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Resource:
Managing Population Health: A Strategic Playbook for Best-Fit Growth Opportunities
This whitepaper provides leadership with detailed guidance on where, when, and how to assume a financially sustainable role in PHM.
Due to its unsustainable costs, healthcare is moving to a new business model that centers on managing the health and care needs of patient populations through value- or risk-based care delivery and payment arrangements. Healthcare organizations will be required to participate in population health management (PHM), whether a major player or a minor one in their communities.
Managing the health/care needs of a population, and assuming the financial and clinical risk for doing so, represent a model that is profoundly different than the approach that has existed under the fee-for-service system in place in the U.S. since the 1950s. The new approach challenges healthcare leadership teams to re-evaluate their organizations’ market environment, redefine their operating scope, and build new capabilities in order to be successful going forward.
Healthcare executives and trustees who understand the PHM model and its implications for their organizations and communities will be better able to develop best-fit opportunities for participating in PHM.
This whitepaper aims to help leadership teams accomplish these goals through a structured process that provides detailed guidance on where, when, and how to assume a financially sustainable role in PHM. For those organizations that have started the journey, the paper helps their leaders determine the next strategies to pursue. A framework or roadmap (Sidebar 1 and Figure 1) guides readers through this whitepaper and the recommended process.
