We transform healthcare provider and payer economics by helping them proactively manage population risk and lower their operational costs to improve margins.
Healthcare is going through changes at a pace never seen before. The current transformation is driven on keeping the population healthy rather than cure and care for the sick. New models are directed at preventive care, proactive chronic disease care, utilization management, wellness, financial risk taking, incentive management and ultimately accountability by providers and patients for performance.
Population Health is not a new concept. It has been in practice piece-meal predominantly driven by payers over the last 20 years with generally unsatisfactory results as measured in terms of managing the healthcare costs. The primary reason for the disappointing results is the fact that these programs were not built to leverage the trust of the “Physician-Patient” relationship. In most cases these payer-driven programs, consciously avoided the physicians in the payer-driven population health program due to conflictive payment and incentive systems.
The emerging provider-driven, practice-based population health programs opens up a lot of exciting opportunities as they build on the patient-physician relationship and accountability. The changes in the payment systems with the risk shifting to providers and more accountability to patients coupled with the incentives from the pay-for-performance makes the physician-led, provider-driven population health programs very promising in the mission to bend the healthcare cost curve.
Providers are signing on new risk contracts and investing millions of dollars in population health management programs. After a year, most executives are baffled that their population health programs fail to deliver results causing severe strain to the overall strategic health of the organization. There are several reasons for the program(s) failure:
VitreosHealth, a leader in population predictive and prescriptive analytics helps identify the “Hidden” category of population and provides a 360 degree view of the patient as it relates to both clinical and non-clinical risks. Population and patient specific data resides in disparate sources as “dark” data with varying predictive power and execution complexity. VitreosHealth’s 19 disease specific models and patent pending 6 dimensional approach sheds light to data from all multiple sources (Demographics, Claims, EHRs, public, social) to help healthcare organizations design the most effective tailor-made care plans for each patient.