Allentown, PA – May 1, 2015 – Populytics®, an Allentown, PA based population health management and analytics firm, recently welcomed delegates from Singapore’s MOH Holdings (MOHH) to share their model for managing population health. MOHH provides strategic oversight and facilitates collaboration efforts among Singapore’s six health care institutions, which they refer to as clusters. Their overarching goals are aimed toward enhancing quality, availability, and cost of health care.
MOHH’s primary initiative is centered on addressing gaps within their public health care system. They are concerned with the health and wellness of their population of 5.5 million, many of which are rapidly aging. Each of their health care clusters operates independently and citizens have the freedom to choose any facility to obtain care. Given the freedom to choose, patients do jump from physician to physician. A national electronic health care database exists, but is not used by all clinicians and is not currently integrated. Physicians are using the data to look at trends; however, the value and utility of a fully integrated data warehouse is recognized. MOHH has placed population health analytics at the top of their agenda in alignment with their focus on “achieving health care in 2020” by caring for the population as a whole. They are interested in a proactive approach that educates and empowers each patient to take an active role in their own care.
The Populytics team shared their approach to population health management by combining claims and clinical data into actionable information. Opening remarks were provided by Gregory Kile, Populytics President and CEO, who shared insights on the current status of health care in the United States with the movement toward a new business model that centers on managing the health care needs of patient populations through value or risk-based care delivery and payment arrangements. Managing these needs and assuming the historical and clinical risks for doing so represent a model that is profoundly different than the approach that exists today under the fee-for-service system that has been in place in the United States since the 1950’s.
Mark Ungvarsky, Populytics Administrator of Payer and Provider Informatics, described how they use predictive modeling to identify risk and stratify the population—leading to improved clinical pathways and targeted member and physician outreach. Populytics also shared how they use the data to analyze patterns of care by physicians within Lehigh Valley Health Network (LVHN), their parent company, and compare them to national benchmarks, measuring quality outcomes and efficiency of treatment patterns. Kerry Snyder, Populytics Director of Health Informatics, shared the extensive methods by which his team works collaboratively to securely obtain, validate, and map raw data to enable dynamic analysis. Stuart Gitomer, Populytics Director of Clinical and Business Analytics outlined the utility of the data for understanding health care cost and use trends in relation to medical expense budgeting and shared risk arrangements. Jonathan J. Burke, DO, Populytics Medical Director, described how the information generated by analytics, retrospectively and prospectively, is applied by members of Populytics’ Care Coordination Teams to close care gaps and reduce inappropriate high-cost services.
The MOHH delegates were impressed with the value that Populytics has provided to manage the population as a whole and facilitate higher quality care—not only to LVHN, but also to their health system partners and other organizations. Mr. Andy Ta, MOHH’s Director of Planning Insights, expressed his amazement with Populytics being “ahead of the curve” in the industry.
Populytics, a wholly-owned subsidiary of Lehigh Valley Health Network, is a population health management and analytics firm that facilitates the movement toward value-based care. Claims and clinical data are collected and aggregated via advanced analytics tools to provide actionable information. Services include population health analytics, health benefits administration, health benefits consulting, care coordination, and BeneFIT Corporate Wellness solutions. These comprehensive services afford higher quality care while bending the cost curve.