Rewriting the Rules of Value-Based Care

Populance is a population health services company that is affiliated with Henry Ford Health. We work with organizations such as independent physician offices, health plans and health systems to improve outcomes and experience, while reducing total cost of care through the value-based care services we offer. While we manage risk, we are not an insurance entity.

There’s immense value in value-based care—for everyone. (And it doesn’t come from packing more patients into a doctor’s day.)

Our data and insights help develop a sharper picture. Doctors will know when their patients need them—and the care only a doctor can provide—or when a nurse, case manager, social worker or even a digital tool can meet the need instead. Using insights from data, the patient is empowered at the right time with the right information to take the next step in their health journey.

This means that instead of feeling overwhelmed, you’ll feel confident. Knowing that you’re prioritizing the patient who needs care the most at the exact right moment, while all patients receive excellent care.

We are committed to leading the new era—fearlessly rewriting the rules as we go, unearthing new paths that will advance our mission and create ripple effects for the world to follow.

We essentially act like a shepherd for patients, providing guidance and care management in several ways, including:

• Population health data analytics
• Care management
• Utilization effectiveness
• Care modality (at-home, virtual and remote patient monitoring)
• Digital engagement and interventions
• Value-based care transformation consulting

Our value-based care services improve care in several ways:

• Improving outcomes by measuring and tracking quality indicators, performing targeted interventions and providing preventive care
• Improving and fostering patient engagement
• Coordinating care and wellness
• Coordinating care into high-performing networks
• Working directly with patients who have the most needs to help close gaps in care (affording medications, accessing specialists, avoiding emergencies or staying at home safely after a hospitalization)
• Saving cost through reducing hospital visits
• Managing chronic disease through improved monitoring

Don’t guess who needs you. Know.

We're your partner for advanced analytics and for taking action. So you can identify who’s at risk and intervene—more rapidly and accurately than ever before. We’ve built a better analytics mousetrap, which features:

• A source of truth: Aggregate data with a centralized data repository to deliver actionable insights, promote earlier patient intervention and facilitate patient-centered care.
• Simplified access: When you’re trying to access data, even two or three extra steps is too many. It’s overcomplicated, frustrating and a waste of your time. We believe in ease, and we’re obsessed with making things simpler, for you and for your patients.
• Secure: Our platform is secure, cloud-based and HIPAA compliant with access controls in place.
• Outreach tools: Including digital and automated messaging features for enhanced outreach and engagement with patients and their caregivers.
• Outcome reporting: Patient and member data is available through standard reports and audit trails to identify trends and manage patient quality outcomes or accreditation standards.

Populance’s value-based care services can help manage several types of cases, including:

Ambulatory

We focus on complex patients to reduce severity of the disease and its effects and progression—maximizing their time at home vs. being in the hospital or undergoing surgery. This includes:

• Nurses, case managers and social workers embedded in clinical settings and virtually (we meet patients where they are)
• Support to patients with chronic conditions
• Helping patients safely transition to home after hospitalizations and staying away from needing emergency care

Specialty condition management

Our specialty condition management emphasizes early intervention and is person-guided, including:

• Specialty clinicians (nurses/dietitians) who manage a holistic view of a patient’s specific condition, such as diabetes
• The focus typically is on condition support as part of an ambulatory case management plan

Supportive care management

This type of extended management typically lasts 6-8 months, and includes:

• Nurse-led care and coaching for advanced chronic illnesses with high risk of poor outcome over the next 1-2 years
• Optimizes time at home and the caregiver connection, including advanced care planning and symptom management

Transitions of care

Our transitional care focuses on three key areas, including:

• A safe and seamless handoff across care settings, typically from the hospital
• Readmission reduction, including PCP follow-up, medication management and anticipatory guidance
• Keeping patients safely at home, which may include home health, remote patient monitoring and additional home-based services

One key process we use to provide the most effective care while controlling the cost of care is utilization effectiveness. This means working with the clinical team to develop pathways for patients to use the most appropriate and beneficial treatments at the lowest cost—ensuring that each patient receives the care they need, at the right place and the right time, while saving cost. We do this in a few ways:

• Using data to identify individuals or groups of patients with the greatest care needs
• Proactively supporting patients who are at high risk or who use services such as the emergency room or hospital frequently
• Encouraging patients to choose care in lower-cost settings, when appropriate

Populance will work behind the scenes with the clinical team to ensure that your healthcare journey is streamlined. Our goal is to be a seamless part of your current healthcare team and in most cases you won’t know we’re there.