The Definitive Guide to Population Health Management

by Ellis Mac Knight

The rise of large clinically integrated networks (CIN) of hospital and physician providers has left many healthcare leaders scrambling to implement population health management (PHM). For these leaders, whether their providers are organized into CINs or ACOs, The Definitive Guide to Population Health Management serves as a how-to manual. Key topics - Population risk assessment and stratification methodology
- Stratified allocation of key resources, including transitional care management, health and wellness services, and urgent/retail medicine
- Patient engagement and outreach
- Perils and pitfalls of PHM compliance
- The PHM business model
- Differences between retail medicine, urgent care, emergency care, and primary care
- Value-based reimbursement models Benefits
The Definitive Guide to Population Health Management is a strategic how-to manual for the thousands of healthcare providers who, like many who have recently organized into clinically integrated organizations such as ACOs or CINs, are asking, 'What now?' This essential PHM - Defines the roles and motivations of PHM players, including government and commercial payers, self-insured employers, and clinically integrated providers of all stripes
- Provides tactics for marketing the transition to PHM to reluctant providers, convincing them to revamp long-standing practice behaviors and drive the care model toward higher value
- Details how to define and stratify populations for allocation of resources, including transitional care management, health and wellness services, and retail medicine
- Discusses the factors in determining the best path to value-based reimbursement models, including arguments for transitional hybrid models
- Explains the important infrastructure technologies and steps to building a PHM-ready IT department
- Identifies critical factors in successful patient engagement and outreach Table of Contents Introduction
Chapter 1: Retooling for Population Health Management
Chapter 2: Value and Value-Based Reimbursements
Chapter 3: The Building Blocks of PHM
Chapter 4: Organizing Around PHM
Chapter 5: PHM and Information Technology
Chapter 6: PHM Processes and Procedures
Chapter 7: The Market for PHM
Chapter 8: Contracting for PHM Services
Chapter 9: PHM Regulatory and Legal Compliance Issues
Chapter 10: A Step-by-Step Guide to Building a Successful PHM Program
Chapter 11: Final Thoughts

166 pages, Perfect Paperback

Published November 20, 2015