In our last post, we explored why financial sustainability in PACE isn’t just about spending less—it’s about seeing more clearly and acting more strategically.
That’s where Population Health and Utilization Management come in.
Many PACE teams already know these strategies matter. The real problem? They’re stuck playing defense. Reacting late, working around siloed systems, and trying to make big decisions with limited time, visibility, and support.
That’s why we built the IntusCare Population Health and Utilization Suite—to help you stop playing catch-up and start leading with strategy.
Check yourself: Already confident in your Population Health and Utilization Management strategies? Jump to the checklist to make sure you aren’t just playing defense.
The Problem: You’re working hard, but fighting uphill
Most PACE programs are operating in an environment defined by constraints: financial, technical, operational, and workforce. The intent to deliver exceptional care is always there, but the ability to take a truly strategic approach is often blocked by systemic challenges:
Fragmented data
Prevent you from seeing the big picture. Participant insights live in disconnected EMRs, spreadsheets, and paper files, making it difficult to understand who is at risk, where utilization is trending, and how to plan ahead.
Clunky, manual processes
Keeps you in reactive mode. Instead of having decision-ready insights at your fingertips, you spend hours piecing together information and responding to problems after they’ve escalated.
Limited time & expertise
Creates a gap between intent and action. Population health and utilization strategies often fall into the “when we have time” category, not because they aren’t important, but because teams are already stretched thin.
Even when the right data exists, it’s often too difficult to translate into daily decisions. That’s where the IntusCare Suite steps in.
Step 1: Get visibility with our core analytics platform
The foundation of proactive strategy is clarity. The IntusCare Population Health Analytics platform gives you a unified, real-time view of your entire participant population, bringing together data from multiple systems into one easy-to-use dashboard built specifically for PACE.
With the analytics platform you can:
- Identify high-risk participants early, before hospital, ER, or SNF admissions occur
- Track utilization trends across hospital, ER, and SNF settings
- Monitor care performance and key quality indicators
- Understand cost drivers across cohorts, service types, and conditions
This isn’t just a report, it’s a tool designed to guide decisions, focus team efforts, and shine a light on the areas that will move the needle the most.
Step 2: Act proactively with Population Health as a Service (PHaaS)
Population health isn’t just uncovering insights, it’s a strategy for improving outcomes across your entire participant base.
With PHaaS, our clinical team works directly with yours to:
- Pinpoint high-risk participants and frequent utilizers using predictive modeling and historical trends
- Deliver practical, participant-level recommendations for care planning
- Identify system-level gaps in managing high-cost, high-need conditions like CHF, COPD, or dementia
- Help you build and operationalize workgroups focused on prevention and clinical alignment
All of this is implemented with your team, not just handed off, so strategies stick, workflows improve, and long-term change becomes possible.
Step 3: Stay in control with Utilization Management as a Service (UMaaS)
When care is needed, it must be the right care, in the right setting, at the right time, and it must be documented and reimbursed accurately.
With UMaaS, IntusCare becomes an extension of your team so you can:
- Review and support authorizations to align care with evidence-based and clinical guidelines, participant goals, and IDT decisions
- Monitor hospital and SNF utilization in real time, working with providers continuously align care throughout the visit
- Manage documentation and provider disputes to ensure accuracy and proper payment documentation
Our experts help you gain control of utilization, ensure spend aligns with patient needs and preferences, and safeguard the quality and financial outcomes of every participant journey.
Step 4: Put it all together for complete control
Each layer—analytics, population health strategy, utilization oversight—is powerful on its own. But when they work together, the impact compounds. This isn’t just operational improvement, it’s organizational transformation.
With the full IntusCare Suite you’re redefining how your team works:
- Real-time insights empower every care decision, from prevention to transitions
- Proactive strategies and utilization oversight reinforce each other, creating feedback loops that drive faster learning and smarter care
- Financial clarity and clinical confidence align, so your team isn’t choosing between participant needs and sustainability, they're delivering both
This is what it means to lead with data, act with purpose, and build a care model that’s as strong behind the scenes as it is at the bedside.
And it’s all built to fit into the workflows you already have. No overhauls. No steep learning curves. Just smarter operations, supported by a team that knows PACE inside and out.
This is how you stop playing defense
No more flying blind. No more scrambling to react. No more asking more of your team for more without giving them the tools and time to succeed. This is what it looks like to lead with insight and support it with action…
Palm Beach PACE Case Study Snapshot
Challenges
- Fragemented data
- Reactive processes
- Limiited insight into utilizaiton
- Rising costs
Solutions
- IntusCare Population Health Analytics Platform
- Utilization Managment as a Service
- Population Health as a Service
Quick wins
- 9% drop in inpatient admissions in the first four months
- And much, much, more! Look for the full Palm Beach story next week.
We’ll be sharing more of their story in our next post. But if you’re ready to stop playing defense and start building a smarter path forward, we’ve got something for you now.
The Checklist: How strong are your Utilization Management and Population Health Strategies?
Stay tuned for our next post where we’ll explore how Palm Beach is putting these strategies into practice and getting real results.
P.S Ready to get started now? Let’s chat