Wayne Miller

CEO & Founder NuraHealth

2017 National Association of Corporate Directors Conference

Healthcare Informatics Done Differently

Our Directive

In 2001 the division of the National Institute of Health (NIH) known as the Institute of Medicine (IOM) published the results of multi-year study on how to transform America's healthcare system. That report, Crossing the Quality Chasm, concluded that American healthcare couldn't be tweaked – it had to be reconstructed from a new foundation.

Nura Health SPC has completed this re-engineering work and is ready to operationalize that new ecosystem.

It's About Data and Authenticity

America's healthcare infrastructure has various constraints and conflicts of interest (COI) embedded in how and what data it collects.

NuraHealth has operationalized a way to remove those constraints so that healthcare capital dedicated to paying for healthcare benefits can be allocated efficiently.

We Set The Bar High

In 2016, Nura's Founder and brain trust led a project for the USAF Medical Service to synthesize Platform components, develop its analytical engine and satisfy unique DoD requirements.

Currently, NuraHealth is prepared to help employer's and large scale Medicaid populations transition to a new healthcare payment architecture -- one that is based on data illustrating superior comparative cost effectiveness.

Something Different

We Are Not a Wellness Company

We are not competing with in-house clinics and their "anti-smoking, get on a treadmill, or lose weight" programs. We focus on large employers and State Medicaid populations and take on the toughest clinical challenges. Unlike Wellness programs, NuraHealth focuses on the costliest 5% of patients in a large population (employer, State Medicaid) who are responsible for 50% of total healthcare expenditures. These individuals typically suffer multiple morbidities and represent the failure of the delivery system to solve complex challenges.

The Power of Specialized Data

The Nura Solution has three components:

The Source of Data

A specialized network of clinicians who are experts in applying systems thinking to clinical medicine. They practice Integrative Medicine (IM).

The Technology Platform

Our Platform enables us to document IM patient care protocols and then tracks the outcomes generated from their use.

The Analytics

A proprietary methodology for analyzing the data.

NuraHealth to the Rescue

Our solution is best applied to the cohort of patients who suffer from multiple chronic diseases. Through the use of the Nura Solution, a self-insured payer will realize a durable ~35% reduction in healthcare benefit costs historically associated with this population. Operationally, this is done by establishing a demonstration project.

It is All About the Data

Conventional patient care methods are already documented by virtue of electronic medical claims. Clinical practices of integrative medicine clinicians are not currently incorporated into the existing data capture apparatus or healthcare payment infra-structure.

A comparison between conventional care practices and IM practices has never been possible between the two clinical disciplines. Further complicating the desired comparison, "patient outcomes," in the context of either conventional or IM-centric care, are not captured at all.

Collecting massive quantities of data on patient care that does not resolve patient challenges is called "normal." We call it noise.

The informatics problem cited above is summarized in the following schematic:

Conventional Medicine

Data Inputs

(Available)

Outcomes Data

 


Integrative Medicine

Data Inputs

 

Outcomes Data

 

The data in the highlighted upper-left quadrant is readily available via electronic medical claims. Data that belongs in the other three quadrants is missing.

In an informatics context, this is NuraHealth's ultimate goal. Only ¼ of the data required to do a comparative effectiveness analysis exists: medical claims data. Capturing the data from a NuraHealth demonstration project completes the input for this analysis. This framework provides novel insight into what is most cost-effective for any given diagnostic code.

Cost Effectiveness in Clinical Medicine?

Employers today cite escalating healthcare costs as a top threat to their business. The root cause of runaway costs lies in the design and operation of the billing/payment system. Historically constructed as an invoicing mechanism for physicians, the current payment system captures no data on the efficacy of clinical procedures. Patient care is paid for because it is delivered, whether it worked well for the patient or not at all.

This leaves the patients, the payers of care (employers, states) and NuraHealth aligned in a single purpose: Establishing a model by which healthcare services can be based on their cost-effectiveness. We are unrelenting in the pursuit of this mission.

Historically, there has never been a tool to identify patient care methods that work, let alone work best - until now.

The NuraHealth strategy is virtuous in that patients, clinicians, and payers of care all win.