Abstract: Methods, systems, and computer-readable media are provided for automatically and without human intervention identifying providers and/or patient population segments eligible for one or more outreach events and executing the outreach event. An outreach event is an action or communication by a healthcare organization or its providers to contact providers or patients regarding one or more quality measures.

Abstract: Methods, systems, and computer-readable media are provided for organizational management of population health. A network management service builds and maintains data stores of organizational data associated with one or more healthcare organizations. A population health management service receives raw data from disparate sources, creates a reference record for each raw data source, and generates patient-centric longitudinal population records using the reference records. Programs for managing population health utilize both the organizational data and the population records to generate condition-specific or objective-specific solutions.

Abstract: Methods, systems, and computer-readable media are provided for attributing patients to various healthcare providers within a healthcare organization. Attribution is geared towards pairing a patient with an optimal set of healthcare providers to effectively manage the patient while keeping costs down. Organizational data associated with the healthcare organization is accessed to identify at least provider information, and patient data is accessed to determine preference information and previous and current provider relationships associated with the patients. The organizational data and the patient data are used to attribute each patient to one or more providers.

Abstract: Methods, systems, and computer-readable media are provided for healthcare organizations to manage financial and clinical objectives between payers, providers, and patients. A healthcare organization's organizational data is accessed to identify quality measure contract objectives contained in contracts between the healthcare organization and its payers. Patient data of patients in scorable patient groups is accessed to determine if the patients meet the quality measure contract objectives. If so, a financial incentive is determined.