Straddling the Priorities in Population Health
MADDY BJORKLUND Healthcare Strategy Lead at Concord
Payers and providers di er in the motivated objectives when they seek to pursue population health agreements for their shared populations. Providers tend to be motivated by driving volume to high-margin services while creating systems, solutions and programs that help manage their entire population well. Their minds go toward the clinical and/or the social attributes of a population and unique services to help them lead healthy lives. These programs are constructed based on the characteristics of their populations, with their mission to keep the patient healthy and stable.
Payers tend to focus on the health of a population with a financial motive - containing unnecessary costs through proactivity and prevention. They work tirelessly to connect with their members directly in support of this philosophy. They also extend their reach through provider incentives that reward for screenings, managing tasks directed at chronic diseases and proactively keeping patients out of the emergency room. Population health is a challenge, but if payers and providers spend the time in good faith harmonizing their objectives, it would expedite the rewards for both of them and the patient.
Payers and the providers have always had a di erent perspective when you say 'population health' to them. But most folks find themselves straddling both sides of the world an awful lot because it isn't a clean-cut situation.”
Click to tweet
Maddy Bjorklund is a seasoned healthcare consultant with extensive experience on both the payer and provider sides of the healthcare equation. Concord is a business consultancy solving problems with strategy, design, and technology.
3
Powered by FlippingBook