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57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement
57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement
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Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 35 percent!

The sweet spot in population health management are activities that cover all Triple Aim bases — enhancing health status and outcomes, increasing efficiency and quality, and reducing spend.

A carefully curated population health management program that begins with risk stratification and fosters collaborations with stakeholders can do all that and more, including minimizing the need for ED visits and hospital readmissions.

57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement, delivers performance benchmarks in six key areas of population health management, based on feedback by hundreds of healthcare organizations:

  • Population Health Management
  • Health Risk Assessment
  • Medication Adherence
  • Health Coaching
  • Care Coordination
  • Reducing Readmissions and ED Use

This 65-page desktop resource is designed exclusively for the C-suite executive who seeks a high-level summary of population health trends and metrics. 57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement delivers charts and tables on 57 actionable metrics carefully curated from 2012 and 2013 market research data by the Healthcare Intelligence Network.

View the preview of "57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement."

Table of Contents

  • Population Health Management
    • Existing Population Health Program
    • Areas Covered by Program
    • Targeted Populations
    • Health Risk Levels Served by Program
    • Health Professionals on PHM Team
    • Risk Stratification Tools
    • Program Components

  • Health Risk Stratification
    • Using HRAs
    • HRA Eligibility
    • Target Population
    • Uses for HRA Data
    • Areas Covered by HRA
    • HRA Formats
    • Annual HRA Completion Rate
    • Mandatory HRA Completion
    • Penalty for Non-Completion

  • Medication Adherence (MA)
    • Existing Program to Improve MA
    • Targeted Populations
    • Most Receptive Conditions
    • Common Barriers to MA
    • Program Components
    • Tools and Technologies
    • Pharmacist Included on MA Team
    • Programs with Retail or Community Pharmacists

  • Health Coaching
    • Existing Health Coaching Programs
    • Targeted Populations
    • Eligible Health Risk Levels
    • Program Participants
    • Coaches' Background
    • Coaches' Caseloads

  • Care Coordination (via Case Management & Patient-Centered Medical Home)
    • Utilizing Case Managers
    • Targeted CM Populations
    • Targeted CM Conditions
    • Diagnosis Most Responsive to CM
    • Identification Methods for CM
    • Embedded Case Managers
    • Case Manager Responsibilities
    • Case Manager Caseload
    • Establishing Medical Homes
    • Targeted PCMH Populations
    • Targeted PCMH Conditions
    • Technology Used in Medical Homes
    • Patient Education and Engagement Strategies
    • PCMH Team Members
    • Case Manager Embedded in PCMH
    • PCMH Impacts
    • PCMH Impacts

  • Reducing Avoidable Utilization (Readmissions and ER)
    • Programs to Reduce Hospital Readmissions
    • Targeted Populations
    • Targeted Conditions
    • Identifying Individuals
    • Strategies to Prevent Readmissions
    • Programs to Reduce Avoidable ED Usage
    • Strategies to Discourage Avoidable ED Visits
    • Staffing Solutions to Discourage Avoidable ED Usage
    • Engaging PCPs to Reduce ED Visits
    • Tactics to Reduce ED Visits by Recently Discharged

View the preview of "57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement."

Publication Date: March 2014
Number of Pages: 65 pages
ISBN 10: 1-939167-98-1 (Print version); 1-939167-99-X (PDF version)
ISBN 13: 978-1-939167-98-9 (Print version); 978-1-939167-99-6 (PDF version)
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