PMMC Launches Population Health Management Solution to Track Patients in Real-Time Across Care Pathway

April 28, 2017

PMMC, a leading revenue cycle management company, announces Care Path Navigator, a population health solution for healthcare providers to track patients in real-time across the entire care pathway in an effort to reduce spending within episodes of care.

Care Path Navigator is designed to help healthcare providers deal with the new reality value-based care and managing bundled episodes – a model in which the hospital is responsible for the entire cost of care. CMS has started to mandate bundled episodes, such as the Comprehensive Care for Joint Replacement Model (CJR).

“The next wave of innovation in population health management is real-time patient tracking,” said Tara Bogart, VP of Consulting Services at PMMC. “Today, many providers manage this through patient navigators and sometimes manual tracking. With the expansion of episodic payment models, the increasing number of tracked patients will require additional navigators and automated patient tracking.”  

As the patient moves through the path of care, Care Path Navigator measures the actual episode to date versus budgeted payments.  This blend of real-time information and predictive analytics highlights areas where navigators and management may want to intervene quickly to reduce spending within episodes of care. 

In addition to tracking spending, the solution will soon have the ability to track new payment and service delivery models, helping hospitals navigate the regulatory complexities that result from overlapping models.  This includes areas such as the beneficiary disclosure process, discharge planning process and 3 Day SNF Waiver process.  This is critical for hospitals that are participating in both ACO and alternative payment models.

The first mandated bundle – CJR – just completed its first year. Three new bundles related to improving cardiac care are scheduled to begin on October 1, 2017.

Healthcare providers have historically operated in silos, but value-based care initiatives have highlighted benefits for looking at healthcare comprehensively and are financially structured to encourage collaboration with post-acute care providers to reduce the overall cost of care.

About PMMC

PMMC provides high value revenue cycle software and services to improve the financial performance of healthcare organizations. Our software and expertise focuses on payment accuracy and identifying more revenue opportunities across the revenue cycle. 

PMMC helps hospitals identify underpayments and denials, increase price transparency, and manage bundled payments. Clients see, on average, a 10 to 1 return on investment with software and services. Additionally, PMMC has earned the Peer Review designation for both its Contract PRO and Estimator PRO solutions.

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