Mental & Physical Health The Mind-Body Connection – Is this the Next Frontier? In our first of this series of articles, The Evolution of Healthcare - Article 1, we introduced recognition of the evolution of healthcare to address the whole person, and related opportunities to support a broader...

Use of Expanded Data Sources for Program Outcomes and Evaluations The challenge related to having the right data at the right time. Development of population health programs is a key responsibility of population health managers and within a health plan setting, investments associated with these...

Mental & Physical Health Recognizing the importance of managing individuals’ health holistically via integration of mainstream and alternative care Historically, health management programs have focused on one chronic disease at a time, often missing opportunities to support a broader set of...

Expanding Data Sources for Identification of Risk – Population Health Re-Imagined Healthcare organizations are increasingly using additional sources of data to augment their understanding and insights into the populations they serve, for a variety of purposes – from forecasting health outcomes and...

Accounting for Health Risk and Disease PrevalencePopulation Health Management requires providers and program managers to maintain a delicate balance between taking a longer-term view of a target population (patient) experience and outcomes versus a short-term focus on individuals participating in...

Using a cost and utilization lens to evaluate and improve health care deliveryAs interest in improving care management grows, it is important to establish which models of care are most effective. As described in our first article in this series on “Analytics for Population Health Management”, it...

This case study outlines how to re-design a complex, high risk, end-to-end claims appeals intake to improve outcomes. The recommended re-design included metrics around timeliness and productivity, and Standard Operating Procedures (SOPs) to achieve a more streamlined and simplified organization...