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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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Population Health Management in Radiology: Economic Considerations.

Farouk Dako¹, Tessa Cook², Hanna Zafar³

¹Director of the Center for Global and Population Health Research in Radiology, Department of Radiology, Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Journal of the American College of Radiology : JACR

|August 19, 2023

Summary

Population health management (PHM) is crucial for improving US health outcomes and reducing costs. Radiology plays a key role in PHM through care coordination and appropriate imaging, adapting to new payment models.

Keywords:

Alternative payment models cost-effectiveness population health population health management value-based care

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Area of Science:

Health Services Research
Radiology
Health Economics

Background:

The United States faces poor health outcomes despite high healthcare spending.
Population health management (PHM) aims to improve population health and reduce healthcare utilization and costs.
Radiology's role in PHM is expanding, encompassing care coordination, secondary prevention, and appropriate imaging.

Purpose of the Study:

To discuss the economic considerations for PHM.
To analyze the evolving healthcare payer environment.
To align PHM strategies with value-based care principles.

Main Methods:

Review of the current US healthcare payer landscape, including fee-for-service and alternative payment models.
Analysis of the Health Care Payment Learning and Action Network framework.
Examination of value-based care principles from the perspective of employers and government.

Main Results:

The US healthcare system is transitioning towards alternative payment models.
Value-based care necessitates that perceived value benefits the ultimate payers (employers, government).
Understanding payer perspectives is essential for designing sustainable PHM practice models.

Conclusions:

Sustainable PHM models must consider the economic drivers and perspectives of employers and government.
Radiology's integration into PHM requires adaptation to evolving payment structures.
Aligning PHM initiatives with value-based care principles is critical for success.