Six Steps to Success with Population Health

Shared accountability agreements create significant financial incentives for providers who capitalize on them. Doing so requires population health management initiatives that systematically improve clinical outcomes while reducing costs.

Collecting and analyzing data play a crucial role in population health management. With big-picture insight into patient populations and utilization trends, you can focus your care managers on the right patient interventions and seamlessly transition to accountable care—without disrupting clinical workflows.

Here are six actionable steps you can follow to create an effective population health management program.

  1. Aggregate your data. The first step toward achieving success in an accountable care environment is capitalizing on a solution that will aggregate all of your clinical and claims data so you can identify areas of opportunity. The data helps you understand how you’ve performed historically so you can focus on the areas where you are ready to take on risk rather than entering into contracts blindly.
  2. Analyze your data. Static reports and raw data by itself do little to enable clinical and cost improvements. Advanced, self-service data analytics give you the capabilities you need to easily design and measure population health initiatives.
  3. Communicate with patients. Once you’ve identified disease management opportunities and intervention initiatives, you can proactively communicate to those at-risk patient populations. Involving patients in their own care goes a long way toward improving patient engagement.
  4. Engage clinicians. To drive clinical improvement, it’s important to get physician buy-in and align physicians around the organization’s population health strategies and metrics. The key is to show physicians the facts, utilizing evidence-based practices.
  5. Measure success. Monitor your organization’s performance on your P4P and HEDIS quality measures in near real-time. This ensures that you will be able to focus on areas of improvement throughout the year prior to reporting your results.
  6. Start at home. Integrated delivery networks have practiced the concepts behind population health management long before the advent of accountable care. Follow their lead and start your population health initiatives with your self-insured populations.

To get started, learn more about MedeAnalytics Population Health or email us

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

Why Unconventional Businesses Will Find Success in Healthcare: It’s the Data

January 7, 2020

It seems everyone is moving into healthcare. It’s a rapidly growing industry, historically dominated by large, well-embedded companies and organizations, and “pure tech” companies have had difficulty breaking in. That, however, is changing.

Read on...

Data and Social Determinants of Health

December 19, 2019

By Scott Hampel – I think a lot–and I’m not the only one–about how we can improve the ways we pull information from data. Data on its own is inert: just waiting to be understood and then used. And that’s a major challenge for many organizations. Data is often trapped in different applications with no easy or convenient way to extract it.

Read on...

Why Social Determinants Need Analytics for Success

December 10, 2019

Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.

Read on...

Healthcare Organizations Recognize Importance of AI for Reporting

November 21, 2019

Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:

Read on...