FAQ: Theresa Hush and Roji Health Intelligence's Approach to Value-Based Care

What is Roji Health Intelligence and what is its mission?

Roji Health Intelligence is a company founded in 2002 that helps healthcare organizations succeed in value-based care by providing actionable data and strategies to improve patient outcomes and reduce costs, with a mission to help providers understand their patients’ health stories and support them in value-based payment models.

What background and experience did Theresa Hush bring to founding Roji Health Intelligence?

Theresa Hush had decades of leadership experience across government (directing Illinois Medicaid), payer (leading strategic transformation at Blue Cross Blue Shield of Illinois), and provider organizations (building clinically integrated hospital networks), giving her comprehensive insight into healthcare payment systems and operations.

What was the key insight that led to the creation of Roji Health Intelligence?

Hush recognized that payment systems and operations often drove patient care because clinical data wasn’t aggregated to reveal the nexus of patient care quality and cost, and she predicted that data-driven performance on quality and cost would be the future of healthcare.

What is the biggest challenge healthcare organizations face in improving care today according to Theresa Hush?

Providers are drowning in documentation and patient volume, often don’t see real performance data, and lack support for patient improvement programs, with value-based care models for specialty treatments just beginning and putting providers at financial risk being very new for specialists and hospitals.

How does Roji Health Intelligence help solve healthcare organizations’ challenges?

Roji aggregates data from various sources like EHRs and creates technology to help providers visualize and resolve issues for patient outcomes and cost, using comparative ’episodes of care’ to evaluate costs and quality outcomes for any type of care.

What specific tools does Roji use to measure patient outcomes?

Roji shows patient episodes for chronic conditions and measures improvement trends over time, highlighting disease progression and interventions used (or not used) for high-risk patients, and creates registries to identify patients for review when they don’t follow through on care plans.

Who does Roji Health Intelligence primarily serve?

Roji serves health systems, ACOs, and physician groups that are working to succeed in value-based care models.

When was Roji Health Intelligence founded and what was the healthcare context at that time?

Roji was founded in 2002 when early value-based care efforts were emerging but IPAs and PHOs lacked analytics and digitized clinical and cost data, making it difficult to measure the value nexus of quality and cost.

What makes Roji’s approach to value-based care different from traditional methods?

Unlike traditional approaches that often feel like judgment rather than improvement tools, Roji provides trusted data that inspires providers to improve by showing the complete story of patient health and supporting them in value-based payment models.