What to Look for in Population Health Management Software

What is Population Health Management Software?

Healthcare organizations use population health management software as a digital tool to monitor and manage patient data. These software solutions collect and analyze information from various sources, including electronic health records (EHR), claims data, and statistical reports. Aggregating these into an intelligent repository aids in identifying high-risk patients, providing personalized care plans, and targeting areas that need intervention.

For ACOs, population health management software is instrumental in achieving their healthcare goals. This provides a platform that enables them to improve patient outcomes, streamline workflows, and optimize care coordination. By leveraging data-driven insights, ACOs can proactively administer care with improved clinical decision-making, enabling them to extend their reach to a broader demographic.

Key Software Features that Are Set to Improve Population Health

The ideal population health program should be a comprehensive tool that bolsters the operations of healthcare organizations. Here are a few notable features that population management software must have that align with the industry’s patient-centered movement.

1. Efficient Patient Case Management 

Patient case management is integral to quality care delivery. With each unique patient care plan, healthcare professionals must coordinate and integrate support services to ascertain health outcomes. 

Processes involved in implementing these plans include assessments, authorizations, and referrals, among others. Health management software must centralize all the data necessary for these steps to ensure greater efficiency. With an accessible digital repository that offers pre-configured features for specific health concerns, case managers can spend less time on documentation and focus more on delivering quality care.

Read More: Evolving Healthcare Case Management Software Solutions

2. Complete Resources for Provider Contracting

Health contracts can be overwhelming as the process requires multiple steps and extensive data analysis. As contracts detail reimbursement rates, provider credentials, and costs, handling this much information can be complex and time-consuming. 

Digitizing this process cuts down on service time. By providing contract templates, keeping records of provider networks (and their specializations), cataloging service codes, and running data analytics, the software can offer adaptable frameworks to speed up processes. Additionally, organizations can keep a digital trail of all contracts for tracking. This is especially advantageous for ACOs that need to comply with auditing procedures and accountability measures. 

3. Automated Claims Processing

Automating claims adjudication processes should be a default feature for population health management software. By centralizing the data needed for claims processing, the software can quickly determine the eligibility of claims. This reduces backlogs and speeds up claim processing times. With improved efficiency and accuracy, workflows function more efficiently and,reduced errors and prompt claim approvals. 

Healthcare providers can then focus more on delivering high-quality care and less on administrative tasks. In turn, the system improves the overall quality of care and promotes greater accountability in operations.

Read More: Secure Healthcare Goals with Automated Claims Processing

4. Advanced Data Analytics that Keep Track of Growth Measures

Digital data analytics provide insights into patient information that help identify potential areas for improvement. With this, healthcare providers can better understand how their services are performing, identify gaps in care, and target these specific areas to improve patient outcomes. 

Growth reports can be a significant reference for accountable care delivery. These enable providers to measure their performance and make data-driven decisions that improve the quality of care.

There’s More to Software Solutions Than Efficiency

While turning to technological innovations can exponentially improve speed, accuracy, and efficiency, these are not the only measurable benefits. More importantly, choosing the right frameworks can encourage positive shifts in population health. 

Population health management software is an indispensable tool for ACOs looking to improve care delivery, reduce costs, and enhance the patient experience. With the proper mechanisms in place, organizations can be on top of managing and tracking the health of their patients, improving health outcomes for society at large.

Commit to Macro-Systems for Long-Term Healthcare Yields

A reliable population health management software provides powerful analytics and reporting capabilities. This enables ACOs to track progress and outcomes, identify trends, and make evidence-based decisions. 

With QuickCap7 (QC7), you can continue improving population health management approaches with interoperable systems at your disposal. Unlike other operating frameworks that offer limited features, QC7 integrates multiple features into one comprehensive package. With customization features, you can tailor the system to meet your organization’s unique needs, including data analytics, case management, patient engagement strategies, and more. Change the way your organization approaches healthcare with QC7 today.

Choose the Support that Furthers Your Cause

References:

1. Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model | CMS. “Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model | CMS,” February 24, 2022. https://www.cms.gov/newsroom/fact-sheets/accountable-care-organization-aco-realizing-equity-access-and-community-health-reach-model.
2. Giardino, Angelo P., and Orlando De Jesus. “Case Management - StatPearls - NCBI Bookshelf.” Case Management - StatPearls - NCBI Bookshelf, August 22, 2022. https://www.ncbi.nlm.nih.gov/books/NBK562214/.