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Population Health Consulting™

A comprehensive, multi-faceted consulting service for TPAs, payers, and providers who want to both reduce costs and drive better health outcomes across their member populations.

 

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Focuson Keeping Members Healthy

  • Become agile in data aggregation and analytics so you can stratify your unique member population by risk and acuity
  • Customize interventions to facilitate preventative care behaviors, chronic disease management, and care compliance, which can lead to improved HEDIS and STAR ratings
  • Align products and services to leverage your reach and effectiveness, with the end goals of coordinating and expediting care and eliminating gaps in care
  • Clean actionable insights to develop an effective population health management strategy for engaging both members and their providers
  • Develop care management programs that complement one another while meeting complex regulatory and reporting requirements
  • Use data analytics to measure the effectiveness of your care management programs via outcomes.

Access Our Expertise for Better Population Health Management

  • Let Data Drive Your Decision Making

    • Our consultants help you devise a path forward with services that include: Strategic Planning; Program and Population Health Assessment; and Clinical-System Assessment, Selection, and Implementation.
    • We can also help you implement your initiatives via our Clinical Operations Business Optimization, Accreditation Preparation and Readiness Reviews, and Information Management Reporting
    • We use data analytics to help you determine ROI by assessing health outcomes across your member population and by evaluating the impact of your initiatives on costs and member satisfaction
Resources and Brochures
  • Brochure
    Drive Better Health and Quality Outcomes, and Lower Costs

    Use data to design, implement, and track interventions to address the acuity and risk-level of your unique member population.

Our outcomes

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Case Study

Midwest Midsize Payer Achieves National Committee for Quality Assurance Health Plan Accreditation

Case Study

Midwest Midsize Payer Achieves National Committee for Quality Assurance Health Plan Accreditation

Learn how Change Healthcare Consulting helped a Midwest midsize health plan achieve NCQA HPA for all three lines of business and stay on track for its next accreditation.

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Case Study

Integrating Behavioral and Medical Health

Case Study

Integrating Behavioral and Medical Health

Discover how third-party consulting assistance can help payers launch a new behavioral health line of business without impacting service and performance standards.

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Case Study

Improving Your Health Plan’s HEDIS Performance

Case Study

Improving Your Health Plan’s HEDIS Performance

See how a Medicaid plan increased its chart-collection rate 29%— during the pandemic—by relying on the expertise of Change Healthcare Consulting.

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