Kevin Rhodes, Senior Clinical Product Advocate, OPTUM
Health systems are struggling with one foot in the fee-for-service world and their other foot trying to find a grip on the unsteady ground of value. The application of population analytics is a proven approach by which healthcare providers can strike a balance between keeping their revenue solid with fee-for-service contracts while navigating into value-based contracts, whether they are fee-for-service, pay-for-performance, patient-centered medical home (PCMH), or any other variant on the spectrum. Some health systems are successfully using analytics to influence change in their business; specifically, these organizations are using analytics to help them stratify their patient populations according to risk, measure physician and care management team performance, assess patient and population interventions, and identify financial risks and opportunities.
This presentation will share the experiences of a provider organization that is using advanced analytics to propel the organization along the path from volume to value, while staying profitable in the fee-for-service world. Attendees will see specific examples, successes and lessons learned they can use to as they implement analytics within their own organizations.