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Home chevron icon Value Based Care chevron icon Population Health

Population Health Management
 

Pre-packaged IT solutions that provide analytics and care management functions for analyzing, understanding, and proactively managing patient populations.

Subject Expert
Bradley Hunter
VP VBC and CORE
KLAS VP VBC and CORE - Bradley Hunter
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Points of Light 2023 Case Study 23: Improving Equity in Healthcare Access through Improved Data Exchange) Report Cover Image
Point of Light
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Points of Light 2023 Case Study 23: Improving Equity in Healthcare Access through Improved Data Exchange
15 April 23
Poor interoperability between payers and providers negatively impacts many areas, including care quality, administrative workload, and documentation for regulatory requirements. With a shared goal of improving care for all patients, the collaborators in this case study worked together to automate the data exchange process and make it easier for providers to identify and close care gaps. This improved interoperability has increased preventive care, improved quality measure performance, and enabled providers to better address patient needs at the point of care.

Recent Insights

Key Findings:

  1. Executive Summary
  2. The Collaborators
  3. Points of Friction—Challenges to Be Solved
  4. Action Plan—How the Collaborators Worked Together to Reduce Friction
  5. Points of Light—Outcomes Achieved through Collaboration
  6. Lessons Learned—What Best Practices Can Other Organizations Replicate?
  7. What's Next?—Vision for the Future


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Performance Data

Overall Score by Product

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Products Appearing in Decisions

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Overall Score by Question Topic

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Provider Facility Size by Product

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Provider Facility Type by Product

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Related Articles
Article
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What’s Happening in Value-Based Reimbursement
13 October 20    |   Bradley Hunter and Paul Warburton
COVID-19 has exposed many of the shortcomings of a fee-for-service model. On the other side of the pandemic, the transition to value-based reimbursement will be crucial.
Article
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eTech Insight – Data Aggregation Solutions Drive Big Data Accessibility
17 June 20    |   Mike Davis
Healthcare providers need to allow their data to be used by cohort organizations but patient advocates are concerned that the data may not be deidentified to the extent necessary to protect patient id
Article
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The Next Step—Population Health Care Management
03 February 20    |   Bradley Hunter
The population health market is realizing that it needs more of the next step: the care management piece. There is some adoption, but there is not widespread adoption. A lot of the other players in th
Article
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The Calming Waters of the Digital Health Investment Market
05 December 19    |   Chris Chandler
As 2019 closes and 2020 opens, let’s take a moment to examine the past, present, and future of investing in digital health markets.
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Related ReportsView All Reports
Point of Light
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Points of Light 2023 Case Study 11
14 April 23    |   Aurene Wilford and Boyd Stewart
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.
Perception
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Value-Based Care Reimbursement 2022
17 November 22    |   Bradley Hunter and Cathy McCabe
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
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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.
Performance
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Population Health Vendor Overview 2021
22 June 21    |   Bradley Hunter and Cathy McCabe
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 .
Performance
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SDOH Referral Networks 2021
30 March 21    |   Bradley Hunter and Paul Warburton
Adoption of technology to help provider organizations manage SDOH referrals is still early, but interest is growing as organizations seek to take on more value-based reimbursement risk. This report provides a first look at customer satisfaction with various SDOH referral network solutions and examines the parts of the SDOH referral process in which these solutions are being used. All measured vendors in this early market have overall scores above 90 (out of 100), indicating high overall satisfaction. Shifts in satisfaction are possible as the market matures and the number of KLAS ratings increases.
Best in KLAS
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2021 Best in KLAS Awards - Software and Professional Services
02 February 21    |   Mark Allphin and Sam Eaquinto
The Best in KLAS report recognizes software and services companies who excel in helping healthcare professionals improve patient care. All rankings are a direct result of the feedback of thousands of providers over the last year. A Best in KLAS award signifies to the healthcare IT industry the commitment and partnership that the top vendors should provide. Read the report to see the top-rated medical software and services for 2021. Watch sessions from our first-ever virtual Best In KLAS Award Show to hear from the winning vendors in each segment. View Awards Show Recordings
First Look
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Relevant
29 January 21    |   Bradley Hunter and Sam Eaquinto
FQHCs have only had a couple of options to choose between in the last few years when it came to solutions that support taking on risk through value-based care. Relevant’s data analytics platform is intended to help community health centers make better decisions based on data. This report is KLAS’ first look at the experience of Relevant’s clients and seeks to provide early insights into satisfaction among these customers.



Reducing Filters

Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.

This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.

We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.

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