Climate Change Data

Environmental Metrics

Climate Goals & Targets

Environmental Challenges

• Lack of specialty recognition for IR services.
• IR exists in a competitive landscape, often presented as one of many options.
• Low volumes, duplicated services, unnecessary costs due to one-off service decisions.

Mitigation Strategies

• Rightsizing the current IR portfolio to meet health system and patient needs.
• Developing a principled approach to evaluate new service offerings using a value analysis team (VAT).
• Assessing ambulatory expansion strategies considering ownership structure, service offerings, and location.
• Hyper-targeted marketing campaigns focused on specific services and physician cohorts.
• Patient-friendly marketing strategies using websites, social media, and traditional media.

Supply Chain Management

Climate-Related Risks & Opportunities

Environmental Metrics

ESG Focus Areas

• Community Health

Social Achievements

• Granted over $4.2 million to four partner organizations in 2019 through the Community Impact Investment Fund. Leveraged grant funds to raise an additional $1+ million from funding partners for one project, supporting the entire project cost over three years. Other projects secured additional philanthropic support independently.

Governance Achievements

• Established an interdepartmental committee to review funding requests, ensuring alignment with institutional goals. Implemented a grant application and review process designed to fund initiatives where community partners help advance IU Health’s goals and encourage additional financial commitments from other entities.

Climate Goals & Targets

Environmental Challenges

• Sourcing strategically aligned community health projects and pooling additional financial commitments from other entities.

Mitigation Strategies

• Created a grant application and review process that encourages partner investment and pooled funding. Implemented an employee nomination process to validate partners and ensure alignment with system goals. Added a letter of inquiry step to proactively seek funding partners.

Supply Chain Management

Climate-Related Risks & Opportunities

Environmental Metrics

ESG Focus Areas

• Climate Change

Climate Goals & Targets

Environmental Challenges

• Health care industry lagging behind other industries on meaningful and long-term investment into climate change prevention strategies.
• Cognitive biases among health care leaders preventing large-scale behavioral changes necessary for significant commitments to environmental sustainability.

Mitigation Strategies

• Acknowledging subconscious biases and moving them into the conscious realm.
• Overcoming cognitive biases such as hyperbolic discounting, the bystander effect, and loss aversion.

Supply Chain Management

Climate-Related Risks & Opportunities

Environmental Metrics

ESG Focus Areas

• Not disclosed

Environmental Achievements

• Not disclosed

Social Achievements

• Not disclosed

Governance Achievements

• Not disclosed

Climate Goals & Targets

Environmental Challenges

• Ongoing public & government scrutiny of Medicare Advantage (MA) quality outcomes and financial value, allegations of inappropriate risk assessment, difficulty assessing and compensating MA risk when basing assessments on FFS populations, constantly shifting regulations (2024 RADV Final Rule, 2024 Medicare Reimbursement Final Rule, Inflation Reduction Act), concentration of high Star ratings prompting changes from CMS, end of Covid-era Hold Harmless Provisions, introduction of Health Equity Index, reduction in CAHPS weighting, IRA ups affordability for seniors but may leave plans scrambling, changes in Part D financial responsibility, expanding low-income subsidy program, capping insulin at $35/month, eliminating insulin deductible, removing cost-sharing for vaccines, capping base beneficiary premium at 6% growth, eliminating cost-sharing for Part D drugs in catastrophic phase of coverage.

Mitigation Strategies

• Streamlining prior authorization requirements, finalizing three-year phased-in approach to new RADV model, finalizing additional provisions around broker & agent activity, finalizing Health Equity Index reward, reducing future weight of CAHPS scores, implementing internal audit procedures incorporating live audit requirements, developing models to assess current appropriateness of risk models, increasing oversight of claims data and leveraging risk coders to improve accuracy, providing staff resources to educate about risk adjustment, creating oversight teams dedicated to changing methodologies and regulations, implementing coding training and workshops for providers, creating performance projections, collaborating with finance teams ahead of continued programming cuts, advocating for organization-wide investment in quality, designing holistic programs that retain nimbleness for targeted interventions, supporting and inflecting Stars measures outside the organization, preparing for future programmatic changes to risk adjustment, streamlining internal risk adjustment practices, optimizing external levers on risk adjustment, leveraging network managers to build relationships with providers, incentivizing providers through gold carding, removing prior authorization requirements, minimizing administrative burden, translating data to information for provider practices, building custom risk dashboards to assess provider performance, conducting monthly performance committee meetings with health plan & providers, tapping provider relationships to create streamlined access for members, conducting frequent provider assessments for member experience and satisfaction, embedding quality metrics into provider contracts & bonus structure, developing partnerships with pharmacists, physical therapy programs, and home health to expand touch points and close care gaps, investing in care delivery channels to increase direct control over Stars, considering less conventional partners to increase care access & member satisfaction.

Supply Chain Management

Supplier Audits: Not disclosed

Responsible Procurement

• Not disclosed

Climate-Related Risks & Opportunities

Physical Risks

• Not disclosed

Transition Risks

• Not disclosed

Opportunities

• Not disclosed

Reporting Standards

Frameworks Used: Null

Certifications: Null

Third-party Assurance: Not disclosed

UN Sustainable Development Goals

• Not disclosed

Not disclosed

Sustainable Products & Innovation

• Not disclosed

Awards & Recognition

• Not disclosed