Population Health Management Modeling to Support Accountable Care Delivery

The Problem

This research defines populations as individuals who are eligible to receive health benefits through their employer’s health benefits plan.  The participating employers have self-funded health benefits plans and have established contracts for work site clinics and consultation for population health management.  This research analyzes patterns of healthcare utilization as represented by healthcare claims data and identifies medical management strategies that will improve population health. The research will monitor the implementation of selected medical management strategies and use  patient outcomes and the employer’s paid claims as metrics for population health management effectiveness.

Objectives

This research will:

  • Develop a longitudinal claims data base and supportive information to identify population health conditions and healthcare utilization;
  • Identify population health management opportunities to improve healthcare quality and cost;
  • Evaluate the effectiveness of population health management strategies; and
  • Disseminate findings for generalization when appropriate to other populations to enhance population health management knowledge and practices.

Methodology

Statistical analyses

Potential Impact

To improve population health management that improves quality and cost through evidence-based collaborations among employers and providers.

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