Better support should lead to better outcomes

Meaningful outcomes are defined by measurable improvements in patient health and the overall quality, coordination, and efficiency of care. Within Healthmap’s Kidney and Cardiac Health Management programs, meaningful outcomes include slowing the progression of chronic kidney disease, reducing avoidable hospitalizations and emergency department utilization, improving adherence to evidence-based care, increasing engagement with nephrology, cardiology, and primary care providers, and supporting timely transitions to appropriate treatment pathways.

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We also recognize that meaningful outcomes extend beyond traditional clinical measures. Success includes helping patients navigate the healthcare system more effectively, addressing barriers to care, improving medication adherence, increasing attendance at recommended appointments, and supporting informed decision-making throughout the patient’s health journey.

Program performance is measured through a combination of clinical, utilization, engagement, and financial outcomes that reflect the overall effectiveness of our programs. We evaluate performance based on our ability to improve patient health, enhance care coordination, and deliver value to health plans, providers, and patients.

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Key performance indicators include slowing the progression of disease, reducing avoidable hospitalizations and emergency department utilization, increasing adherence to evidence-based care, improving medication adherence, and strengthening patient engagement with providers. We also monitor the closure of care gaps, completion of recommended screenings and interventions, and successful transitions to appropriate treatment pathways.

Partners receive clear reporting on clinical, engagement, utilization, and financial outcomes. Measures include disease progression, avoidable hospital and emergency department use, medication and evidence-based care adherence, patient engagement, care gap closure, appointment adherence, provider coordination, barriers to care, and total cost of care. Regular reviews also track progress toward program goals and identify opportunities to improve interventions, care coordination, patient experience, and overall program value.

No. While Healthmap maintains a consistent focus on improving patient outcomes, care quality, engagement, and value, the specific outcomes measured and prioritized may vary based on the goals of the program, the population being served, and the needs of the partner. This approach ensures that outcomes remain relevant, actionable, and aligned with what matters most to the patients, providers, and health plans participating in the program. Ultimately, success is measured not only by standard performance indicators, but by the program's ability to deliver meaningful, sustainable improvements in health outcomes and value for each partner.