Healthcare

Population health management (PHM)


End-to-end PHM support to positively affect patient/member health outcomes and influence the cost curve

Technological efficiencies and strategic service offerings are revolutionizing the way care is provided.

With this shift from volume to value, population health management (PHM) is a key area of focus for providers and payers. Today’s healthcare professionals have significant opportunity to optimize population health—from insights gained through the analysis of administrative and clinical data that includes case histories to outcomes from patient care and coaching services.

HGS provides end-to-end support from data mining so healthcare professionals can positively affect patient/member health outcome, through PHM processes that also bend the cost curve. Our 16,000 healthcare professionals, including 1,500 clinical resources, employed across our provider and payer business lines, are brand ambassadors for our clients, actively supporting health information lines, nurse triage, level-of-care assessments, and wellness solutions.

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HGS’s team members bring:

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Professional certification in their respective specialties

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Protocol adherence

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Deep domain knowledge

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Agile workflow innovation

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Call center expertise with a patient engagement/ service focus

How we do it

HGS’s unique combination of team and technology work together to optimize patient outcomes.

Our clinically skilled team members deliver:

  1. Patient community analytics, including cost-of-care analysis
  2. Home-health coordination
  3. Health coaching
  4. Fall-prevention support
  1. Medication adherence
  2. Behavioral health support
  3. Wellness and preventative services
  4. Community health events support

Our value

According to the Deloitte Center for Health Solutions survey of hospital CEOs, population health analytics investment is the highest-rated priority for healthcare organizations.

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Cost containment

Supported by rightshoring and innovations such as intelligent automation and omnichannel support

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Enhanced satisfaction

Enhanced patient and provider satisfaction, with enhanced Star ratings and NPS® and CSAT scores

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Responsive and proactive

Responsive customer care, with preventive patient care management and dramatically improved outcomes

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Omnichannel engagement

Omnichannel (voice, chat, text) focus for optimized patient engagement

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Reduced readmissions

Through remote patient care and coaching

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Expertise and focus

Provider-payer lifecycle expertise and focus comprising of PHM-focused data insights

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Cost savings

Due to a better understanding of patient/member populations gained from data analytics

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Intelligent automation

Relieves providers of the capital and time investment in developing in-house capabilities

The datasets held by payers and providers can be different. For example, payers possess data on claims, financial analytics, and risk models. Providers have administrative and clinical data that include case histories and outcomes. HGS has the payer and provider lifecycle expertise to bridge the data gap between these two organization types.

Up to

8:1

ROI

for complex populations

 

95%

SDoH barriers

do not reoccur

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