Moving Population Health to the Point of Maximum Leverage

We've developed a method of determining the point of maximum leverage, providing empirical, evidence-based metrics for the future of value-based medicine.

What is the Point of Maximum Leverage?

The level of opportunities for impactful interventions at which a fixed number of health management dollars are most efficiently allocated to provide the maximum benefits to population health.

Acting from this point unifies the goals of improving population health outcomes while lowering costs. The goal is to maximize health given a (relatively) fixed level of resources.

Postive Value Requires a Sharp Pencil

In the absence of the point of maximum leverage, the risk to lose money is significant. With current value-based health management systems, opportunity becomes severly limited without both actionable and measurable initiatives that comes from understanding the point of maximum leverage.

Payers are increasingly demanding improved health outcomes while not relenting on pricing. Acting from this point unifes the goals of improving population health outcomes while lowering costs. BaseHealth has developed a method of determining the POML and we’re currently applying this to our 2017 population.

What We've Learned

Using the Correct Inputs & Outputs

At the level of the individual member, costs are driven by healthcare conditions and conditions are driven by risk factors.

Immediate Insights

No membership population is “average”– Even large memberships (>100,000) are demographically, medically and behaviorally distinct.

The interplay between even a couple of input factors & comorbidities can be very non-linear: the actual incidence impact between obvious risk factors cannot be easily predicted.

Discovering Where to Extract Value in Our Membership

1

If correctly modelled, each patient's journey follows the same trend over time.

2

At a moment in time, individual patients are at a single place on their journey.

3

Many patients aggregated at a moment in time looks similar to the individual's journey.

The Point of Maximum Leverage, at the limit, is actually one member and one actionable risk factor. A more practical and impactful POML is a small cohort of the membership (<1%), where only one action is taken (e.g., reduce blood pressure), which represents the greatest possible outcome for the least possible effort.

The strengths of the application of the POML comes from the ability to precisely stratify risk for both individuals and poplulations. By strategically targetting population cohorts and individuals, BaseHealth’s method enables the highest impact interventions while delivering a strong ROI.

Cognitive Computing

BaseHealth has spent over 2 years using advanced expert system and machine learning algorithms to compile the entire medical literature.

While operating on a specific membership, the model learns and adapts. Machine Learning looks at the specific sub-population and learns the nuances of it to improve the core model. The model begins with the knowledge of 27,000 physicians and 72,000 scientists treating over 70 million patients.

What's Going to Happen?

What are the actual number of new cases for each healthcare condition you should expect in the next 6 months?

Disease

Coronary Artery Disease

Expected Incidence

219.5

Turning Information into Actionable Knowledge

Computational relationships between the inputs, conditions and consequences were derived from 70 million patient lives of evidenced-based study.

We’ve developed a method of determining the point of maximum leverage, providing empirical, evidence-based metrics for the future of value-based medicine.

In Other Words...

We’ve created the world’s most comprehensive and evidence-based condition risk prediction engine

Our Technology