Care Transformation Center Blog

Your new competencies: Provider engagement, care management, and plan management

From medical home deployment to risk stratification analytics, the to-do list for population health managers is a daunting one. But beyond new staff or technology investments, we’ve identified three key competencies that every population health manager will need to manage risk: partner engagement, care management, and plan management

Visit our new Care Transformation Center homepage to find detailed best practices within each of these topic areas.

Partner engagement: Who do you want on your team for managing risk?

The challenge of coordinating across diverse providers, developing reliable clinical guidelines, and referral protocols is not new, but to succeed under value-based contracts, providers will need to adopt a more proactive approach to evaluating the performance and outcomes of partner organizations.  

To achieve population health goals, organizations will need to minimize care variation, implement joint performance improvement processes, or even adopt new incentive models. 

Care management: How well are you delivering patient-centric care?

Part of the research presented at our national meeting series provides an outline for what a best-in-class care management infrastructure looks like. While many providers have a variety of care coordination initiatives in place, they are often too fragmented.

So what are the hallmarks that differentiate progressive organizations? To start, they're developing a more integrated approach to managing care coordination, engaging patients in self-care, adopting new team-based models of care, and leveraging new care management technologies. 

Plan management: What traditional health plan tactics can we adopt to promote value?

Utilization management and benefit design have traditionally fallen in the realm of payer organizations, but providers will need to adopt similar practices to successfully manage the total cost of a population.  For example, they’ll need to carefully measure the impact of wellness incentives and create value-based benefits that promote more cost-effective care settings. 

For most providers, these competencies are a significant departure from the traditional focus on acute care management, but are necessary skills to fully manage the health of an entire population. 

Additional Resources

We’ll be adding more resources to our website across the coming weeks. In the meantime, our national meeting series offers the best opportunity to see our latest research on managing avoidable health care costs and care management.  Register today.