Identifying The Population Health Management Platform's Overarching Goals

Population Health Management Platform aids in the improvement of patient groups' health by providing high-quality care, which is a crucial component of value-based healthcare. It attempts to improve medical care quality, meet the expectations of patients and families, promote community wellness, and lower per-person costs.

The primary purpose of Population Health Management (PHM) is to improve patients' health significantly. According to a HIMSS Analytics study, Population Health Management Companies in the USA frequently concentrate their Population Health Management strategies on one or all of the following objectives:

Management and Care of Chronic Conditions

Healthcare companies use population Health Management to manage chronic health conditions of patient groups. The PHM gives access to Electronic Health Records (EHRs) datasets to better understand the need of patients' chronic ailments such as hypertension and respiratory problems.

Preventative Measures for Health and Wellbeing

Based on the Population Health Management Platform data, healthcare institutions implement various campaigns to encourage healthy living practices among juvenile and adult demographics to promote wellness and fitness to achieve health goals. This section usually covers diet and exercise to shed extra weight and tobacco cessation strategies.

Organizational Networks Featuring Clinical Integration

General practitioners, consultants, and clinics establish collaborative networks to boost care delivery. These networks exchange patient records databases and data analytics to deliver high-quality treatment while reducing expenses. An Accountable Care Organization (ACO) is a clinically integrated organization by the Federal Trade Commission.

The Patient-Centered Medical Home (PCMH)

A PCMH delivers care using a collaborative methodology with the support of the Pop Health platform. Under this framework, the primary care physician acts as the center in a propeller of coordinated services and information exchange between the health institution's clinicians, the patient, and the family.

Mechanisms of Risky Payment

This classification applies to Accountable Care Organizations (ACOs), bundled bill payments, and initiatives, including the Medicare Shared Savings Program (MSSP). These organizations are dedicated to enhancing the standard of patient healthcare for their participants and providing financial rewards for delivering it.

Expenditure Structures At-Risk

Medicare Advantage programs, Medicaid managed care, and self-insured worker plans are part of the at-risk cost structure approach. CMS compensates Medicare Advantage plans depending on the Medicare Risk Adjustment Factor (RAF) ratings of enrollees gathered through the PHM platform. The different diagnostic codes submitted by clinicians assist in calculating Medicare RAF scores. In practice, the approach pushes physicians to keep patients fit and active, ultimately increasing RAF scores.