Make 2018 Your Year of Quality
As a human, I strive to continuously grow. In work, growth is reflected as improvement. Improvement measured is quality.
December 20, 2017
Shelley Riser, Vice President, Consulting Services and Clinical Innovation
Chilmark Research defines payer-provider convergence as “initiatives and technologies that promote more efficient exchange of information between payers and providers as the roles between these stakeholders continue to blur.”
They identify convergence as a key strategic driver that impacts everyone in the pursuit of streamlined health services for patients.
I could not agree more.
For more than 25 years, I have worked to make a difference at every level of care delivery, to bring together system-wide stakeholders to improve cost efficiencies and patient outcomes. Driving alignment among healthcare professionals has never been more critical than it is now as payers and providers increasingly share the risk and reward for delivering cost-controlled, high-quality care that demonstrably improves the health of the people they serve.
Health plans and care delivery systems need shared, innovative tools and programs to successfully converge around patient-centered care.
There is an understandable and necessary focus on data-driven technologies to lead the charge on increasing collaboration. But in addition to technology, we need new perspectives and processes to help turn insights into actions that matter. Providers need more ways to translate data-driven findings into straightforward, concise information that helps frontline clinicians take the best possible action, within the required timeframe, for each patient.
This is where my team of population health experts comes in.
On behalf of our health plan clients, we work with value-based provider partners to help them understand what is working well and where there is room for improvement within the framework of population health management and value-based contract performance. We meet regularly with physician leadership and partners and dive into the data to develop reasonable plans of action to address variations across patients, providers and facilities.
Putting analytics into patient-level action and developing effective engagement strategies to positively influence the health of individuals and populations is challenging. Leading health plans provide population health experts to lighten the load for providers and help them achieve success within their value-based arrangements.
The following three-pronged approach is helping to forge deeper relationships between one health plan client and its value-based provider partners:
Download our case study for an in-depth look at how this approach is helping to drive convergence and improve the performance of value-based contracts for one health plan client and their provider partners.
Unique among analytics vendors, Geneia has a clinical arm comprised of nurses, social workers and more.
Geneia’s implementation process puts the right emphasis on process, people and technology, and is designed to help our clients and their stakeholders succeed in value-based partnerships in as few as 12 weeks.
True population healthcare requires more than primary care physicians.