Avoiding Losses Under CMS TEAM and CJR-X: Managing Risk at the Point of Care

About this Session

Health systems are on the hook for every dollar of cost across the episodes flagged by CMS TEAM and CJR-X, but most prediction tools only flag one outcome at a time. This session shows how health systems can run prediction across every outcome that drives episode cost: avoidable utilization, undiagnosed disease, care gaps, and post-acute risk. By rolling those results into a single score per patient, teams know exactly where to act first, within the budget constraints hospitals already operate under.

What We'll Cover:

• How to get ahead of avoidable utilization: Applying outcomes intelligence to admissions, ED visits, and overall costs months out, with the drivers behind each one visible in time to act.

• Where accurate, defensible diagnoses come from: Surfacing undiagnosed conditions straight from the patient’s own record, with the evidence needed to set up the confirming visit.

• Which care gaps to act on first: Ranking open care gaps by how much they affect episode cost and performance.

• How to prepare for CMS TEAM/CJR-X: Predicting post-op complications and discharge trajectory before the admission even happens.

• How to see the whole patient in one number: Using a single global score to prioritize management across every health dimension.

• Why ROI shows up within the year: 20x the outcomes intelligence at 1/20th the cost changes the economics of predictive decision support within your existing workflows.

Webinar Speakers

Dr. Rich Gliklich, Founder, OM1

Dr. Richard Gliklich, MD is the founder of OM1 and brings decades of experience in the areas of registries, outcomes, and analytics. He is senior editor of the landmark publication by the U.S. Agency for Healthcare Research and Quality (AHRQ) handbook "Registries for Evaluating Patient Outcomes: A User's Guide” and the PI for the Outcomes Measures Framework, which focuses on standardization of outcomes measurement. He has led several key national and international efforts focused on evaluating the safety, effectiveness, value and quality of healthcare. Dr. Gliklich also holds several patents for both health outcomes systems and medical devices.