Integrated Health Management (IHM)
Oliver Wyman believes that the future of a sustainable healthcare marketplace rests in Integrated Health Management (IHM) — a comprehensive new approach for care management and delivery. This holistic strategy helps companies compete on the basis of cost and quality of care, achieving savings not by rationing care or cutting benefits but by coordinating care, focusing resources correctly, and aligning the interests of payers, patients, and healthcare providers.
Over the past five years, a significant portion of our practice has focused on the development and implementation of IHM models with delivery system and health plan clients. Our experience has been that health management, financing, and delivery models can be redesigned to dramatically improve the cost and quality of care while also improving both the physician and consumer experience. Specifically, Oliver Wyman’s approach is intently focused on bending trend while preserving or enhancing quality, through:
• Innovative programs focused on specific patient populations, clinical conditions, and services
• Game-changing clinical models, based on aligned incentives, and clinical innovation
• Pioneering network-based products that drive critical progress in health engagement and personal accountability
Examples of recent IHM engagements include:
• Designed and implemented an entirely new Clinical Quality and Patient Safety infrastructure for a large multi-market integrated delivery network (IDN). Oliver Wyman helped integrate patient management, improve physician outreach, enhance information flow, and realign hospital governance structures and physician relationships over the complete inpatient and ambulatory footprint.
• Developed an IHM strategy for a multi-state Blue plan to vastly advance its capabilities to improve the health of its members while remaining affordable.
• Designed a market-leading integrated cancer model for large IDN, bringing together all aspects of oncology care under a single risk-bearing entity that would dramatically cut the cost of cancer care while improving outcomes.
• Utilized Oliver Wyman-developed IHM framework as a road map for the transformational strategy of a regional health plan seeking to compete on the basis of cost and quality.
• Built a seniors-specific IHM strategy for a health delivery system focused on the seniors segment.