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Population health

Population health management is essential to delivering quality care that is as diverse as the populations it serves. Use these resources to enhance care delivery and achieve measurable improvements in patient outcomes.
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Scale chronic disease management

This research report simplifies the complex process of developing a scalable chronic disease management program across three steps: Finding modifiable patient risk factors, anchoring consistent, long term services in ambulatory care, and setting clear pathways to specialists.

Engage specialists in population health

In part 1 of this series, we discuss evidence-based referral considerations that aim to inform clinical decision-making. These help avoid care delays and misuse of specialist time and ensure patients receive the right level of care at the right time.

Get the basics on population health

Progress in value-based care (VBC) requires a simultaneous transformation in both clinical and financial models. Download our cheat sheets to get smart on clinical and financial VBC basics — fast.

Go deeper on our latest population health insights
Quick reads
Expert Insight

Q&A: Dan Nardi, CEO of Reimagine Care, on the future of at-home cancer care

The future of cancer care is moving toward at-home treatment, and Reimagine Care is part of this shift. In this Q&A, CEO Dan Nardi unpacks the challenges of providing continuous, comprehensive care to cancer patients, the integration of virtual platforms with traditional services, and the importance of partnerships in enhancing care delivery.
Expert Insight

4 tensions holding back healthcare value — and how to address them

Everyone wants to increase healthcare value, but key tensions make that goal elusive. Consider these tensions along four spectrums: Value in the short term versus long term. Value to the individual versus the larger population. Outputs versus outcomes. Proven strategies versus experimental. With input from over 100 healthcare leaders, we detail the current state of the industry and steps to increase overall healthcare value.
Expert Insight

3 takeaways on why primary care is key to migraine management

Migraine management is a crucial aspect of primary care, but it often falls short due to gaps in diagnosis and treatment. Discover why standardizing migraine workflows, making it easier for primary care providers to participate in migraine care, and empowering patients to play an active role are all essential for improving migraine outcomes.
Expert Insight

How expanded reimbursement for RTM and RPM is changing care

Remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) have emerged as essential tools in modern healthcare. Discover the implications of expanded reimbursement for RTM and how it is changing the way organizations approach patient care.
Implementation resources
Case Study

How one health system achieved a 50% increase in post-discharge follow-up

Organizations must align provider schedules with organizational priorities if they want to achieve their access goals. Find out how one health system used a three-step approach to hardwire post-discharge appointments into their providers’ schedules to increase patient follow-up care.
Case Study

How to reduce in-basket overload by 34%, in 4 steps

Unmanageable in-basket volumes can be a significant burden for healthcare providers. Find out how one health system successfully addressed this issue with a four-step process that reduced message quantity, protected provider time, and improved overall efficiency.
Case Study

How Frederick Health saved $2.3M through remote patient monitoring

Facing high readmissions and ED utilization rates, Frederick Health created a remote patient monitoring (RPM) program for patients transitioning out of home health services. Discover the three key strategies they employed to achieve high patient satisfaction, improved health outcomes, and cost savings of $2.3 million annually.
Case Study

How Cone Health added ATTR-CM screening to an existing care pathway: A TAVR example

Discover how Cone Health successfully integrated screening for a rare cardiac disease, transthyretin amyloid cardiomyopathy (ATTR-CM), into their existing care pathway for patients who have undergone transcatheter aortic valve replacement (TAVR). By implementing this strategy, Cone Health has improved early detection and disease management for patients with ATTR-CM.
Experts
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