The Definitive Guide to Population Health Management

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Pubcode: DGPHM
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The Definitive Guide to Population Health Management

The Definitive Guide to Population Health Management is a strategic how-to manual for the thousands of healthcare providers who, like many who have recently organized into clinically integrated organizations such as ACOs or CINs, are asking, “What now?” This essential PHM guide:

  • Defines the roles and motivations of PHM players, including government and commercial payers, self-insured employers, and clinically integrated providers of all stripes
  • Provides tactics for marketing the transition to PHM to reluctant providers, convincing them to revamp long-standing practice behaviors and drive the care model toward higher value
  • Details how to define and stratify populations for allocation of resources, including transitional care management, health and wellness services, and retail medicine
  • Discusses the factors in determining the best path to value-based reimbursement models, including arguments for transitional hybrid models
  • Explains the important infrastructure technologies and steps to building a PHM-ready IT department
  • Identifies critical factors in successful patient engagement and outreach

Table of Contents

  • Introduction
  • Chapter 1: Retooling for Population Health Management
  • Chapter 2: Value and Value-Based Reimbursements
  • Chapter 3: The Building Blocks of PHM
  • Chapter 4: Organizing Around PHM
  • Chapter 5: PHM and Information Technology
  • Chapter 6: PHM Processes and Procedures
  • Chapter 7: The Market for PHM
  • Chapter 8: Contracting for PHM Services
  • Chapter 9: PHM Regulatory and Legal Compliance Issues
  • Chapter 10: A Step-by-Step Guide to Building a Successful PHM Program
  • Chapter 11: Final Thoughts

Who Should Read This Book?

  • C-suite
  • Physicians
  • Physician executives
  • Healthcare attorneys
  • Healthcare industry leaders
  • Consultants

About the Author

Ellis "Mac" Knight, MD, MBA, is senior vice president and chief medical officer of Coker Group, where he oversees Coker’s hospital operations and strategic services division. In addition, he led the development of GlidePath Health, a comprehensive suite of services designed to operationalize clinically integrated organizations such as ACOs. He continues to practice as an internist/hospitalist on a part-time basis.

Published: October 2015