Plagued with Population Health Management Inefficiencies?

With Value-Based-Care (VBC) models gaining popularity both with Medicare/Medicaid and private payers, PHM capabilities are an absolute necessity to stay profitable. To align yourself better with aggressive risk-based payment models, these capabilities are tools for financial risk management, rather than a luxury. Still unsure? Here is a short list for you to ponder

• Improve health outcomes

  Using standard quality measures and consistent processes through workflow automation like intake, assessment, worklist, submission & approvals.

• Eliminate care gaps

  Gaps in Care (GIC) plugged using information from claims etc, and assessing appropriateness of member's current care by executing automated rules.

• Health Risk Management

  Helps identify &stratify high risk patients, track risk scores and enforces health risk assessment, reducing care expense and improving patient satisfaction.

• Care coordination Quality Measures (CCQM)

  Help in meeting patient needs by enabling pre-emptive care planning customized to each patient leading to safe, appropriate, and effective care.

• Lower the health care cost

  By automating features like intake, authorization submission, auto approvals of authorizations, which in turn saves case managers’ time and enables focus on patients.

• Greater patient satisfaction

  As evidence-based care, consistent care plans and preventive/in-time interventions are enforced, with focus on effectiveness of care and not the efficiency of ‘procedures’.