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By Dr. David Edward Marcinko MBA CMP
SPONSOR: http://www.MarcinkoAssociates.com
What is population health management?
The Care Continuum Alliance, an alliance of stakeholders across the continuum of care, is working precisely toward the goal of improving the health of populations. They espouse a detailed set of principles and a model of “population health management.” It can be summed up, in the broadest sense, as the care provider community, in partnership with patients and their families, conducting proactive and collective monitoring of the patient’s healthcare quality, adherence, access, and outcomes with the goal of improving the health of an entire patient population.
As such, population health management stresses wellness and prevention through lifestyle and disease management and complex case management to remove the gap between zero care and costly chronic or emergency care. It emphasizes the full spectrum of needs from prevention and wellness to keeping healthy people and at-risk people healthy, to better manage the care of those with chronic conditions, and to still be ready to provide emergent or acute care services. In most cases, it also includes the involved providers taking on accountability for the financial risk and quality of care provided.
We have been working with administrative and physician leaders across the country to grapple with what it will mean to actually foster valuable population health management in the different communities they serve. It is clear that this is a whole new paradigm and that the years of experience and training that have brought them to where they are today may not have sufficiently prepared them for what is to come. It requires a well-coordinated and complete continuum of care, with new metrics and advanced analytics. As one might expect,while clusters of resistance to the idea remain, most have flung themselves into learning mode and are beginning to “act their way into new thinking.”
However, we also see a big risk in powering ahead without revisiting the role of a key stakeholder group—patients and their families, whose experience and perspective are often left behind, but whose actions will have a profound effect on the future success of population health management efforts.
CITE: https://www.r2library.com/Resource
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Its earnings season once again and CVS Health beat Wall Street estimates with $2.3 billion in profit during Q3. Humana raised its Medicare Advantage enrollment projections again.
And, population management telehealth giant Amwell inked a major federal contract but has seen its losses balloon in 2023.
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Filed under: "Doctors Only", Career Development, CMP Program, Health Law & Policy, Information Technology, Managed Care, Op-Editorials, Quality Initiatives, Touring with Marcinko, Videos | Tagged: Amwell, Certified Medical Planner™, CMP, CVs, CVS Health, david marcinko, Eric Bricker, Humana, Marcinko Associates, Population Health, population health management, public health, tele health | Leave a comment »
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