2019 MPCA Annual Conference: Community Health Trends and Innovations

Gone are the days of just managing the patients who walk through your front doors. Increasingly, at-risk payer contracts, accountable care organizations, and integrated clinical networks are changing how we think about our patients and leading us to value-based care. The good part is you now have multiple data sources to understand patient needs, make informed decisions to guide program and support care teams with patient care, and manage populations to performance goals and improved outcomes. During this session, we'll explore the Five Ws (who, what, where, when and why) for practices to integrate risk and social determinants using payer enrollment and HIE data to close care gaps and improve outcomes.