19 January 2017
The Last Mile of Population Health Management
By Egor Kobelev and Daniel Piekarz
Population Health News features Egor Kobelev and Daniel Piekarz, executives in the Healthcare and Life Sciences practice at DataArt, as they discuss population health management initiatives and key drivers of their successful implementation.
“Today there are several active initiatives and regulation provisions that could lead to even more fundamental changes in the U.S. healthcare system, among them MACRA, which strongly advocates for rewarding providers for providing better care, not just more care. Although MACRA looks very promising, it may be too early to discuss its practical implications. Much better examples are the Health Homes (HH) Program,2 launched in several states, and the Delivery System Reform Incentive Payment (DSRIP),3 originally introduced in California and later followed by Texas, Massachusetts, New Jersey, Kansas and New York.
Along with other provisions, ACA created an optional Medicaid State Plan benefit for states to establish health homes and coordinate care for people with chronic conditions who have Medicaid coverage.
The greatest challenge is integrating a software solution into an organization’s unique software ecosystem and harmonizing the data stored and updated within the organization with data coming from a state. This task requires a deep understanding of a healthcare organization’s typical software setup, including its practice management system, EHR and billing software, as well as a solid knowledge of the way a state portal works, transmits and operates data.”