Population Health Management Primed for a Boom
By Tamer Abouras
According to a new report from Frost & Sullivan, population health management (PHM) — a bundle of solutions supporting value-based care delivery — may represent “ … the biggest opportunity in health information technology (IT) in the post-electronic health records (EHR) era.”
Per a press release regarding the official analysis, Frost & Sullivan reports that, “As healthcare stakeholders in the U.S. adopt solutions supporting value-based care delivery, the potential multi-billion dollar market for population health management (PHM) is set to thrive. Payers are aligning reimbursements to the quality of healthcare, driving providers to adopt outcome-based healthcare delivery models. PHM solutions can help achieve the elusive Triple Aim, which offers quality care at optimized costs with improved access. Essentially, PHM will account for the entire patient population in a coordinated and cost-effective manner. It goes beyond healthcare analytics to data management, risk management, care management and performance management solutions.”
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The new analysis, entitled “U.S. Population Health Management Market — Analysis and Competitive Landscape Assessment,” sees the market expanding 284% during the next 5 years, increasing at a compound annual growth rate of 30.9% until 2020.
"The Centers for Medicare & Medicaid Services (CMS) aims to link almost 50 percent of Medicare fee-for-service (FFS) to alternative payment models by 2018. Commercial payers are seeking support to improve performances around member cost containment, engagement and supervision," explained Frost & Sullivan transformational health industry analyst Koustav Chatterjee. "This shift from volume to value-based healthcare delivery is accelerating adoption of PHM technology and service solutions helping providers effectively manage chronic conditions and prevent unnecessary system utilization."
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The report is not without its potential caveats and cautions, however.
"Although PHM requires heavy, long-term investment, payers and providers need to focus on the benefits of quality compliance, patient loyalty and consistent profitability," stressed Chatterjee. "Providers must initiate customized intervention based on patients' primary conditions and potential risk profiles to drive positive outcomes."
"The market will experience fierce competition as small, modular PHM firms compete against large, platform providers," added Chatterjee. "Winners will successfully weigh in market needs and offer secured, interoperable and highly customized PHM solutions that achieve the triple aim."
The complete report is available at frost.com.