Tag Archives: risk management

AppleCare: Understanding how one IPA successfully manages risk

How do providers with no patient risk-bearing experience prepare for their transition from volume to value? The experience of one independent practice association (IPA) in Southern California, AppleCare Medical Group, offers some valuable insight.

Living the Promise of Big Data Part II

In the first of this series, we discussed the need for payers to more effectively understand the needs of specific groups of members and ultimately improve standards of care.  A comprehensive analytics approach presents a framework for helping health plans to clinically evaluate members, collaborate with providers more strategically, and apply models to help gauge […]
Read More »

Living the Promise of Big Data Part I

The promise of big data is potentially revolutionary for health care; it will ease the transition to authentic data-driven decision-making, enabling payers to more effectively understand the needs of specific groups of members and ultimately improve standards of care.  Practically speaking, however, the vastness of the data that health plans can access presents unique challenges […]
Read More »

Better Health Care, Rewarded Better: It Takes a Village

Communities today are grappling with how to get better health care – and how to better reward it. To do this, it will take a partnership between payers, vendors and key providers. Physicians shouldn’t feel that they need to go it alone in the development of sustainable, value-based reimbursement initiatives. As they say, it takes […]
Read More »

The Key to Care Management: Understanding Your Population

As providers take on more risk, they will need to build robust population health management capabilities – prevention, wellness, disease management and care management – to achieve performance and shared savings goals. To do this successfully, providers must craft population health management solutions that meet the needs of their specific population mix.