Health Payer Intelligence September 29, 2017
Innovative pricing strategies and provider partnerships can create effective population health management programs that keep payer costs low.
Effective population health management and comprehensive preventive care open the door to new opportunities that maximize payer spending, raise care quality, and slow the progression of costly chronic conditions such as diabetes and cardiovascular disease.
In order to identify populations that will benefit the most from proactive management programs, payers must take the lead in risk stratification and targeted outreach to high-risk or rising-risk patients.
Rising-risk patients, or those with one or more chronic diseases that may contribute to deteriorating outcomes, account for just 20 percent of all individuals, according to The Advisory Board.
Yet this group, combined with high-risk patients already...
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