Sarah Jenson is Director of Analytics at Allina Health and also at Health Catalyst. Sarah aspires daily to help healthcare organizations drive improvement through data. She received her Master’s in Sociology and has supported Allina Health’s analytics achievements for nearly a decade, and continued in that role after Allina Health outsourced its analytics department to Health Catalyst in 2015. By creating a process to identify unwarranted clinical variation, she and her team have identified millions of dollars in potential savings for Allina Health thought cost savings, lives saved, and quality improvements – specifically this has resulted in reductions in Spine cost of care, improvements in Stroke care delivery, and efficiencies in Sepsis treatment. Prior to her time at Allina Health, Sarah spent several years working in healthcare market research helping insurance providers and healthcare systems better understand their brand perception, gauge member onboarding processes, measure patient experiences and outcomes, identify new market opportunities, as well as aiding in other research needed to support key decisions at the highest level.
In the current healthcare environment, understanding per member per month (PMPM) cost drivers, and recognizing opportunities to optimize both reimbursement and patient outcomes, are critical to the financial viability of a healthcare organization. Integrated Health Partnerships (IHP) is an accountable care model that incentivizes healthcare providers to take on more financial accountability for the cost of care for Medicaid patients in Minnesota. Allina Health has three IHP contracts which cover approximately 90,000 members, half of which live within a three-county metro area.
Using its analytics platform made it possible for Allina Health to integrate internal and external data sources to deliver insight into PMPM cost drivers and produce a comprehensive evaluation of the drivers of PMPM payment performance. Coupling this PMPM insight with information from data-driven opportunity analysis has given Allina Health insight into its IHP patient population, supporting informed at-risk contracting and the creation of interventions to decrease the total cost of care and improve both financial and clinical outcomes.