Effective Population Health Management in a Changing Arena
03/15/2016
Success in today’s health plan environment requires nimble population health management (PHM) that stretches beyond what historically defined successful PHM practices. Today, driving health outcomes, quality scores, cost trends and member-retention rates – all products of well-executed PHM -- are critical in amassing a solid standing in the market.
Effects of new PHM demands
The importance of PHM isn’t lost on those on the front lines. In fact, 80 percent* of population health managers aim to increase care management efforts in the immediate future. But PHM can be a daunting and complex undertaking requiring varied resources. Qualified care managers, for instance, command high salaries and can only conduct so much outreach and disease management.
Elevating PHM despite challenges
Automated yet interactive outreach, engagement and education solutions such as Altegra Health’s SMART ConnectTM utilize member data to perform strategically targeted PHM. With the ability to reach 800,000 members a day through multiple communication channels, this tool performs routine PHM while allowing care managers to focus on members requiring their expertise. As for effectiveness, SMART Connect clients have seen results as significant as a 54 percent reduction in NICU admissions and a 300 percent increase in care manager caseload capability. According to a recent client survey, nearly 80 percent say they would recommend the solution to a colleague.
Logistics of an automated solution
Altegra Health’s SMART Connect solution takes roughly two to four weeks to implement and involves developing a comprehensive statement of work, scriptwriting (for automated calls), target-member identification and program configuration details. Highly scalable, easy to implement and cost effective, health plans are increasingly realizing the advantages of employing solutions like SMART Connect and working with progressive partners such as Altegra Health.
To learn more about Altegra Health’s SMART Connect and other innovative solutions, click here or call 1-877-422-1663.
*”Prioritizing the Investment Plan for Population Health Management,” The Advisory Board Company, 2014
Effects of new PHM demands
The importance of PHM isn’t lost on those on the front lines. In fact, 80 percent* of population health managers aim to increase care management efforts in the immediate future. But PHM can be a daunting and complex undertaking requiring varied resources. Qualified care managers, for instance, command high salaries and can only conduct so much outreach and disease management.
Elevating PHM despite challenges
Automated yet interactive outreach, engagement and education solutions such as Altegra Health’s SMART ConnectTM utilize member data to perform strategically targeted PHM. With the ability to reach 800,000 members a day through multiple communication channels, this tool performs routine PHM while allowing care managers to focus on members requiring their expertise. As for effectiveness, SMART Connect clients have seen results as significant as a 54 percent reduction in NICU admissions and a 300 percent increase in care manager caseload capability. According to a recent client survey, nearly 80 percent say they would recommend the solution to a colleague.
Logistics of an automated solution
Altegra Health’s SMART Connect solution takes roughly two to four weeks to implement and involves developing a comprehensive statement of work, scriptwriting (for automated calls), target-member identification and program configuration details. Highly scalable, easy to implement and cost effective, health plans are increasingly realizing the advantages of employing solutions like SMART Connect and working with progressive partners such as Altegra Health.
To learn more about Altegra Health’s SMART Connect and other innovative solutions, click here or call 1-877-422-1663.
*”Prioritizing the Investment Plan for Population Health Management,” The Advisory Board Company, 2014