Increasingly, the U.S. healthcare system devotes resources, attention and innovation to managing the care of patients with cancer or chronic illness. However, it vastly underestimates the growth of that population and is poor at identifying individuals who will end up needing such services. The Iceberg Cometh, the first of a four-part white paper series co-authored by Carrot Health’s Kurt Waltenbaugh and 4sight Health’s David Johnson, taps powerful consumer and health data analytics to reveal the enormous crisis American healthcare is speeding toward.
The Secret Sauce of Population Health
Insights to Actions: Leveraging Data to Influence Health
The “secret sauce” of population health blends access to data with actionable analysis, curates partnerships across sectors, and connects with communities to create options for upstream interventions.
This paper outlines changes in the health landscape, defines the social determinants of health, highlights data and collaboration as a key ingredients to success, and looks to innovative applications that define the first course in improving population health.
From Sick Care to Health Care
Health Systems Can Add Value by Moving Upstream
We all want to be healthy. Yet, the money we spend primarily goes to taking care of people once they are already sick. At that point, it is too late – it costs too much, and cannot turn back the clock to give someone “health.” Providing value by improving patients’ health – at an efficient price – is the future of our health system. Consumer data holds a predictive key.
Population Health Management in a Digital World
To improve community health outcomes, healthcare organizations need to look at indicators that go beyond traditional measures. Harnessing the power of social, economic, behavioral, environmental, and demographic data can bring a wealth of knowledge and predictive insights – allowing healthcare providers to address not only current population needs, but also emerging health risks and opportunities in the communities they serve.
Using Big Data to Grow New Services
(Published in SHSMD Spectrum, November/December 2016)
How can a health system develop optimal new wellness programs tailored specifically to its unique market? Learn how Carrot Health and Fairview Health Services utilized analytics to identify key consumer segments and potential services for new revenue generation.
Population Risk Selection
A Powerful Tactic For Improving Health Plan Sustainability
The financial viability of most health plans depends critically on their risk exposure to a small group of extraordinarily high-cost members. Even moderate fluctuations in the number of high-cost members can dramatically impact Medical Loss Ratios (MLRs) and overall profitability. To reduce costs and manage risk, plan administrators must move beyond traditional benefit design- and pricing-based approaches. Population Risk Selection (PRS) is a powerful strategic tactic for improving a health plan’s financial sustainability.