What exactly does a PHM platform do?
Employing descriptive, predictive, and prescriptive analytics, population health management platforms are
able to identify high-risk patients who require care management interventions in order to improve outcomes
at reduced costs. Advanced systems further identify specific risk characteristics, which helps practices
assign specific interventions to mitigate these risks. PHM platforms support measurement of quality against
national standard metrics, identifying gaps in care for evidence-based preventive services and best practice
recommendations for the treatment of chronic conditions. For example, poorly controlled diabetics can be
easily identified for care management outreach or the system can identify diabetics who have been lost to
High-performance population health platforms are designed to adapt quickly to shifting quality
requirements imposed by commercial payers or Center for Medicare and Medicaid Services (CMS),
allowing health systems to optimize their financial performance in gain sharing and risk bearing contracts.
Sophisticated PHM platforms allow measurement and reporting of Practice Pattern Variation. Powerful
algorithms analyze paid claims and generate variation curves that identify how physicians vary from
one another in the way they utilize costly resources. Revealing these variations allows organizations and
providers to identify unwarranted variation and associated low-value services, resulting in significant
savings compared to budgets and enhanced quality.
This blog comes from a white paper published by EHR Integration Services and EagleDream Health.
Click here to read the white paper in its entirety, or visit our blog regularly to read all Top Ten
Essentials of Population Health.