Top 7 Benefits of Population Health Management Software

Healthcare organizations managing large patient populations require systems that centralize medical information. Population Health Management Software aggregates data from physician practices, insurance carriers, laboratories, and pharmacies. Organizations implementing these systems experience reduced hospital readmissions, improved quality performance, and decreased healthcare expenditures.

1. Reduces Hospital Readmissions and Emergency Visits

Population Health Management Software identifies patients at elevated risk for hospitalization. The system analyzes patients with deteriorating chronic conditions, medication non-compliance, and recent emergency department utilization. Clinical staff contact these individuals with preventive interventions before acute care becomes necessary.

2. Improves Quality Measure Performance

Quality scores determine how much insurers pay under value-based contracts. Software tracks HEDIS, MIPS, ACO, and STAR rating measures for all patients. The platform shows which patients need screenings, disease monitoring, or medications. Staff get lists of who to contact before reporting deadlines arrive.

3. Streamlines Care Coordination Across Settings

Patients receive care from primary physicians, specialists, hospitals, and post-acute facilities. Population Health Management Solution platforms enable information sharing across these care settings. Primary care physicians access hospital discharge summaries. Care managers review specialist treatment recommendations. Post-acute providers receive current medication lists. Coordinated information exchange prevents duplicate diagnostic testing and contradictory treatment plans.

4. Automates Regulatory Reporting Requirements

Federal and commercial payers require distinct quality reports with specified formats and submission deadlines. Software generates these reports using aggregated patient data. Organizations export formatted files for MIPS attestation, HEDIS reporting, ACO quality submission, and Medicare Advantage STAR calculations. Automated generation reduces manual data compilation time and minimizes reporting errors.

5. Identifies Social Determinants Affecting Health

Clinical records provide incomplete pictures of patient health challenges. A Population Health Management Solution incorporates social determinant data, including housing stability, food security, transportation access, and financial constraints. Care teams identify patients requiring social services alongside medical treatment. 

Social Factors Analyzed

• No stable place to live
• Not enough food to eat
• No way to get to doctor appointments
• Cannot afford medications

6. Provides Real-Time Performance Dashboards

Hospital bosses want to know if their programs work. Computer screens show quality numbers, how much money is spent, hospital usage, and what staff accomplished. Hospitals see if their efforts cut readmissions, help diabetics, or reduce emergency visits. Having fresh information means hospitals can change things right away instead of waiting for quarterly reports.

7. Supports Multiple Value-Based Contract Types

Organizations have several different payment contracts at once, including Medicare Shared Savings, BPCI Advanced, Medicare Advantage, Medicaid managed care, and commercial ACO agreements. Software tracks what each contract requires and shows expected savings or losses. This information helps organizations focus their work where it matters most financially.

Bottom Line

Persivia's software handles over a million patient files and gets information from thousands of doctor offices and insurance companies. Hospitals using Persivia’s solutions spot very sick patients, fix quality problems, and share information between hospitals, clinics, and rehab centers. Learn more.