Population Health Management

Population Health Management Support Services

December 5, 2018 2:41 pm

Health plans that assume risk in managing a population’s health risk can benefit from partnerships with organizations that can supplement and complement a health plan’s programs and services in a broad range of areas, including the following:

  • Case management services, including consultative case management and case management seminars
  • Transplant management programs and/or carve-out products
  • Neonatal management
  • Diseases management services, including cancer services networks, congenital heart disease networks, and kidney management services
  • Forensic review
  • Claim recovery
  • Physician consultation
  • Patient advocacy
  • Pharmacy services, including specialty pharmacy, pharmacy benefit management, and transplant pharmacy
  • Training and education
  • Ancillary product solutions
  • Medical management evaluation
  • National PPO networks
  • Provider negotiations

See related article: Population Health Management: Opportunities and Challenges for Captives

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