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Will Caldwell, MD, MBA

Senior Vice President and Executive Advisor

Will Caldwell attended Davidson College where he prepared for a career in medicine, studying biology and working in East Africa as a wildlife manager. Dr. Caldwell completed residency training in otolaryngology – head and neck surgery at the University of Maryland Medical System and the Shock Trauma Center of Maryland, and went on to achieve triple board certification in otolaryngology, allergy and immunology, and sleep medicine. In 2013, Dr. Caldwell became a board member and medical director of Give Hope Global, a not-for-profit entity dedicated to the development of health systems focused on the use of community health workers. He also serves as Senior Medical Advisor to Zanmi Lasante, the name for Partners in Health in Haiti. His work there was documented in a film that won two Emmy Awards. Dr. Caldwell earned his MBA With Highest Honors and was named for Academic Distinction from Wake Forest University. He served as the Senior Vice President for Clinical Integration at Novant Health, building the Novant Health Clinically Integrated Network, a value-based platform comprised of over 2800 providers across 26 specialties. In his current role as Senior Vice President for Physician and Market Development at Health Catalyst, he promotes the use of data analytics to promote good health and save lives. His area of expertise rests in technology enabled health care delivery models and value-based care platforms. He continues to see patients and has received over 26 awards for clinical excellence during his 17-year career as a clinician.

See content from Will Caldwell, MD, MBA

How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut Costs

Treating mental health is often a low priority for health systems because of its high costs and low reimbursement rate. But health systems should not underestimate the impact mental health has on one of their costliest areas—treating chronic diseases. As research links higher costs to patients with chronic disease and a mental health disorder compared to patients without a mental health disorder, organizations should consider mental health treatment a key part of chronic disease management. By following four steps, providers and care teams can address patients’ mental health, thereby improving chronic disease outcomes and lowering costs:
1. Identify the patient population.
2. Identify the financial impact.
3. Develop a plan with experts.
4. Measure the impact and show ROI.

Telehealth: A Top Organizational Performance Solution During COVID-19 and Beyond

With COVID-19 sending health systems reeling, leaders understand the only way organizations can survive the pandemic is by driving improvement in three key areas: revenue, cost, and quality. Many traditional healthcare delivery methods, such as in-person visits, are on hold, leaving health system leaders considering how telehealth solutions allow organizations to excel in the new industry normal.

Although many health systems see telehealth as a temporary healthcare delivery solution because of COVID-19, it is here to stay. And, if health systems invest in telehealth, they will be more likely to succeed in revenue, cost, and quality, even in a pandemic.

The Medicare Shared Savings Program: Four Tools for Better Profit Margins and High-Quality Care

Medicare patients make up the majority of health systems’ revenue; yet, organizations earn only a one percent profit while caring for this population. Despite historically low profit margins, Medicare can be lucrative for health systems, and through the Medicare Shared Savings Program, healthcare organizations can increase revenue with four tools:

1. The ability to aggregate and analyze data.
2. The ability to align financial incentives between payers and providers.
3. The ability to engage patients in behavior or lifestyle modifications.
4. The ability to garner support from clinicians and encourage them to lead the shift to VBC.

As the shift from fee-for-service to value-based care continues, health systems can leverage MSSP to deliver the highest level of care while also increasing profit margins.

The Medicare Shared Savings Program: Four Tools for Better Profit Margins and High-Quality Care

Medicare patients make up the majority of health systems’ revenue; yet, organizations earn only a one percent profit while caring for this population. Despite historically low profit margins, Medicare can be lucrative for health systems, and through the Medicare Shared Savings Program, healthcare organizations can increase revenue with four tools:
1. The ability to aggregate and analyze data.
2. The ability to align financial incentives between payers and providers.
3. The ability to engage patients in behavior or lifestyle modifications.
4. The ability to garner support from clinicians and encourage them to lead the shift to VBC.

As the shift from fee-for-service to value-based care continues, health systems can leverage MSSP to deliver the highest level of care while also increasing profit margins.