Population Health Management - Evolutionary Value-Based Care Outplacing Conventional Volume-Based Care The sole aim of a Population Health Management Platform is to utilize the right strategies that aim to improve the population’s health by preventing and managing various diseases. It not only works for the betterment of patients’ health conditions but also promotes well-being and reduces health inequities prevailing in the healthcare system. Population Health Management models focus on patients with chronic illness and the enrollees that are in dire need of care. It uses data-driven methods to identify the patient population at high risk of undesirable health outcomes.
Initiatives included in Population Health Management are:
Timely management and prevention of diseases Care coordination Patient’s health literacy and engagement And some other practices aimed at raising the existing condition of population health.
Healthcare organizations need to utilize appropriate Population Health Management Platform to improve patient outcomes. Healthcare providers, government bodies, and payers combine to provide care coordination and preventive solutions. So, a well-designed Population Health model aids in reaching goals of value-based care, improved outcomes, and reduced costs. Its imperative for healthcare organizations to design effective population health programs that align with the value-based care models and streamline all the processes.
Aligning with Value-Based Care
The healthcare industry is moving towards transitions from time to time. With the rapid change in the healthcare industry and technology, Population Health tools are more in line with value-based care as opposed to volume-based care. Value-based payment models are designed specifically to motivate healthcare providers to deliver high-value and affordable care. Such models help in good reimbursement of providers depending on the delivery of care rather than the volume of care. If healthcare organizations adhere to promote value-based care it will provide more coordinated and focused care.
Drawing a Distinction Between Value-Based Care and Volume-Based Care:
When the value-based care model is compared to the volume-based model, the results appeared to reflect that patients who received care under value-based models had reduced rates of emergency visits and hospitalization. While on the other hand, the case was totally opposite with those who received care under the conventional fee-for-service model. As per recent research, it has been discovered that value-based models lead to improved care quality and reduce care costs. Payers reward healthcare professionals depending on each treatment or operation they organize under the standard fee-for-service model. Each treatment is claimed individually per patient and then reimbursed by third-party payers, even if the service delivered was not beneficial or even necessary for the patient's care.