Population health management tools are driving a shift toward automating routine, manual tasks

The emergence of value-oriented reimbursement models is causing more healthcare providers to embrace population health management (PHM) technology and practices as a way to improve outcomes while reducing costs, a new study concludes.

A Frost & Sullivan analysis of the U.S. population health management market focuses reports on what providers are doing to migrate from traditional fee-for-service (FFS) revenue models to value-based care.

One of the most effective strategies for providers to enable value-based care is a comprehensive and proactive population health program. Though not offering specific numbers from the paid report, Frost & Sullivan write in a preview that “many providers perceive PHM as an advanced application of healthcare analytics. The PHM ecosystem is larger and inclusive of data management, risk management, care management and performance management solutions.”

Other key points from the survey:

  • The shift from FFS to value-based reimbursement has accelerated the adoption of PHM solutions that support high-risk, high-cost patients through personalized clinical intervention
  • Patient care is moving toward “a broader but coordinated environment where routine, manual tasks are automated by PHM solutions.” These PHM platforms will be able to integrate data from siloed systems, engage with patients, and track  outcomes, all while collecting more data
  • The success of a PHM initiative is dependent on C-level strategic involvement, whether PHM milestones are clearly defined, whether the right solutions are used, and how effectively they are deployed

“PHM requires long-term commitment from executives, physicians, and care managers,” Frost & Sullivan says in the market report preview. “Successful providers demonstrate both willingness and ability to integrate the culture of PHM within their core care delivery ecosystem.”

Frost & Sullivan said the PHM solutions frequently are built “on top of existing clinical, financial and administrative health IT systems and patient engagement platforms.” The analysis breaks down the PHM market into four categories:

  • Advisory (clinical and financial consulting)
  • Data & Analysis (data aggregation & management, risk stratification & modeling)
  • Performance Management (clinical and financial)
  • Care Management (care coordination, patient engagement)

 

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