A Roadmap For Population Health: Best Practices For Achieving Operational Alignment

Reform under the Patient Protection and Affordable Care Act (PPACA) demands a contractual and financial shift from volume to value, and an operational shift from fee-for-service (FFS) to an “at-risk” payment structure. Within these shifts, there are many dynamics at play. Traditionally, FFS is focused on efficiency, but to move toward at-risk, the focus shifts to effectiveness, while still maintaining efficiency.

As providers take on more risk and combine clinical and administrative data, they find themselves better positioned to embrace and drive population health.

The Operational Alignment Challenge Making the shift is really a challenge of operational alignment. When we talk about a roadmap for population health, it’s about aligning components you already have so they can operate in different ways, for different purposes. It’s also about augmenting a certain component to make it function better in concert with other components.

In this paper, we’ll discuss:

• The Payment Reform Challenge: Balancing Efficiency and Effectiveness
• Achieving Alignment: Evolution to a “Learning System”
• Putting It All Together: Key Considerations
• Outcome of Alignment: A Learning System
• Conclusion: Where Do You Want to Be in 5-7 Years?

Download the white paper below to learn more.