The pandemic set a lot of things into motion in the healthcare system. Gaps in care delivery that seemed imperceptible, now seem to be staring the stakeholders right in their faces. Reforms such as telemedicine that appeared to be taking place slowly quickly changed their pace of adoption. To adapt to the changing healthcare landscape, payers need to work to optimize and improve care management solutions to adapt to the changing healthcare landscape.

Care Management and Value-Based Care are the top themes in Healthcare. These themes predominantly play out between Provider organisations and patients, with the former taking the sole responsibility of delivering care to the patients.

As the healthcare industry turns to new innovations to streamline care delivery and improve stakeholder experience, it’s essential to understand how to build a foundation for a stable healthcare data platform. Digitizing healthcare data and processes took nearly a decade, and the next step is to unlock siloed health information on a cloud platform to build new digital services and solutions with native interoperability.

The Centers for Medicare & Medicaid Services (CMS) has pushed to create a more patient-centered healthcare system with new interoperability standards since the past few years. The final rules laid out in March 2020 by CMS and the Office of the National Coordinator for Health Information Technology (ONC) are designed to facilitate increased interoperability and allow members greater control of their own healthcare data.

The ongoing struggle to contain and treat the COVID-19 pandemic has accelerated the shift toward patient-centered care models and increased the need for a cohesive digital strategy to track patient journeys. According to a survey, in this “new normal,” 60% of patients would like to continue to use technology to communicate with their providers. While 44% of them began using new devices and apps to manage their conditions remotely, 47% reported that the experience was more personalized.

How to manage the COVID-19 care backlog, ensure your bottom line does not suffer and keep patients (and revenue) in your network.

Purpose

Healthcare payers work closely with providers to ensure that their members get appropriate care at the right cost. However, it can be difficult to streamline disconnected provider data, and errors and inaccuracies cause issues for patients, providers, and payers alike.

In a recent survey asking customers if they’d like brands or organizations to have an online self-service support portal, 88% of respondents said they would use a company's online knowledge base to meet their customer service needs. Undoubtedly, it is slowly becoming an age of ‘self-service.’

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