Teleios Blog

Credentialing is a loaded term.  It means different things to different people.  If 10 different people were asked, "What is credentialing?"  we would get 10 different answers.  It is often used to describe provider credentials verifications, facility privileging and payer enrollment.  And yes, these do describe a portion of what credentialing entails.

This is the last installment of the 6 Fundamentals of every great organization system. In prior weeks, we covered the other 5 fundamentals:
• Calendar
• Task List
• Intake System
• Reference System
• Contacts

I am sure that all Americans awoke on the morning of April 22 and waited with bated breath for the Center for Medicare and Medicaid Innovation (CMMI) to announce the Alternative Payment Model (APM) for Serious Illness/Palliative Care? I recall where I was the moment that the news went viral and made history. While most may not share my enthusiasm for Medicare payment models and the reality may be more likely that the majority do not know what Palliative care is let alone that Medicare was considering a way to fund it. Over the next few paragraphs, we will discuss the CMMI APM demonstration from the lenses of both the payer and the patient as this payment model moves towards a future “benefit.”

This is our 5^th installment of the 6 fundamentals of every great organization system. 
Please read our prior blogs on the other 4 Fundamentals we have covered thus far:

• Calendar
• Task List
• Intake System
• Reference System
  

What the heck is a Carve-in?
It is the opposite of what Hospice providers have enjoyed for the past many years - the Carve-out! Currently, Medicare beneficiaries who have Medicare Advantage (MA) Plans revert to traditional Medicare when they elect the Medicare Hospice benefit - thus, they are “carved out” of MA plans.

We will take a break this week from the Fundamentals of Every Great Organization System and resume the series next week.

A commitment to “lifelong learning” has often been touted as a critical attribute of both great leaders and followers.  Lately, I have begun to wonder if even the term “lifelong learning” has become something of a cliché and a self-descriptive often overused without full appreciation of the degree of personal and self-mastery required to keep that commitment.

Years ago, John Maxwell developed leadership lessons which he distributed via CDs. One of the lessons he taught, which I have never forgotten, is about how important it is that every leader has an organization system. In that lesson, he went on to say that the average executive spends 10 years of his life “looking for stuff”.

Mrs. H. was surprised with her diagnosis of breast cancer that had spread to bone. Her oncologist recommended chemotherapy and she tried it. She hated the toxins going through her system. She didn’t tolerate the chemotherapy very well anyway.

We are in a blog series for what I call the 6 Fundamentals of every great organization system. Our last blog focused on the second fundamental of every great organization system: the task list. In this post we will discuss the third fundamental of every great organization system: The Intake System.