Contracting for Population Health Management

See the results of our 2013 Population Health Survey

Half of recently surveyed providers anticipate that at least 50% of their business will come from risk-based contracts in the next three years. Find out how they're measuring success—and get tips for starting with care or contract-led transformation.

Contracting for Population Health Management

Results at a glance:

      • You must integrate payment and care transformation to successfully transition to population health management
      • The majority of surveyed providers have a Medicare risk-based contract
      • Half of surveyed providers are anticipating 50% or more of revenue (and lives) from risk-based contracts in three years
      • Most systems measure success based on readmission rate, the percent of high-risk patients engaged with a dedicated care manager, and non-emergent ED utilization

Two paths to a value-based business model

As markets move to reward population management, hospitals and health systems face two significant transitions.

First, organizations must innovate on the care delivery model to achieve new quality benchmarks across episodes of care and ongoing care management. At the same time, organizations must prepare for changing payment models that shift risk onto providers.

Managing the transition requires continually matching new care delivery competencies to new payment incentives. In the process, systems must shift from piloting population health with employee populations to aligning contract terms across payers.

The Care Transformation Center surveyed 180 health systems, standalone community hospitals, academic medical centers, and physician practices from July-October 2013 to offer a unique snapshot of where providers are on the path toward population health management.

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Prioritizing the Investment Plan for Population Health Management