athenahealth Population Health

Attendees of the Cornerstone Summit on Population Health Managment had the goal to identify strategic and operational barriers to success in value-based reimbursement and potential solutions for achie

Answering the question “is our population health program successful?” is difficult. It’s next to impossible if we can’t answer, “what should our population health program drive toward?” first.

In 2017, the Population Health Summit accomplished some key milestones for the development of PHM by establishing best practices for both providers and vendors.

White Paper

PHM Cornerstone Summit 2019 White Paper

01 April 19 | Bradley Hunter

When CMS rolled out the Medicare Shared Savings Program in 2011, it helped initiate a wave of optimism that value-based reimbursement (VBR) programs would go a long way toward resolving the persistent problem of rising healthcare costs. Eight years later, some say that VBR has not lived up to its promises, and enthusiasm seems to be shrinking as many provider organizations hesitate to take on meaningful risk. Those that press forward often find that expected financial outcomes are out of reach. What happened to dampen enthusiasm? Why is success so difficult to achieve? On November 14, 2018, leading executives from provider, payer, and vendor organizations convened in Salt Lake City, UT, to help answer these questions. Together, they identified strategic and operational barriers that have dampened VBR headway as well as potential solutions to clear the way. They also discussed ways to measure VBR progress in the future at both national and organizational levels. This document is being publicly shared to help all those that may benefit from the combined experience and expertise of summit attendees. (See page 15 for a list of attendees.)

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