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Now Is the Perfect Time to Advance Population Health

December 1, 2021
Will Caldwell, MD, MBA

Senior Vice President and Executive Advisor

Posted inFeature Articles
will caldwell
Will Caldwell, MD, MBA

There is an opportunity facing us, an opportunity to embrace more equitable and efficient healthcare. In a world that is driven by market forces, we cannot be constrained by the status quo and instead, must lean into a true, sustainable shift to population health.

Population health – the identification and management of the drivers of clinical and financial risk impacting a patient’s health outcome is where healthcare is heading and three key opportunities: market-driven innovation, horizontal care management, and behavioral health transformation, will enable this shift.

资金和监管是医疗保健发展方向的主要指标。私人股本正瞄准推动人口健康结果的创新服务的方向。这可以看作是私募股权资金流入门诊行为健康、专业药房、远程健康平台、家庭健康服务、远程监测服务和数据集成技术。世界杯厄瓜多尔vs塞内加尔波胆预测所有这些技术和服务不仅推动了人口健康结果,而且其中许多技术和服务一直被卫生系统忽视,因为卫生组织不知道如何将这些机会货币化。私人股本公司在承担支持新技术的初始财务风险方面表现出的热情,使医疗系统能够利用此前因资金匮乏而受到抑制的医疗创新。

As the market moves to support a population health future, we must also consider how we can utilize these new innovations to bolster care management programs.

当你想到当今卫生系统的护理管理时它实际上是针对几种疾病的护理管理。虽然这些护理项目是必不可少的,但平均而言,它们只能为有限数量的患者提供支持。

For example, if we look at patients who receive care management in a typical U.S. health system—those with diabetes, congestive heart failure, low backpain, lung disease, or chronic kidney disease—and add them, those disease management verticals only benefit 55 percent of a given population.

Care management programs are too often more like disease management programs because the healthcare system has long been focused on encounter-based billing linked to specific diseases. We need to rotate the care management paradigm and turn it on its end.

Let’s shift population health care management from more vertically oriented disease management programs to more horizontally integrated series of pathways, such as nutrition and weight management, exercise and physical therapy, financial health, preventative and palliative care, and behavioral health. Providing care management services tailored to these pathways would ensure we reach 100 percent of the population instead of 55 percent.

Along each of these pathways sit proven, private equity-backed companies and tools ready to provide value for patients and those bearing financial risk for the necessary care.

最后,在人群健康方面最大的未开发的临床和财政机会是行为健康和慢性疾病的交叉。行为健康的重新定义是弯曲成本曲线和改善慢性疾病管理结果的最大机会。这是我们许多人在人口健康管理中缺失的一块。

The failure to recognize and treat behavioral health, not as a mental illness but a physical one, is a huge mistake.For example, the total cost of care for a Medicare patient in Florida who has diabetes is $12,000. However, if they have diabetes and unmanaged mild-to-moderate mood disorder, their cost of care balloons to somewhere around $28,000.

There is no more common thread in managing the health of a population regardless of diagnosis than better behavioral health management. Private health companies are figuring out how to scale behavioral health management through digital engagements, identification of rising risk, and provision of alternative sites of care.

Population health is ultimately about the individual. The individuals in the population are either happy or sad, feel joy or pain, experience suffering and despair, and ultimately live or die. The individual. Not the population.

对于个体患者来说,现在有一个激烈的紧迫性,提供者不知疲倦地推动全面的人口健康计划在医疗保健系统。对病人来说,人口健康不是一个理论构想。对病人来说,人口健康是一个充满希望的现实。现在是推进它的最佳时机。

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