The U.S. healthcare market projects that by 2022 90 million Americans will be in an ACO. The upward trend in population health management (PHM) makes the move towards risk-based contracts increasingly urgent for health systems. The industry has been largely unprepared for the shift, as it hasn’t established a clear definition of population health or solid guidelines on transitioning from volume to value. Organizations can, however, prepare for the demands of PHM by adopting a solution that manages comprehensive population health data, provides advanced analytics from new and complex challenges, and connects them with the deep expertise to thrive in a value-based landscape.
Learn more about Amy Flaster, MD, MBA
Dr. Amy Flaster joined Health Catalyst in August 2016 as the Vice President of Care Management Services. In this role, she is concurrently employed by Partners Healthcare as an Assistant Medical Director of Population Health Management. She continues to see patients as an internist at the Brigham and Women’s Hospital in Boston and is an Instructor of Medicine at Harvard Medical School. Prior to joining Health Catalyst, Amy completed her residency in the Division of General Medicine and Primary Care program at the Brigham and Women’s Hospital. Amy has previously co-founded a healthcare IT startup (TrueNorth Healthcare) which operates in the end-of-life space, and has worked as an advisor to other startups through her work with the BWH iHub incubator. She has worked extensively on provider innovation and transformation through her work with the Brigham and Women’s Physicians Organization. Amy has earned a BA from Dartmouth College, an MD from Harvard Medical School and an MBA from Harvard Business School.
Read articles by Amy Flaster, MD, MBA
Care management programs play a large part in many health systems’ population health strategies. However, these programs can consume a lot of resources. It is important to know if a care program is effective, and eventually, to show a positive ROI. Many roadblocks stand in the way:
Complexity of Environment
Prolonged Time to ROI
Lack of Access to Disparate Data
Difficulty Engaging the Patient
A thoughtful approach and a robust analytics platform can help organizations overcome these challenges. Care management ROI should be a long-term strategy, but cost savings and quick wins are possible using the Health Catalyst® Cost Management Suite.
A comprehensive care management program organizes many moving parts into an efficient workflow and brings order to the complex, often messy, world of healthcare. Care coordination harmonizes the workflow of clinicians, patients, family, social workers, and therapists, to name a few. It facilitates medication reconciliation, care compliance, appointment scheduling, and communication with patients, as well as engagement between patients and the care team. Care coordination concentrates on the highest-utilization, highest-cost patients to produce better clinical, operational, and financial outcomes, the bottom line goals for healthcare systems involved in population health and value-based care.
This article details the benefits of, and barriers to, care management and coordination, their role in population health, and the technology that’s helping to automate this area of healthcare.