Population Health Management
Individuals seeking healthcare services expect a holistic approach with their care as they choose their providers. Primary care has become the coordinator for specialty care and other healthcare needs during a person’s lifetime. For providers, this means having a deep understanding of population health management and their specific role in the continuum of care. The consumer’s voice and patient satisfaction have become major drivers for growth in patient volume.
At the same time, payers are shifting to value-based payment. They expect service utilization to be in the most cost-effective setting in an efficient manner. Unnecessary emergency department use and hospitalizations are being scrutinized. Ambulatory settings and home care are preferred. Payments are moving from incentives to penalties over time. This requires providers to understand the financial implications of population health management and work together with other providers across the continuum of care.
Rural hospitals, medical groups, FQHCs, and post-acute care organizations have a role and performance will determine who is invited to become a partner.