06 Mar 2023

The Market for Population Health and Value Based Contracting

Did you know that the Population Health Management Market is projected to reach $53.3 billion by 2027 from its current $27.8 billion(1)? This is an incredible growth opportunity with immense potential. However, the real question is, what will the impact of all this population health management be?

We believe that with new information, technology, analytics, people, and processes, there is an opportunity to offset the rapidly rising costs of the entire healthcare system, create better efficiencies, and achieve the Triple/Quadruple Aim. But, only if implemented in an appropriate, manner with a rapid move to value-based contracting.

This is where we can help. With our expertise, we can provide you with the tools and resources you need to successfully implement population health management programs and structure effective value-based contracts.

Establishing Global capitation at the physician or healthcare system level is just the start, one must also restructure the system below this with value-based contracts. Sure it’s a risk, but this risk can be effectively managed and lead to greater control. With this payment methodology, and our experience developing comprehensive population health management programs you will better understand your patients, their situation, and their health, determine gaps and failures and implement effective programs that improve outcomes and lower costs.

As a capitated provider, you should have the freedom to spend the funding where the organization believes the most positive impact will be obtained, whether that is medical care or some other services. You should also be freed from burdensome prior authorizations, step therapeutic approaches, etc., that have been established by the insurer, payer, or some other 3rd party, and as clinicians establish your own rules.

With the emergence of telehealth, remote patient monitoring, and other technologies, you may don’t need as large an office, parking lot, or the number of exam rooms and staff. We can help you re-imagine your operations and facilities.

If you are interested in implementing programs and systems that work, give us a call. We can help you achieve the Triple/Quadruple Aim and make a real difference in the lives of your patients.

(1)  https://www.marketsandmarkets.com/Market-Reports/population-health-management-market-263411936.html

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