right now. There’s a lot of Medicaid lives in there. I think Medicare Advantage will be an important part of any provider-based insurance entity.
We’ll never go out-
How do you view the financial challenges currently facing health systems?
Inside healthcare, we don’t quite understand why the patient volume hasn’t returned. It’s not just total hip and total knee replacements that don’t come back. We think a lot of people are still on the sidelines. They haven’t had their cancer screening. We encourage people to get screened because we start seeing late-stage cancer appear a little later because people haven’t had their mammograms or colonoscopies.
We learned [during the pandemic] that many things do not need to be done under inpatient status. The amount of revenue we get on things done in the outpatient field versus the inpatient field is very different. We built a hospitalization frame. We will have to be more balanced in hospitalization and outpatient. We’re going to have to build a cost structure to fit the revenue structure.
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