Category Archives: by Jay Levine

Uncover clues to a patient’s propensity to engage

When making a move to population health management, identifying high-need, high-cost patients is a crucial first step. But on its own, it may not enough to help providers prioritize care management services. If you start by identifying the top 5 percent of your highest-utilizing patients, you may generate a list with hundreds, if not thousands, […]
Read More »

Decide what kind of organization you want to be: Build a network to match

As healthcare organizations move away from reimbursement models that reward volume and begin to accept financial risk based on outcomes, they may need to change the make up of their provider networks. Explained another way: new contract demands require new network strategies. But how do you make a change? You can start by understanding your […]
Read More »

Comfortable managing chronic illness? Ready for what’s next?

When just beginning the shift to data-driven value-based care, health care providers can start by focusing on one clearly defined population. But true population health management is about successfully administering care for all patients attributed to an organization. So how do providers travel the path from novice to intermediate levels of care management? Once a […]
Read More »

Redefine acute care to combine fee-for-service (FFS) with care management.

Badly broken bones, appendicitis, hemorrhages and head injuries mean there will be a need for acute care hospitals no matter how the healthcare industry changes. But we need to change how we think about acute care in relation to the rest of healthcare. A traditional definition says acute care is the opposite of chronic or long-term care. […]
Read More »

Four areas where providers can dramatically improve care management

Value-based care is fundamentally altering the nature of health care in the United States. Care delivery is transitioning from an episodic, somewhat reactive model into a more proactive health management approach. More and more often, provider organizations are accepting a per-member-per-month budget to manage the health of a population, and their incentives revolve around maximizing […]
Read More »