Tag Archives: population management

Data-driven collaboration and teamwork

“The team! The team! The team!” Even as a dyed-in-the-wool Ohio State fan, I can still appreciate these six words spoken by Bo Schembechler, the famed coach of the University of Michigan (which we Buckeye fans like to refer to as “That team up north.”) His great speech is inspiring, even if you’re not a […]
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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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Identifying population risk in new members requires aggregated health status data

As new enrollees enter the market from public exchanges and expanded Medicaid programs, health plans must determine how to appropriately assess member health in order to align interventions and better predict costs. Doing so effectively, however, requires having access to as much information as possible. A combination of multiple data sets — including claims-based data […]
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ACOs Experience Unintended Consequences of Healthcare System Safeguards

We all are aware of the promise of ACOs.  By enabling physicians to manage the health of the population, the achievement of the triple aim (i.e., better care for individuals, better health for the population and lower growth – or a reduction – in healthcare expenditures) would finally be within reach.  Payers have proven over […]
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