Population Health Management: Learning from Your Own Hospital Employee Population
As healthcare providers establish strategies for new risk-based contracts with payers, some are leveraging their own employee population as a way to enter into population health management and accountable care. This employee population provides a data-rich environment to build an analytics infrastructure and care management foundation to address the financial risk and clinical integration required to manage the health of other patient populations in the future.
Covenant Health System, a not-for-profit hospital system based in New England, is one such organization implementing an “employee ACO” for its 7000 employees to manage healthcare costs and improve the overall health of its employee population. At the same time, Covenant is developing a competency in population health management before launching into broader ACO arrangements with other payers and employers.
In this webinar, the CEO from St. Joseph Healthcare (the flagship Covenant facility), shares the Covenant strategy on taking an incremental approach towards population health management and laying the foundation to become a stronger partner in future risk-based arrangements with payers.
The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.
Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.
Patient Access provides critical real-time analytics information during the patient registration and payment clearance processes. With intuitive dashboards and simple step-by-step checklists, front office staff are able to accurately estimate patient cost, improving pre-service collections and reducing back end denials.
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Healthcare reimbursement is changing. By 2020, fee-for-value reimbursement is projected to represent 83% of your revenue—up from 43% today and 14% in 2010. Clinical operations will become vital to your bottom line. It is at the mid-cycle—the point between patient access and the business office—where improvement initiatives will have the greatest impact. Revenue Integrity gives you complete visibility into documentation and coding performance—and that of your peers. So you can quickly spot opportunities to improve revenue capture, minimize audit risk, and measure and monitor the impact of ICD-10 on your revenue.