Population Value™ | Financial Solutions
SPH’s Population Value™ | Financial Risk Analytics powered by Milliman tools uses claims data to monitor expenditure trends, understand leakage, predict future utilization and stratify the population. Both cost and clinical data are used to segment the population into chronic condition groups, high risk and high cost segments.
Population Value supports improvement in the MIPS Cost category. The MIPS Cost category includes two metrics: Medicare Spending Per Beneficiary (MSPB) and Total Per Capita Costs (TPCC). Reducing Medicare costs can be addressed in multiple ways including preventing avoidable hospital admissions and ER visits, reducing readmissions and managing disease complications. SPH’s Patient Outreach Services use multiple modalities (phone, email, mail) to engage patients for cost management programs, such as discharge planning and patient education.