Executive Summary
In the evolving landscape of value-based care (VBC), PSW has demonstrated how certified Care Management programs can serve as a strategic lever to improve outcomes, enhance patient satisfaction, and reduce avoidable healthcare utilization. With NCQA accreditation for Population Health and Care Management, PSW has built a scalable, high-performing model aligned with health system priorities.
Performance-Driven Outcomes
Between 2019 and 2023, PSW achieved a 4.9% average reduction in avoidable Emergency Department (ED) utilization—a meaningful metric in reducing unnecessary costs and optimizing resource allocation. Focused initiatives also delivered a 15% reduction in avoidable UTI-related ED visits in 2023, building on an 11.8% reduction the year prior.
This data-driven approach translates into real operational value: fewer acute care episodes, smoother transitions of care, and improved capacity management across the system.
Elevated Patient Experience & Engagement
Patient experience is a key pillar of VBC—and PSW’s Care Management program consistently excels. In 2023, the program earned an average patient satisfaction score of 4.8 out of 5. Surveys also showed 80% of patients reported improved overall health, and 80% reported increased understanding of how to manage their condition, demonstrating stronger patient activation and reduced dependency on high-cost services.
Addressing Social Drivers of Health at Scale
Recognizing that health outcomes are shaped by more than clinical care, PSW integrates support for social determinants into its Care Management workflows. Each year, 30% of the managed population receives targeted support for challenges like food insecurity, transportation barriers, and housing instability—contributing to better outcomes and fewer gaps in care.
Optimizing Through Strategic Provider Alignment
Success hinges on collaboration. PSW’s Care Management program is connected with network providers, enabling timely communication, coordinated referrals, and aligned incentives. This shared accountability model supports broader organizational goals—like reducing readmissions and improving medication adherence—while also streamlining operations across care teams.
Strategic Value for Health Systems
Certified Care Management is not just a clinical initiative—it’s a strategic investment. PSW’s program demonstrates how VBC-aligned care models can deliver measurable ROI through lower utilization, better outcomes, and increased patient loyalty. With certification driving continuous improvement and transparency, the program is well-positioned to scale and adapt to evolving contract requirements and population health needs.
Conclusion
For health systems seeking to lead in a value-based environment, PSW’s certified Care Management program offers a proven blueprint. It’s a model that delivers on quality, efficiency, and equity—while positioning organizations for long-term success in a performance-based future.
To learn more about PSW’s Care Management Programs, contact Communications@pswipa.com.
