Population Health Management

What Technologies Do Providers Need for Value-Based Care Success?

August 17, 2023 - Value-based care models incentivize healthcare providers to improve care delivery by tying reimbursement to care quality. While value-based care holds providers more accountable for patient health outcomes, it also affords them the resources and time needed to improve care quality. As of 2021, nearly 60 percent of healthcare payments stemmed from value-based models, according to the...


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Key Characteristics for Successful Downside Risk Contracting

by Erin McNemar, MPA

Organizations that do strong vendor relationships, invest in the organization, and are willing to take on commercial risk will be poised to take on downside risk financial contracts. Through working...

Making Data Sharing A Condition in Value-Based Contracts

by Jacqueline LaPointe

Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD. “If the physicians and care...

Targeting Superutilizers Does Not Impact Hospital Readmissions

by Jacqueline LaPointe

Just five percent of the population accounts for about one-half of annual healthcare spending, but interventions that target these super-utilizers do little to impact hospital readmissions, according...

Value-Based Payment Opens Doors for Better Opioid Use Disorder Care

by Jacqueline LaPointe

Nearly 64,000 Americans died from a drug overdose in 2016 alone, with opioid overdoses representing over 42,000 of those deaths, more than any previous year on record. It was that figure – as well as many other troubling statistics...

Transforming Pilot Models into Sustainable Rural Health Programs

by Emily Sokol, MPH

Addressing rural health disparities can be challenging as these communities often have sparse resources and limited access to healthcare services. To combat this problem, many small, local grants fund...

Researchers Find More Accurate Model for Estimating Patient Costs

by Jacqueline LaPointe

Using single diagnostic codes and leveraging “present on admission” designations improved Medicare payment models, predicting total patients costs within 30 days of hospitalization better...

How Addressing Social Determinants of Health Cuts Healthcare Costs

by Jacqueline LaPointe

Population health management and value-based reimbursement success hinge on reducing healthcare costs not only when a patient is in the exam room, but also when they are beyond the walls of the...

Team-Based Care for Kidney Disease Saves Park Nicollet $1.2M

by Jacqueline LaPointe

End-stage renal disease comes with a hefty price tag for both patients and providers. But Park Nicollet Health Services, an integrated care system in Minnesota, found that a team-based care approach to...

CDC Urges Providers to Improve Asthma Care as Costs Soar to $81.9B

by Jacqueline LaPointe

The annual costs of asthma care, including medical expenses, absenteeism, and mortality, cost the US economy $81.9 billion in 2013, researchers from the Centers for Disease Control and Prevention (CDC)...

AHA: Global Budget Payments Help to Treat Vulnerable Communities

by Jacqueline LaPointe

Global budget payments support providers treating patient populations in vulnerable communities by granting them the flexibility to address the health needs of their community, the American Hospital...

High-Value Culture, Population Health Programs Key to ACO Success

by Jacqueline LaPointe

Creating a high-value culture, engaging in proactive population health management, and implementing an infrastructure that promotes continuous performance improvement were key characteristics of 11...

AMGA to Reps: Pass CHRONIC Care Act to Aid ACOs, Team-Based Care

by Jacqueline LaPointe

AMGA recently pushed House Representatives to pass the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, which would particularly support accountable...

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

by Jacqueline LaPointe

Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda...

Payer, Provider Collab, Home Health Key to Integrated Care

by Jacqueline LaPointe

WASHINGTON DC - The move to integrated care models that treat the whole individual, not just his medical needs, rests on payer and provider collaboration as well as linking healthcare and lifestyle,...

Social Determinants Trend at AHIP’s Medicare, Medicaid Conference

by Jacqueline LaPointe

WASHINGTON DC – Social determinants of health has emerged as a major theme at America's Health Insurance Plans’ (AHIP) National Conferences on Medicare, Medicaid, and dual eligibles in...

Bringing Back House Calls to Cut Spending on High-Risk Patients

by Jacqueline LaPointe

Before the early 1960s, the majority of healthcare visits were performed in patient homes. But as healthcare evolved, providers could no longer fit their tools in a transportable medical bag and the...

Good Data, Better Value-Based Care Can Boost Population Health

by Jacqueline LaPointe

With just 5 percent of patients accounting for nearly one-half of the nation’s healthcare spending, hospitals and health systems have a significant opportunity to address a large proportion of their costs by improving the health of a...

63% Capitation Needed to Sustain Primary Care Transformation

by Jacqueline LaPointe

A new study in Health Affairs found that 63 percent of primary care patients need to be under a capitation payment model to sufficiently fund...

Scarce Public Health Funds Block Social Determinants of Health Aid

by Jacqueline LaPointe

As value-based care emphasizes preventative medicine, healthcare stakeholders aim to address social determinants of health to improve and maintain outcomes. But the lack of appropriate public health...