Manage population health

Is population health working as you planned? Is big data posing challenges?

The healthcare market is rapidly shifting from volume-based care to value-based care (VBC). Moving forward, quality and cost will determine the appropriateness of the care that’s delivered. Many forces are driving this change, such as Center for Medicare and Medicaid Services (CMS) penalties, accountable care organizations (ACOs), risk-based payment arrangements and health insurance exchanges.

Like other organizations, you need to adapt. Converting to VBC requires different capabilities. What will it take for you to succeed?

  • An operating model to keep you financially whole
  • The ability to act as a risk entity managing the total cost of care while  improving clinical outcomes as demonstrated by outcome measures
  • Insight to predict your financial risk exposure based on the population you're managing

PwC can help you transition to a customized VBC model and manage your population health based on your strategic goals and market position.

How PwC can help

PwC provides its clients with population health and value-based care services, including:

  • Strategy
  • Care model design
  • Product design
  • Network design/partnerships
  • Operational transformation
  • Population health management
  • Data and analytics
  • Risk management
  • Talent management

*Consulting to Healthcare Payers and Providers: Digital Information for Alternative Care Models”, ALM Intelligence, 2015.

*Consulting to Healthcare Payers and Providers: Digital Information for Alternative Care Models, ALM Intelligence, 2015.

Contact us

Kevin Carr, MD
Partner, Health Industries
Tel: +1 (860) 241 7177

Kulleni Gebreyes, MD
Partner, Health Industries
Tel: +1 (703) 918 6676

John Dugan
Principal, US Health Services
Tel: +1 (267) 330 2464