Healthcare Financial Management Association: The Financial Impact of Population Health Analytics in the Shift to Value-Based Models

Nancy J. Ham, CEO, Medicity  
Madhavi Vemireddy, MD, CMO and Head of Product Management, ActiveHealth Management

Data-driven care management for high-risk populations is usually discussed in terms of clinical outcomes, but the systems that drive these efforts can also improve financial outcomes. In fact, poor compliance with care management guidelines is estimated to cost the U.S. healthcare system $290 billion a year.a

At their core, data-driven care management systems for high-risk populations include three key factors:

  • Population health analytics, including clinical risk stratification and advanced clinical
    decision support
  • Integrated care management work flows
  • Patient engagement tools that support holistic health management

In this first part of a two-part series, we look at the role of population health analytics in driving cost savings.

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