News and Insights

Population Health Management

Healthcare Culture is Slowing the Move Toward Population Health

Becker's Hospital Review

Progress toward the implementation of population health as a model for organizing healthcare delivery appears to have stalled in 2018. Unfortunately, that’s the key finding from Numerof’s fourth annual State of Population Health survey, which revealed that organizations are well behind where, two years ago, they thought they’d be – especially…

Population Health Adoption has Stalled, but Health Care is on the Brink of Change

Morning Consult

The writing is on the wall: Today’s health care system is antiquated and inefficient, and industry leaders can’t shy away from change. Alongside local, state and federal officials, consumers and business owners outside the health care sector are demanding answers — questioning outrageous hospital bills and prescription drug prices, plus wondering why they…

Six Keys to Focusing on Social Determinants with the Biggest Economic Impact

FierceHealthcare

Historically, the incentives built into fee-for-service (FFS) payment models actually encouraged providers to ignore social determinants of health (SDH) that impact health outcomes. For example, providers were financially rewarded when “frequent flyers” were readmitted, and it was easy to rationalize such factors as “out of scope”. Ignoring vulnerable populations’ socioeconomic…

Payment Reform: Preparing to Go At-Risk

The American Orthopaedic Association

Episode-based (bundled) or capitated payment for delivery of quality care across multiple providers can be a significant stimulus of lower costs and improved clinical outcomes.  Implicit in such approaches is that it incentivizes better care coordination and cost-effective decision making.  The flip side of this equation is, of course, that…

Why Population Health?

The American Orthopaedic Association

Understanding what population health means and how to get there will be critical for all specialties.  However, the recent launch of the Comprehensive Care for Joint Replacement initiative, the first compulsory bundled payment program coming out of CMS, amplifies the need for the orthopaedic community to understand what it means…

Leading Factors for Making the Transition to Population Health

H&HN Daily

It’s clear that the U.S. health care system is in need of significant change. Despite modest successes in “bending the cost curve,” health care spending is expected to expand from 17 to 19 percent of GDP in less than a decade1, 2, 3. What’s worse is that we’re generally not…