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Population Health Management
With the health care reform and other regulatory changes under way, health care providers are preparing themselves for changes in the existing reimbursement model that will hold them more accountable for the cost and quality of care. The primary objective of these changes is to move away from fee-for-service, which is regarded as a major driver of our nation’s increasing health care costs, to accountable care.
Payment and delivery model reforms that reward outcomes imply that collaboration among healthcare providers, health insurance companies, public health agencies, and other community organizations is more important than ever to keeping patients healthy. The goal is to improve outcomes and better understand patients in a healthcare environment of shared responsibility.
In order to cope with these needs, health care providers, from hospital systems to physician groups, are increasingly focusing on population health management (PHM). PHM is key to accountable care, aiming at keeping a patient population as healthy as possible while minimizing the need for costly interventions through better coordination of care.
As healthcare organizations work to identify at-risk populations and effectively manage them, they’ll need to ensure the right technology tools and staffing models are place to allow information sharing and coordination of care. Timely, accurate and trusted data will drive effective quality and care management processes and results. Technology and automation will play a crucial role in augmenting the role of care teams, managing the patient population more efficiently, driving better outcomes and decreasing overall cost.