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    Top ways payers, providers use tech to improve care


    Barriers to adoption

    Though technology can move at the speed of light, healthcare organizations often face barriers in implementing innovation. On the payer side, many health plans struggle with adapting new technologies to old systems. “Payers have a handicap because there are so many poorly integrated legacy systems. Many of the tech-enabled solutions are to build back-end systems to integrate clinical and claims data,” Housman says. “A lot of the strategy is to just get the data right, and exposing the data to other data in a way that is consistent.”

    Lockhart adds that technology costs and slow adoption can deter health organization from investing in technology. “Healthcare is traditionally amongst the slowest of major industry players to adopt and effectively utilize technology. To support technology-enabled care, it’s important that plans begin to recognize technology-enabled care channels (video, home monitoring, etc.) as cost-efficient alternatives to office visits,” Lockhart says.

    Eric Rock, CEO of Vivify Health, a digital health company, says a lot of organizations struggle with having the “operational elements” in place to engage with patients using technology. “Operational elements can include a small team of clinicians to monitor and intervene when necessary. Sometimes these teams also play a larger role of care coordination across partnered provider and payer organizations. In all cases, it is necessary to assure seamless work flows for proper stratification and overall care management,” Rock says.

    He says tech-enabled care models should include call center strategy, seamless work flow and IT integration, and a multi-tenant architecture enabling health plans to offer a single platform white-labeled across all partnered providers.

    “Most importantly, there needs to be the ability to continually improve best practice care plans to accomplish high engagement levels and a reduction in high-cost clinical care,” Rock says.

    Next: Measuring results


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