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POPULATION HEALTH: WHERE IS THE MARKET 
HEADING? 
Mark Allphin 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
1
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
2
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
3 
What surprisedus?
SURPRISE #1 
4 
Moving Fast: Rarely do 
industry changes outstrip 
common expectations 
around timing. Accountable 
care is moving faster than 
many thought it might two 
years ago. 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved
SURPRISE #2 
5 
Fee for Service is Dying: 
KLAS expected more 
conversations about 
whether fee for service 
would go away. Almost all 
interviews were about 
when fee for service is 
dead, not if. 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved
THE MILLION DOLLAR QUESTION 
6 
WHEN? 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved
THE MILLION DOLLAR QUESTION 
7 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved
FIRST WAVE PERSPECTIVE 
Suddenly doing population health 
KLAS Confidential © 2014 KLAS 
8 
Enterprises, LLC. All Rights Reserved
THIRD WAVE PERSPECTIVE 
Living off the fat of the land 
KLAS Confidential © 2014 KLAS 
9 
Enterprises, LLC. All Rights Reserved
AT-RISK PAYMENT ARRANGEMENTS 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
10
TECHNOLOGY PRIORITIES 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
11
POPULATION HEALTH TRAINS 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
12
MANY VENDORS PLAY A ROLE 
13
FROM THE PROVIDERS POINT OF VIEW 
14 
What Types of Vendors Are Being Used for PHM Today? 
53 unique vendors mentioned 
70% of “mature” organizations report multiple PHM vendors
LESS MATURE ORGS LEAN TO ENTERPRISE 
15
THANK YOU 
Mark Allphin 
Senior Research Director 
801-734-6506 
Mark.allphin@klasresearch.com 
KLAS Confidential © 2014 KLAS 
Enterprises, LLC. All Rights Reserved 
16

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Health IT Summit in New York 2014 - Presentation "Population Health: Where is the Market Heading?" with Mark Allphin, Senior Research Director, KLAS

  • 1. POPULATION HEALTH: WHERE IS THE MARKET HEADING? Mark Allphin KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 1
  • 2. KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 2
  • 3. KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 3 What surprisedus?
  • 4. SURPRISE #1 4 Moving Fast: Rarely do industry changes outstrip common expectations around timing. Accountable care is moving faster than many thought it might two years ago. KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved
  • 5. SURPRISE #2 5 Fee for Service is Dying: KLAS expected more conversations about whether fee for service would go away. Almost all interviews were about when fee for service is dead, not if. KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved
  • 6. THE MILLION DOLLAR QUESTION 6 WHEN? KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved
  • 7. THE MILLION DOLLAR QUESTION 7 KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved
  • 8. FIRST WAVE PERSPECTIVE Suddenly doing population health KLAS Confidential © 2014 KLAS 8 Enterprises, LLC. All Rights Reserved
  • 9. THIRD WAVE PERSPECTIVE Living off the fat of the land KLAS Confidential © 2014 KLAS 9 Enterprises, LLC. All Rights Reserved
  • 10. AT-RISK PAYMENT ARRANGEMENTS KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 10
  • 11. TECHNOLOGY PRIORITIES KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 11
  • 12. POPULATION HEALTH TRAINS KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 12
  • 13. MANY VENDORS PLAY A ROLE 13
  • 14. FROM THE PROVIDERS POINT OF VIEW 14 What Types of Vendors Are Being Used for PHM Today? 53 unique vendors mentioned 70% of “mature” organizations report multiple PHM vendors
  • 15. LESS MATURE ORGS LEAN TO ENTERPRISE 15
  • 16. THANK YOU Mark Allphin Senior Research Director 801-734-6506 Mark.allphin@klasresearch.com KLAS Confidential © 2014 KLAS Enterprises, LLC. All Rights Reserved 16

Editor's Notes

  1. Here are the key findings from our ACO Timing report
  2. The reality is setting in for most providers that fee for service will be coming to an end at some point in the future. The biggest question is when will organizations make the shift from fee for service to pay for performance.
  3. We see things speeding up in terms of changing PHM culture (not ACO % of revenue) Three waves (describe) Motivations No one really says they won’t
  4. Good quote from an organization in the first wave of providers heading towards population health. It’s interesting to see how quickly attitudes are starting to change.
  5. Here’s an interesting quote from an executive who is very transparent with where things are today for his organization. They know that accountable care is coming, but they are still living off the “fat of the land” in fee for service.
  6. Going at risk is not an either/or proposition Orgs want to take on more. Maybe become payers. Today, most play it safe (shared savings with govt. and commercial payers)
  7. When we ask about technology, mostly it’s about collecting, analyzing, and sharing clinical data Differences between waves 1st Wave = care mgmt. 2nd Wave = PHA and Patient engagement 3rd Wave = PHA, HIE, Analytics
  8. More information on the 53 vendors mentioned in our July perception report.
  9. Most recent report was published in July 2014 and was a population health perception study. There were 53 vendors mentioned as helping with population health. Here is a quick list of who some of those vendors are. We’re seeing vendors that have historically been HIE vendors or BI vendors try to reinvent themselves as population health vendors.