In the News
Stories and trends changing the healthcare landscape
into their business model(s) to stay abreast of a rapidly changing
competitive environment, or risk being left behind. For a business to
be scalable, it must focus on improving the profitability and efficiency
of services even when its workload increases. However, establishing
this capability does not occur in a vacuum and involves a complex set
of considerations and analysis.
COVID–19 pandemic has greatly exposed the critical importance of addressing the health–related social needs of vulnerable populations, especially older adults with complex medical conditions. Historically, single condition management programs have focused on one chronic disease, often missing opportunities to support other health care needs or interventions for primary prevention and health promotion. This represents a missed opportunity to engage Seniors in their own health and wellness activities by using additional benefits for services with greater impact on their overall health and conditions.
Healthcare providers and organizations looking to design and market services to supplement and enhance various aspects of health care delivery (from outreach and engagement, to add on features generating improvements in care and outcomes) are constantly challenged with creating the necessary proof points to forecast and validate impact.
The advent of value-based care delivery has opened new opportunities, where it is possible to demonstrate tangible improvements in both health cost and outcomes. However, this requires a more advanced approach to leveraging data and analytics to identify and quantify actionable cause and effect relationships.
Healthcare organizations are increasingly using consumer data to augment their understanding and insights into the populations they serve, for a variety of purposes – from forecasting health outcomes, risks and future use of services to development of strategies for outreach and engagement. Consumer-generated data includes a wealth of information about individuals – including what they purchase, how they use social media, how many hours their wearable devices say they sleep at night, and other aspects of how and where they live and work.
The COVID-19 pandemic has changed the way people interact with each other, turning to video and other forms of social media to stay connected. This embrace of virtual technology has extended to medical care and has paved the way for what may very well result in permanent changes in the how health care is utilized and reimbursed.
We can all agree COVID-19 brought about a seismic shift in the delivery of healthcare in 2020. This article reflects on services shifts, challenges those shifts create and approaches for providers and payers to anticipate and navigate the initiatives.