Care Management Population Design

The technology-enabled Care Management Population Design Service delivers expert guidance to help stratify patient lists efficiently, transparently, and optimally, allowing organizations to reach their most impactable patients and target their most important goals for care management. 

The problem

Identifying patients for your care management programs is a critical—and complex—component of care management design and implementation. Your organization may need to stratify patients in multiple ways based on areas of strategic importance such as payer requirements, your infrastructure and capacity needs, or your population health-related clinical goals. As organizations attempt to answer the question, 'What populations will we serve?' they're often challenged by these needs:

• Confidence: Leaders need guidance for matching risk stratification models to organizational goals and selecting the right risk models based on their data and organizational priorities.
• Precision: For patient registries focused on prioritized and impactable populations, organizations benefit from a partner who can open up “black box” algorithms and suggest appropriate adjustments to data and logic.
• Speed:Patient stratification is typically time-consuming and labor-intensive —organizations want to avoid trial failures and build competency for future optimization.

Our approach

Health Catalyst's Care Management Population Design combines analytics and expertise in an approach tied to these principles:

• Impactable populations aligned with goals. We design populations to match your population health priorities and care management resources.
• Multiple factors. Rather than rely on utilization alone, our approach incorporates multiple factors to stratify patients. 
• Improvement over time. Stratification models can be minutely adjusted as we observe the impact of care management interventions and the fit to populations.

Benefits and components

• Deep expertise: Our team includes machine learning and care management experts to help you define and refine populations specific to your goals.
• Powerful tools: Our population design team uses the Population Builder™: Stratification Module, which supplies predefined content built on integrated claims and EHR data, allows for custom models, and efficiently carve out impactable populations ready for intervention.
• Focus on learning and ROE:This partnership is dedicated to increasing your capability and maximizing your investment in data and analytics. We transparently share nuances of stratification and impactability modeling—and leave you better prepared for effective and efficient population management on your own.