2022 Best In KLAS Population Health Management

Hoping to provide improved care management for individuals with high-risk chronic conditions, the collaborators in this case study launched a program aimed at providing deviceless remote patient monitoring for recently discharged individuals with hypertension, COPD, or congestive heart failure. If patient-entered data is outside the normal thresholds, virtual care navigators receive real-time alerts and can intervene to prevent the patient’s condition from deteriorating. Outcomes include reduced ED visits and readmissions as well as lower costs.

Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments. For this report, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how they are moving beyond pay-for-performance into risk-bearing contracts over the next three years and their perceptions on which vendors can help them achieve their upcoming goals with VBC.

Performance

PHM Downside Risk 2021

14 October 21 | Bradley Hunter and Cathy McCabe

In the United States, just 10% of the average healthcare organization’s revenue comes from downside risk contracts. However, several health systems are ahead of the curve, and their valuable insights on adopting downside risk can help peers figure out how to move the needle on value-based reimbursement (VBR). KLAS worked with population health management (PHM) vendors to identify which of their customers are most advanced in adoption of downside risk contracts and then conducted interviews with top executives at 15 of these organizations. We spoke with large, midsize, and small health systems as well as a handful of ACOs, highlighting the fact that with the right technology and organizational structure and buy-in, organizations of all types can make significant progress toward VBR. The Executive Insights portion of this report explores what outcomes the organizations have achieved as well as their aggregated insights regarding keys to success, lessons learned, and potential pitfalls. Case studies for each of the participating organizations provide additional detail and can be found in the Expanded Insights section of the report.

Provider organizations looking to advance their value-based care strategies often look to population health management (PHM) technology to give them the confidence to move forward with value-based care. This report seeks to provide transparency into the major PHM technology offerings available today—the types of organizations that typically use the systems, what the customer experience is like, which solutions are seeing the most market energy, and the breadth of their PHM capabilities. PHM insights that go beyond this study’s general overview can be found here .

Company/solution	Overall score	Total evaluations	Trend (2021-2022)	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

HealthEC Population Health Management Suite	93.5	n=20	+2%	A	A+	A-	A-	A+	A

Azara Healthcare DRVS (primarily ambulatory and FQHC)	93.3	n=21	N/A	A	A+	A	A-	A+	A-

Cedar Gate Technologies Value Navigator	91.9	n=22	+1%	A	A	A	A-	A	A

Salient Healthcare	91.8	n=22	+4%	A	A+	B+	B+	A	A

NextGen Healthcare Population Health Analytics	90.6	n=23	+6%	A-	A+	A-	A-	A	B+

Innovaccer Data Activation Platform	89.6	n=38	-4%	B+	A	B	A-	A-	A

Health Catalyst Population Health Applications	86.8	n=29	0%	B	A-	B	B	A-	A-

Lightbeam Population Health Management	85.7	n=18	0%	B	B+	B	B	A-	A-

Epic Healthy Planet	84.1	n=49	-2%	B	A-	B	B-	A-	B-

Arcadia Arcadia.io Arcadia Analytics	82.3	n=31	-5%	C-	B+	C+	B	B+	A-

Oracle Health (Cerner) Cerner HealtheIntent Suite	77.8	n=56	-1%	C	B	C	C+	B	C+
	50.0	100.0		*Limited Data

Company/solution	Trend (2021-2022)	Culture	Loyalty	Operations	Product	Relationship	Value

HealthEC Population Health Management Suite 93.5 n=20 COMMENTS	+2%	A	A+	A-	A-	A+	A
Azara Healthcare DRVS (primarily ambulatory and FQHC) 93.3 n=21 COMMENTS	N/A	A	A+	A	A-	A+	A-
Cedar Gate Technologies Value Navigator 91.9 n=22 COMMENTS	+1%	A	A	A	A-	A	A
Salient Healthcare 91.8 n=22 COMMENTS	+4%	A	A+	B+	B+	A	A
NextGen Healthcare Population Health Analytics 90.6 n=23 COMMENTS	+6%	A-	A+	A-	A-	A	B+
Innovaccer Data Activation Platform 89.6 n=38 COMMENTS	-4%	B+	A	B	A-	A-	A
Health Catalyst Population Health Applications 86.8 n=29 COMMENTS	0%	B	A-	B	B	A-	A-
Lightbeam Population Health Management 85.7 n=18 COMMENTS	0%	B	B+	B	B	A-	A-
Epic Healthy Planet 84.1 n=49 COMMENTS	-2%	B	A-	B	B-	A-	B-
Arcadia Arcadia.io Arcadia Analytics 82.3 n=31 COMMENTS	-5%	C-	B+	C+	B	B+	A-
Oracle Health (Cerner) Cerner HealtheIntent Suite 77.8 n=56 COMMENTS	-1%	C	B	C	C+	B	C+

Company/solution	Overall performance score	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

Altera Digital Health Allscripts CareInMotion * L	78.7	n=13	B-	C+	B-	B-	C+	C+

Optum Population Health Solutions * L	73.9	n=7	B-	C	C+	C	C	C

Relevant Healthcare Analytics (Regional - West) * [C] L C	92	n=12	A	A+	B+	B+	A	A

Company/solution	Overall performance score	Total evaluations

Altera Digital Health Allscripts CareInMotion * L culture B- loyalty C+ operations B- product B- relationship C+ value C+	78.7	n=13

Optum Population Health Solutions * L culture B- loyalty C operations C+ product C relationship C value C	73.9	n=7

Relevant Healthcare Analytics (Regional - West) * [C] L C culture A loyalty A+ operations B+ product B+ relationship A value A	92	n=12

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