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1 medhealthoutlook.com Population Health Management Edition AUG 2021 TRANSFORMING HEALTHCARE WITH TECHNOLOGY Innovators Medhealth Outlook POPULATION HEALTH MANAGEMENT 2021 Jean-Claude Saghbini, CTOThe secret to success is finding someone else to do all the hard work. Medical billers, say hello to Inbox Health. If you’d like to collect more while spending less, it’s time we got to know each other. Inbox Health is a patient engagement platform that can help you reduce costs, including paper statements and patient phone calls. We can also increase patient payment percentages and speed to payment. inboxhealth.com © 2021, Inbox Health, Inc. Every organization struggles to manage its Specialty Drug spend. ELMCRx Solutions understands the complexity of specialty drug management. By combining powerful clinical management with real-time oversight to control costs and prevent unnecessary payments, our unbiased program helps deliver the best outcome for the plan sponsor and the member. We partner with employers, health care coalitions, health plans, insurance captives, TPAs and Taft-Hartley Trusts. Cost Containment Solutions and superior clinical outcomes are achievable. ELMCRx Solutions is the partner to help you achieve them. Better manage your specialty drug spend, through powerful clinical management combined with real-time oversight. CONTACT US TODAY John Adler jadler@elmcgroup.com | 262 707.1076 Mary Ann Carlisle mcarlisle@elmcgroup.com | 484 433.1412 elmcgroup.com An ELMC Risk Solutions CompanyCopyright @202 1 Medhealth Outlook. All Rights Reserved. The content and images used in the publication should not be reproduced or transmitted in any form or by any means without the prior permission of Medhealth Outlook. AUG 2021 Copyright @ Medhealth Outlook 2021 Subscribe medhealthoutlook.com According to some of the recent reports, the U.S. healthcare system spends far more per capita than the healthcare systems of other industrialized nations. To align with the growing healthcare requirements of population health management, innovative solutions are being introduced into the industry every day. With population health management solutions, patient’s data is aggregated across various health information technology resources. These aggregated data is then analyzed into a single and actionable patient record, allowing healthcare professionals to improve the clinical and financial outcomes of their patients. Today, most of the population healthcare management programs utilize a business intelligence tool for the aggregation of data. The technological advancements in healthcare IT are also part of delivering more accurate population health management programs. The adoption of advanced electronic health records (EHR), analytics, blockchain technology is also improving population health management. Some of the newer solution providers are adopting AI and robotics for better data analysis and predictive reports. Thus reinventing the way population health management solutions work today. With population health management solutions surging ahead in full steam, AI- based medicine, integrated EHRs are all gaining traction. With the new emergence of next-generation population health management solutions and related technologies, patients are gaining access to faster and efficient or rather safer healthcare shifts. In tandem with the evolution of technologies and population health management solutions adopted in the healthcare space, MedHealth Outlook presents to you its special edition on the leading Population Health Management Solution providers. This edition of the magazine features some of the leading and innovative providers who offer exceptional technology solutions and services related to the healthcare space. We hope this edition of MedHealth Outlook Magazine adds valuable insights to your requirements. How Technology is Redefining Population Health Natasha Jacob Managing Editor Managing Editor Natasha Jacob Editorial staffs Sam Morris Dave Walker Richard Taylor editor@medhealthoutlook.com Visualizers Monica Philip Joseph Morgan Sales Sam Morris sam@medhealthoutlook.com sales@medhealthoutlook.com3Shape TRIOS Patient Monitoring Please contact your reseller regarding availability of 3Shape products in your region Visualize changes and gain preventive insights Book a demo today!08PAGE NO 16 20 26 34 Reinventing the Healthcare Experience Delivering a Collaborative Care Model The Promise of Modern Population Health Management Connecting People to Effective Healthcare ACCOLADE : BIOMEDIX : CASENET : ICARIO : Rajeev singh, CEO John Romans, CEO Sanjay Govil, CEO Steve Wigginton, CEO TRANSFORMING HEALTHCARE WITH TECHNOLOGY Innovators Medhealth Outlook 2021 POPULATION HEALTH MANAGEMENTDr. Indira Paharia, Psy.D., MBA, MS, Behavioral Health Chief Operating Officer, Centene Corporation Dr. Mark Kestner, chief medical officer, symplr Rebecca Pratiti, Physician, McLaren Flint Jennifer Pougnet, Global Data Policy Strategy Leader, Personalised Healthcare Roche Dennis P.H. Mihale, MD, MBA Chief Medical Officer, Upward Health Article written by Dr. Sanjay Seth, Executive Vice President of HealthEC. THE PANDEMIC’S IMPACT ON SUBSTANCE USE DISORDER ARE EMPLOYERS EQUIPPED TO COMBAT THE IMPENDING PHYSICIAN SHORTAGE? MIX AND MATCH OF PRIMARY AND URGENT CARE EMR’S NEED MORE THAN TECHNOLOGY; THEY NEED POLICY ! POPULATION HEALTH MANAGEMENT FOR THE HIGHEST RISK POPULATIONS IS IT POSSIBLE FOR DISPARITIES BETWEEN POPULATION COHORTS TO BE OVERCOME 22 Contents 18 29 32 36 41 MED INSIGHTSCOVER STORY TRANSFORMING HEALTHCARE WITH TECHNOLOGY Innovators Medhealth Outlook POPULATION HEALTH MANAGEMENT 2021 Jean-Claude Saghbini, CTOTRANSFORMING HEALTHCARE WITH TECHNOLOGY hen gazing on a macro level, costs associated with the US healthcare system are growing at an unsustainable pace, close to 2x GDP and with almost a Trillion dollars of waste and inefficiencies annually. This is influenced by various factors such as poor care coordination, ineffective care, fraud and abuse, and the absence of widespread and consistent preventative care. Meanwhile, Value-based Care (VBC) models are increasing in prevalence, in an attempt to flatten the cost curve. If we zoom in and look at health systems, we see them in the middle of this shift to VBC, facing the pressures to transition from Fee for Service models into this new paradigm. However, these pressures also come with an opportunity, and the new paradigm, if managed well, could actually be more advantageous to health systems while reducing the overall cost of care with better outcomes. VBC models are inherently difficult to navigate and Through our data- driven technology, organizations can gain actionable insights from the population level down to the individual level, and down to the individual service cost of careNext >