Population Health Management (PHM)

Population Health Management (PHM) is the aggregation of patient data across multiple health IT resources, the analysis of that data into a single and actionable patient record, and the actions through which care providers can improve both clinical and financial outcomes.

Click here to uncover and fill gaps in Care Management

Why should you worry?

Traditionally, healthcare has been rather disconnected across settings and providers, from both IT and process perspectives. This makes it challenging to achieve coordinated care, often to the detriment of the patient.

A Population Health approach is patient centered and goes back to the goals of what providers and payers all want to do well. That is why PHM is getting some serious attention.

ACA (Accountable Care Act) – The major driver of population health, with the payment structure moving to value based care.

Improvement based rewards in a population’s health, instead of rewards for using resources on a per person basis.

CMS aims to link almost 50 percent of Medicare fee-for-service to alternative payment models by 2018.

ACOs if not analyzing data correctly, will find routing patients to care givers challenging.

Benefits you have!

Every innovation aimed at reducing cost or improving quality, implicitly has the patient as the primary beneficiary. Below are some of the key benefits that they stand to derive from such a solution:

Health Plan,
ACOs, HMO
- Stratify and clinically define the population that poses risk.
- Improve the quality of care being delivered to that population.
- Eliminate waste within the care delivery process.
- Make data-driven decisions resulting in increased patient safety, improved quality of care and reduction in healthcare costs.
Health
Providers
- Identify care gaps against pre-existing quality programs like PQRS, eCQM.
- Improve performance in risk-based payer contracts/value based care incentives
- Get better composite score in QPP and in turn payments from CMS.
- Identify high risk patients and provision preventive care mechanisms.
EHR
vendor(s)
- Provide integrated analytics for clinical workflows and also to cover financial implications.
- Support the transition to value based care without hurting provider payments.
- Leverage information available in partner systems by embracing interoperability support offered by CCDA, FHIR etc.

What a care management solution should do?

For better Care Management, click here.

How can we help?

Nalashaa has been working with HIT vendors for a while now and realize the necessary ingredients to maintain quality of care throughout the care continuum. An understanding of the ecosystem and end user idiosyncrasies is imperative for a PHM solution.

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Population Health Management (PHM)

Why should you worry?

A Population Health approach is patient centered and goes back to the goals of what providers and payers all want to do well. That is why PHM is getting some serious attention.

Benefits you have!

Health Plan, ACOs, HMO

Health Providers

EHR vendor(s)

What a care management solution should do?

How can we help?

Let's move to value based care

Search within Nalashaa Health

Health Plan,
ACOs, HMO

Health
Providers

EHR
vendor(s)