management consulting

Population Health Management

KSMC’s Population Health Management services team can partner with your organization in making the shift from volume-based to value-based coordinated care. We work directly with healthcare administrators, providers, and staff to help build a performance-focused, value-based infrastructure. This includes developing a provider engagement strategy, aligning provider incentives and compensation, understanding and operationalizing data and predictive analytics, and creating clinical programs to manage defined populations.

The Transition to Value-Based Care

As a result of healthcare reimbursement reform and changing business models, the fee-for-service volume-based system that has long been the standard is changing. Healthcare providers are searching for ways to mitigate costs while still providing excellent, high-quality service. This is leading many organizations to develop a centralized Population Health Management model. This new model is focused on provider alignment and engagement, care management, preventative health, and meeting the needs of patient populations with better value, efficiency, and outcomes.

  • Population Health Readiness Assessment
  • Provider and Staff Education
  • Industry Trends and Best Practices
  • Performance Strategies

Provider Alignment and Engagement

Our team has extensive hands-on experience working with providers and their staff on practice-level transformation, and we have a deep understanding of what providers and their staff need to provide exceptional value-based care. We know physician buy-in is critical to success with a population health management strategy, so we partner with clients to create innovative solutions that help them navigate change, spend more time with patients, and ultimately deliver better care at a lower cost.

Aligning provider incentives with overall strategy is where we can put our experience to work for clients. We believe this is an essential ingredient to a high-performing value-based care model. As reimbursement continues to change, we can bring administrators and providers up to speed about how this affects compensation and strategy.

  • Primary Care Compensation
  • Coordination of Clinical Teams
  • Incentivizing Quality and Practice Transformation

Operations and Programming

Our experience has taught us that the right population health management solution or model is unique for each client and situation. Our team understands what administrators, providers, and staff are looking for when it comes to selecting effective strategies that leverage industry best practices and our front-line experience in the physician office.

We also understand the complexities of healthcare data through our healthcare services and data analytics teams —and how to use data to drive action and positive change—so that your Population Health Management model is a success. We can assist you with operational and clinical components:

  • Strategy and Planning
  • Clinical and Operational Workflows
  • Contract Negotiations and Management
  • Policies and Procedures
  • Risk Adjustment and Acuity Coding
  • Annual Care Strategies
  • Transitional, Chronic, and Post-Acute Care Management Strategies

Contact Us To Learn More About Our Population Management Services

Give us a call at 317.452.1700 or fill out the form below and we’ll get back to you quickly.

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