In a recent blog post by Brad Miller, Vice President of Clinical Solutions at Caradigm, Miller discusses how providers will need to lean increasingly on technology and data to enable the clinical and business cases around healthcare.
Below is the beginning of the post that Miller wrote on this topic:
My last post detailed the “Pop” in Population Health. As an industry, we think about patients when we think about the “population” in Pop Health, and indeed patients are at the core of Pop Health. Providers, however, are facing a new set of populations – the collective group of sub-populations they care for. Put another way, the evolution of Pop Health and risk-based care has generated a complex business landscape for healthcare providers. Providers will need to lean increasingly on technology and data to enable the clinical and business cases around healthcare.
Let’s consider an example of a provider managing a group of sub-populations. A provider could be participating in a Clinically Integrated Network (CIN) that runs a Medicare Shared Savings Program (MSSP) ACO and also has an Medicare Advantage (MA) plan. They could also be participating in two bundled payment programs, have Accountable Care Network (ACN) relationships with three employers, and their state could be remaking their Medicaid program. On top of everything is their traditional Fee-For-Service population. That adds up to at least nine sub-populations amongst the provider’s complete population – that’s their “population of populations.” That group is dynamic and evolving – as needs and times change, so too will these populations and how they are measured and cared for.
To read the rest of this post, click here.