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Fresh Data drives population health improvement.
The only way to truly bend the health care cost curve is targeted, effective population management. Simply put, payors need to reduce the amount of dollars spent on health care services. More importantly, you, as a payor, need to show that your provider networks deliver cost-effective, high quality care. In partnership with Forward Health Group, you can reduce your costs through your core solution offerings (utilization management, wellness, etc.).
Simply put, payors need to reduce the amount of dollars spent on health care services. More importantly, you, as a payor, need to show that your provider networks deliver cost-effective, high quality care. In partnership with Forward Health Group, you can reduce your costs through your core solution offerings (utilization management, wellness, etc.). FHG’s powerful measurement tools, such as PopulationManager®, paired with ongoing reporting of cost savings and quality outcomes, will demonstrate to employers, purchasers, and other stakeholders that population health management delivers very powerful returns.
We know that there are significant variations in health care quality but narrowing the source(s) of variation and targeting interventions is a distant vision at present. With FHG’s measurement tools, payors are able to zoom in, around, and through their entire insured population—quickly. Think of tools like Google Earth…FHG delivers that same experience. Focused on the quality and cost metrics selected by you and your purchasers, financial and quality analysts will be able to navigate by state, by county, by hospital, by provider. Exploring opportunities in congestive heart failure in Jefferson County or diabetes in Pike County? The data will always be a mouse click away. You will then leverage the information from the data mart to drive your program delivery. Meaningful cost savings will flow from this targeted approach to population and care management.
As a payor, you are dependent on your vast warehouses of administrative data sources to reveal savings opportunities. The standard output of data analysis, whether a PDF “report” or a spiral-bound tome of graphs and charts, will no longer be sufficient to meet payor’s needs. FHG is the recognized leader in properly tethering patient populations to access points of delivery, whether at the geographic, health system, hospital, or physician level. Our data alignment expertise will allow payors to far exceed their current abilities to maximize utilization of limited administrative data resources.
FHG builds powerful denominators that establish a baseline for a variety of population measures. Once established, these measures will become the basis of the provider network transformation—transparency leads to provider contract reform which leads to contained risk exposure. Benefit programs will change; risk models will evolve; patient trajectories will be altered.
You need accurate data, including data at the member-level, to fuel efforts that will yield cost savings. FHG has developed a four step process to maximize the potential of payor data that will support program development and deployment. In these data alignment steps, we learn about care systems, program designs, quality initiatives, and more. We establish specific measures/metrics that resonate with your goals for the network. We establish the flow of data sources into the refined population(s), measures, and metrics. The obvious beneficiaries of FHG’s Fresh Data are your team of Case Managers, Disease Managers, and Utilization Managers.