Technology helps better manage quality and cost across multiple payers for 500-provider Northern Michigan network
Alpharetta, GA – SPH Analytics, a leader in healthcare analytics and population health management, today announced that Wexford Physician Hospital Organization (PHO) has successfully deployed SPH’s Population Care all-payer population health management solution to achieve its quality and cost goals within the framework of value-based care. Use of Population Care is benefitting more than 77,000 patients covered by value-based contracts across the 500-provider Physician Hospital Organization in Northern Michigan by streamlining care processes, monitoring quality, and helping providers identify and close gaps in care for improved patient outcomes.
“We saw it as inevitable that our payer partners would ask us to start participating in contracts with downside risk. We knew that to succeed in that environment, we would need tools to help us manage our most complex, high-cost patients proactively.,” said Kim Speese, Executive Director of Wexford PHO. “We chose the SPH Analytics solution for its flexibility to handle requirements from any commercial or government payer, as well as its ease of use at the point of care. We are already seeing the benefits of proactive care management that will position us for the future of healthcare.”
SPH’s Population Care solution helps ensure patients receive the same high-quality, outcomes-driven care regardless of their location or care provider. Specifically, SPH Analytics and Wexford PHO are working to aggregate data across 30+ locations, incorporating eight EHR systems, as well as data from claims, appointment schedules and other healthcare sources. Actionable insights are then used to facilitate population segmentation and targeted interventions as well as to consistently measure and monitor clinical quality measures. Specifically, SPH Analytics is helping Wexford PHO:
- Improve cost performance by aligning clinical objectives across the organization for high-risk, high-cost patients;
- Better manage common conditions including diabetes, hypertension and congestive heart failure (CHF);
- Establish key performance indicators (KPIs) that will work for a variety of risk-bearing payer relationships/arrangements;
- Close care gaps associated with quality measures promoted by multiple payers.
“More than ever, health networks need tools to align clinical and cost objectives in a way that minimizes inefficiencies and drives impactful quality outcomes improvements,” said Kevin Weinstein, President, Population Health for SPH Analytics. “We are delighted to partner with a progressive, forward-thinking organization like Wexford PHO to elevate the way providers in northern Michigan understand and drive quality, cost and utilization across diverse networks.”
About SPH Analytics
SPH Analytics (SPH), a leader in healthcare analytics and population health management, empowers clients to analyze and interpret their clinical, financial, and consumer experience data to maximize their performance. SPH’s Population Care, Population Value, and Population Engage solutions are built on the innovative Nexus Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and patient outreach solutions, and consulting services empower clients to meet the Triple Aim by improving population health, reducing overall cost of care, and improving the patient experience.
SPH Analytics is a recognized leader in the industry, earning accolades as a top ranked population health vendor by KLAS, top-ranked satisfaction measurement firm in the health plan market by Modern Healthcare, and ranked number one in MACRA and MIPS Support Technology for Value-Based Care by Black Book Research. SPH Analytics has been providing insights to clients for more than 35 years and serves clients in all 50 states. Corporate headquarters are in metro Atlanta. SPH Analytics is a portfolio company of the $3 billion STG Partners. For more information, call 1-866-460-5681 or visit SPHAnalytics.com.
About Wexford PHO
Wexford PHO’s mission is to support our northern Michigan member providers and hospitals in providing high quality, efficient, and accessible healthcare in our community. We strive to keep healthcare local by focusing on the needs of the community and utilizing broad physician input and leadership.