The benefits of population health management include better care management programs that eliminate gaps in care, enhanced coordination across providers, and improved clinical and financial outcomes.
Population Health Management can be achieved with effective collaboration between the clinical teams and the IT organization, along with population health software and population health analytics.
A coordinated, patient-centered approach enables patients to partner with their physicians and care teams to detect, prevent, and treat chronic conditions and diseases. Leveraging internal data sources such as member enrollment and adjudicated claims data, payers are starting to understand the member behavior and clinical encounter patterns. However, lack of depth of information such as lab results or vital signs and lag in claims processing can limit the insight gained from analysis of claims data alone. This has led to increased payer focus on integrating patient outcomes data, population health analytics, and emphasis on creating a transparent system with a 360 view of clinical encounters in the continuum of care, including, physician practices, hospitals, home health, and other care delivery settings.
In the shift to value-based healthcare, Omni-HealthData enables health insurers to get a 360-degree view of every member. The Payer Edition helps health insurers onboard clinical data from healthcare practices and unify it with your own internal claims data. Our products take complex data and ensure consistency, accuracy, and readability to make your population health analytics simple and easy to digest.
This single, comprehensive application simplifies complex data integration, promotes data quality, and facilitates ongoing data governance in support of population health management, population health analytics, and other important healthcare initiatives and goals.
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Healthcare payers that have a mature PHM strategy are able to provide safe, reliable, quality care and service for their members. By leveraging technology, health plans are becoming more data driven and focusing on aggregating data from disparate data sources across continuum of care. Omni-HealthData can help health plans leverage their disparate clinical and financial data sources, both internal and external, to empower their care providers and care givers with a holistic view of their at-risk, high risk and chronic patient population leading to timely interventions, better utilization of preventative care and unprecedented savings in overall healthcare resource utilization.