Tag Archives: chronic disease management

Applying patient-level metrics in population management program

The trend of providers taking on care coordination functions that have typically been the domain of payers is an encouraging one. Care coordination is a natural role for provider organizations, who can further their role as change agents for the many patients who need to get engaged in their own health. Care coordination relies on […]
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COPD offers chance for population health success.

Health care systems know that their patients are suffering from chronic obstructive pulmonary disease, or COPD. They also know the expense of treating it. They may not know that COPD offers an opportunity to make an immediate impact in patients’ lives and drive down costs while learning population health management skills. Statistics surrounding COPD are […]
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Four steps to population health management: Step four— Expand chronic disease management to the full attributed population

In our last blog post, we talked about high-acuity patients, such as those with chronic conditions, who are at high risk for admissions and readmissions. These patients, who drive a disproportionate amount of health care costs, need to be closely monitored post-discharge and targeted for intervention to keep them on the road to recovery. Using […]
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Four steps to population health management: Step three — Invest in in-home intervention

In our last blog, we discussed the importance of helping patients make seamless transitions to their homes or another care facility following their stay in the hospital. Through care management programs supported by data analytics, providers can identify and help patients who need a little extra help — and prevent costly re-admissions. The next step […]
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The four steps of population health management

Providers making the transition to value-based care are looking for new ways to deliver appropriate, cost-effective care and optimize their performance. Population health management, or PHM, is one strategy they’re using to get there. By transitioning from acute, episodic care to a more coordinated, long-term approach, they’re helping patients stay healthier while controlling costs. But […]
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