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2018 Healthcare Benchmarks: Population Health Management

  • ID: 4747438
  • Report
  • September 2018
  • Region: Global
  • 48 pages
  • Healthcare Intelligence Network
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As the healthcare industry's pace from volume-based to value-based healthcare payment models accelerates so does the demand for more effective management of population health.

With the growth of these payment models, healthcare organizations are taking on more risk in terms of shared savings and shared risk arrangements and are investing heavily in programs to support population health. These programs are expanding in both scope of services and health conditions and disease states managed. With the help of advanced technologies in healthcare, this growth will only continue.

2018 Healthcare Benchmarks: Population Health Management is the fourth comprehensive analysis of population health management by the Healthcare Intelligence Network, capturing key metrics such as populations, health conditions and health risk levels targeted by population health management programs; risk stratification criteria; prevalence of value-based payment models supporting population health management programs; population health management processes, tools, workflows and forms; and program outcomes and ROI from responding healthcare organizations.

New in this edition is data on the role of social determinants of health in population health management risk stratification and the inclusion of support for substance abuse in population health management. Respondents also weigh in on whether advanced healthcare technologies will play an important role in the future of population health management.

This 48-page resource analyzes responses to the fourth comprehensive industry survey on population health management administered in July 2018. This all-new research report drills down to explore population health management program components, strategies, performance measurement and more key metrics and is supported with more than 65 graphs and tables.

New metrics for 2018:

  • Programs providing social services support for those patients/members identified as having a social health determinant need;
  • The availability of a call center/nurse advice line as part of population health management services;
  • Prevalence of population health management programs that include support for cancer and substance abuse;
  • The inclusion of community health workers on the population health management team;
  • The frequency in which social health determinant data is factored into population health management stratification; and
  • The role advanced technologies, such as artificial intelligence, cognitive computing and machine learning, will play in population health management within the next 12 months.

2018 Healthcare Benchmarks: Population Health Management provides a snapshot of industry population health management trends but also drills down to sector-specific activity from key stakeholders in the following areas:

  • Availability of current and planned population health management programs;
  • Services provided by population health management programs;
  • Populations served by population health management programs;
  • Health risk levels eligible for population health management;
  • Health conditions targeted by population health management programs;
  • Health professionals that are part of the population health management team;
  • Health professional with primary responsibility for population health management;
  • Data sources for population health management stratification;
  • Population health management delivery modalities, including the use of smartphone technology in population health;
  • Reimbursement models supporting population health management programs;
  • Population health management program ROI;
  • Metrics used to measure and improve population health management effectiveness;
  • Greatest challenges and successes from population health management initiatives;
  • The impact of population health management programs on clinical and financial outcomes;
  • The complete 2018 Population Health Management survey tool;

and much more.

This benchmarks report is designed to meet business and planning needs of hospitals and health systems, health plans, employers, managed care organizations, service providers and others by providing critical metrics on population health management.

This report is part of the Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.

Note: Product cover images may vary from those shown
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Executive Summary
Survey Highlights

Key Findings

  • Program Components
  • Results and ROI
  • Effective Population Health Management Tool, Process, Workflow and Form

About the Survey
Respondent Demographics
Using This Report
Responses by Sector

  • Hospital/Health System Perspective
  • Disease Management/Health Coaching Perspective

Respondents in Their Own Words

  • Most Effective Population Health Management Tool, Process, Workflow and Form
  • Population Health Management Successes
  • Program Expansion Plans for the Coming Year

Conclusion
Responses to Questions

List of Figures
Figure 1. All - Established Population Health Management Program
Figure 2. All - Future Population Health Management Program
Figure 3. All - Services Provided
Figure 4. All - Populations Served
Figure 5. All - Health Risk Levels Targeted
Figure 6. All - Targeted Conditions
Figure 7. All - Population Health Management Team
Figure 8. All - Primary Responsiblity
Figure 9. All - Stratification Sources
Figure 10. All - Program Modalities
Figure 11. All - Reimbursement Models
Figure 12. All - Value-Based Healthcare Participation
Figure 13. All - Return on Investment
Figure 14. All - Population Health Management Effectiveness Measures
Figure 15. All - Population Health Management Challenges
Figure 16. All - Population Health Management Impacts
Figure 17. All - Advanced Technologies
Figure 18. Hospital/Health Systems - Established Population Health Management Program
Figure 19. Hospital/Health Systems - Future Population Health Management Program
Figure 20. Hospital/Health Systems - Services Provided
Figure 21. Hospital/Health Systems - Populations Served
Figure 22. Hospital/Health Systems - Health Risk Levels Targeted
Figure 23. Hospital/Health Systems - Targeted Conditions
Figure 24. Hospital/Health Systems - Population Health Management Team
Figure 25. Hospital/Health Systems - Primary Responsiblity
Figure 26. Hospital/Health Systems - Stratification Sources
Figure 27. Hospital/Health Systems - Program Modalities
Figure 28. Hospital/Health Systems - Reimbursement Models
Figure 29. Hospital/Health Systems - Value-Based Healthcare Participation
Figure 30. Hospital/Health Systems - Return on Investment
Figure 31. Hospital/Health Systems - Population Health Management Effectiveness Measures
Figure 32. Hospital/Health Systems - Population Health Management Challenges
Figure 33. Hospital/Health Systems - Population Health Management Impacts
Figure 34. DMHealth Coaching - Established Population Health Management Program
Figure 35. DMHealth Coaching - Services Provided
Figure 36. DMHealth Coaching - Populations Served
Figure 37. DMHealth Coaching - Health Risk Levels Targeted
Figure 38. DMHealth Coaching - Targeted Conditions
Figure 39. DMHealth Coaching - Population Health Management Team
Figure 40. DMHealth Coaching - Primary Responsiblity
Figure 41. DMHealth Coaching - Stratification Sources
Figure 42. DMHealth Coaching - Program Modalities
Figure 43. DMHealth Coaching - Reimbursement Models
Figure 44. DMHealth Coaching - Value-Based Healthcare Participation
Figure 45. DMHealth Coaching - Return on Investment
Figure 46. DMHealth Coaching - Population Health Management Effectiveness Measures
Figure 47. DMHealth Coaching - Population Health Management Challenges
Figure 48. DMHealth Coaching - Population Health Management Impacts

Appendix A 2018 Population Health Management Survey Tool

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