Address risk factors to bend the cost curve in chronic care
To effectively manage the costs of care for patients with chronic conditions, healthcare organizations should look at social and behavioral factors to identify patients who could benefit from care management.
How providers can finance, profit from programs to tackle social determinants
Hospital and finance leaders have heard much about the theoretical benefits of addressing the social determinants of health (SDOH). But some have found ways to fund such activities — and get an ROI.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.
Population Health Management Support Services
A captive health plan’s programs and services can be supported by a broad range of services that can be delivered by partner organizations, including case management, claim recovery, and patient advocacy.
The Critical Role of Health Systems in the Nation’s Response to the Opioid Crisis
Although state and federal programs dedicated to the opioid crisis are helpful, communities—specifically hospitals and health systems—must be dedicated to making improvements.
Optimizing Physician Referrals: A Key to Successful Population Health Management
Providers should focus on improving quality, reducing costs, and delivering a positive patient experience to stage a high-functioning physician referral network.
To Succeed at Managing Population Health, Adopt a Health Plan Mindset
To be successful with population health management, healthcare provider organizations should take a lesson from the strategies health plans use to improve the quality of population-level outcomes and performance around costs.
Revolutionary Medicine: Can Less Sometimes Be More?
The Cuban health system, although challenged by economic issues, has some important lessons to offer the United States when it comes to population health management.
A Population Health ‘A-Ha’ Moment: Focusing Care Coordination on the Right Patients
Predictive data models can point to who will be hospitalized next year with accuracy that frequently surprises health practitioners.
YEAH! Childhood Obesity Is a Preventable Problem
Jean Mutchie and Amy Walters write about a program at St. Luke’s Children’s that addresses the underlying issues in the fight against childhood obesity.