Accountable Care 2.0 Provider Forum

Management of medical care, social services, the public health system, and socioeconomic factors of any given segment of the population.

RISK BASED CONTRACTS – TODAY!

Opportunities For Improvement: ✔ Contracts need to financially support change to Accountability ✔ Prospective attribution member products for better outcomes ✔ More trust between Payer and Providers ✔ More sophisticated data exchanges

DATA DRIVEN DECISION MAKING

PHYSICIAN LED WORKFORCE

PATIENT ENGAGEMENT

COMMUNITY INTEGRATION

KEY ELEMENTS TO TRANSFORMING POPULATION HEALTH

TRISSENTIAL is a management consulting firm focused on business improvement. www.trissential.com

AN IMPLEMENTATION MODEL

POPULATION HEALTH CONTINUIM

Wellness Management

Healthy No Diseases

Risk Management Hypertension

Obesity

Demand Management Doctor visits

ER visits

Disease Management

Diabetes Asthma

Catastrophic Illness

Management Cancer

Help High Risk Become Lower

Prevent Low Risk from Becoming High

Define Population

Identify Care Gaps

Stratify Risks

Engage Patients

Manage Care

Measure Outcomes

Continuous Improvement

RISK

REWARD

Mgnt Payment

Bundled Payment

Capitation

Sharing data efficiently through disparate systems

Patient consent to use data

Having the right tool & team

Real time data access

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Challenges:

Shared Savings