Population Health Management
Sutherland helps you with the last mile of your population health management initiatives. Not only do we have analytics that clearly identify opportunities to reduce financial and clinical risk, we also have registries, care coordination platforms, consultants, and front line staff to help you move the needle on the overall health of the populations you serve.

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Our services help you to understand the risk and reward associated with the transition to value-based healthcare and alternative payment models. Whether you are an MSSP, Pioneer or Private ACO, or are participating in a bundled payment contract, we can help you to better manage your at risk populations by measurably improving the quality of patient care, while also reducing overall costs and easing the transition to new payment models.In order to identify potentially avoidable care variation, we integrate and analyze a broad array of data sets and create a suite of highly-targeted reports and analysis. With this actionable information, you can accurately assess and evaluate alternate contractual and care delivery strategies to ensure that you take appropriate actions to reduce risk in the populations you serve.

 

Care Management
Our care management solution can improve outcomes and maximize reimbursement by reducing variations in care episodes and minimizing avoidable admissions.

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Through provision of patient portals and coordinated care management, Sutherland can help improve the quality of patient care, reduce costs, and decrease unnecessary admissions. We also provide a contact and transition of care follow-up center where patients are provided with the healthcare information they require.

 

Provider-Based Delivery System Support
Using state of the art analytic tools, Sutherland gives you the ability to quickly and effectively transition to alternate payment methodologies.

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Through claims data analysis and population-wide risk stratification, Sutherland’s solution can identify individuals who will benefit from more aggressive proactive outreach and intervention. Our virtual care coordination platform and services can allow provider-based delivery systems to operationalize interventions that improve outcomes and reduce costs. And our virtual care teams can support ongoing quality improvements and cost reductions by focusing on:

  • Reducing ED/IP admissions and readmissions
  • Improving clinical quality data collection
  • Leveraging proactive complex member engagement
  • Supporting clinical practice transformation

By design, all our solutions and services are agnostic to contracted payers, product, and underlying EHR systems.

 

Medicare Shared Savings Program (MSSP) ACO Assistance
Our services can help MSSP ACOs understand their population and providers in order to make necessary changes for better patient engagement. Our comprehensive assistance services can help MSSP ACOs with the population and provider information they need for better patient engagement.

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Sutherland deploys virtual care coordinators to help MSSP ACOs track their patients through effective care coordination and patient engagement. To improve quality scores and compliance, we also make regulatory compliance reporting solutions and services available.

 

Private ACO Support
Sutherland’s practice transformation consulting services and tailored technology solutions help private ACOs improve patient engagement and more effectively manage outcomes.

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We position ACOs for success by providing actionable insights into utilization trends, as well as offering process improvement recommendations and reengineering support. As a result, ACOs can realize improved cost and quality outcomes. Our virtual care coordinators can help Federally Qualified Health Centers (FQHC) positively influence their patients’ behaviors through effective care coordination and patient engagement. We also provide structured quality gaps collection for regulatory compliance to help improve performance on quality measures for Medicaid and Medicare populations.

 

Bundled Payment Analytics
Sutherland’s analytics and care coordination solution can help improve existing bundled episodes while identifying new episodes where bundled payment contracts would create a win-win.

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By analyzing the links between payments and the multiple services received during an episode, the Sutherland solution helps you identify bundling opportunities, which increases opportunities for both cost savings and care improvements. Sutherland’s bundled payment services also give you the ability to analyze the cost structure of existing bundles. Since the analytic breadth offered by our solution extends across the system, our customers also gain the ability to review key decisions regarding post-acute care and its impact on the cost of the bundle.

 

Special Needs, Behavioral Health, and Homeless Population Intervention
Sutherland’s experience with complex member needs, combined with our ability to manage workflows and our understanding of community-based care allows us to provide real world knowledge for delivery system transformation.

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To support our clients caring for special needs, behavioral health, and homeless populations, Sutherland’s virtual care teams can offer support that targets our providers’ community outreach, data quality collection, and complex member navigation efforts. Working with providers to tailor the solution to the needs of their specific population, Sutherland can define workflows, care paths, and structured protocols for homeless populations. We can also deploy community wide tracking tools to assist with post-acute follow through.

 

Accountable Care Grant Assistance
Sutherland can help in preparing grant applications and can implement processes and technologies needed for meeting grant criteria.

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Grants such as CMS’s Accountable Health Community grant require ACOs to accommodate specific patient risk stratification, care coordination, and outreach strategies. Sutherland helps organizations prepare the grant application, while also deploying the technology infrastructure necessary to meet grant requirements when the grant is awarded.Sutherland’s solution can also provide supplementary care coordinators to support the gathering and submission of outcome information required of grant recipients.