Facing ever-increasing pressure to reduce healthcare costs, health plans have been looking for new ways to significantly scale care management to broader member populations. Newly released NCQA Population Health Management (PHM) standards—like the use of more patient-centered assessments to determine care needs—provide yet another catalyst for health plans to forge change.
However, expanding whole-person focused care (as opposed to disease-state focused care) to a sizable portion of the member population requires health plans to address several challenges, including:
- Risk identification and stratification to factor in broad clinical and non-clinical factors, not just costs.
- Assessments and care planning tools that are scalable and optimized for integrated care management.
- Integrated platform and programs to manage patients with both chronic and behavioral conditions.
- Effective assessment and management of social determinants of health, not just clinical factors.
Register today for Part I of this invaluable, two-part series. Hear industry experts discuss how ZeOmega clients have successfully transformed care management using:
- Integrated identification and stratification.
- Integrated assessments and care planning.