Population Health & Accountable Care


Population Health & Accountable Care applications focus on operational requirements of an accountable care organization including clinically integrated networks, bundled purchasing and value based reimbursement. Data sources can begin with membership and claims enabling a better understanding of patient leakage patterns and per member per month statistics. Adding clinical EMR and member satisfaction data sources can enable a near real-time view of the most common accountable care reporting metrics. Billing and costing data can be used to create a robust view of potential areas for cost and/or quality improvement. These applications help organizations better understand patterns and trends associated with high-cost patient populations. Integration of payer claims with clinical and patient experience data at the patient level helps your organization determine total cost of care and support a performance improvement agenda focused on the IHI Triple Aim of patient experience, health, and cost.