7 Emerging Trends for Health Plans to Know

As we navigate through 2023, we find ourselves in a year of significant transition in healthcare, with the convergence of advancing treatments, new laws, and the acceleration of trends due to the pandemic. At NantHealth, our team of experts have identified several key issues and shifting tides that we believe will have a profound impact this year.

1. Increasing Digital Health Care Accessibility

Digital access points such as digital therapeutics, portals, and consumer-facing devices have inundated payers and providers with an astonishing amount of data. However, the challenge lies in harnessing this data to support patient outcomes within a value-based framework. Increased accessibility not only leads to better outcomes for patients but also reduces costs, wait times, and improves overall quality of life. In 2023, we expect to witness the growth of new solutions and increased accessibility, enabling earlier interventions and more precise treatment opportunities.

Read more to understand the potential impact of emerging technologies on patient-centric care.

2. Marrying Technology and Value-Based Care

Healthcare payers are shifting towards value-based care frameworks, aiming to reduce costs, boost efficiency, and provide more integrated and coordinated care. Leveraging technology is crucial for successfully implementing value-based care infrastructures. Our solution, NaviNet? Open, aligns and unites payers and providers, enabling cost reduction, easy access to critical patient information, and optimized care value. Technology plays a pivotal role in achieving equitable, accessible, and high-quality care for all patients, regardless of the unpredictability faced in recent years.

Read more for tips on what to value in the age of value-based healthcare.

3. Enhancing Payer/Provider Collaboration

Collaboration between payers and providers is essential in constructing value-based care offerings. Technology that enhances payer-provider communications, operational efficiency, and savings, while improving provider satisfaction, plays a crucial role in meeting these goals. Our secure, multi-payer platform delivers real-time clinical and administrative data, facilitating collaboration and fostering faster and more accurate patient outcomes. By simplifying workflows and eliminating manual tasks, resources and costs are saved, benefiting all parties involved.

Download our white paper How Collaboration in a Value-Based World Improves Patient Outcomes and discover how NaviNet can be a valuable collaboration tool for both payers and providers.

4. AI Encourages More Personalized Care

Artificial intelligence (AI) and machine learning (ML) are becoming increasingly prevalent in healthcare. These technologies provide enhanced computing power to solve complex issues efficiently. AI can help providers deliver personalized care tailored to individual needs, such as risk assessment and cost comparison for cost-effective treatments. By leveraging patient data, AI enables precise decision-making and improved patient outcomes.

Read more to discover how generative AI could ultimately change the game for healthcare payers.

5. Interoperability Leads to Efficiencies for Payers

Implementing advanced technologies that prioritize interoperability can significantly reduce costly and time-consuming tasks. For instance, interoperability eliminates the need for manual claim status calls, saving resources and money for both providers and payers. By enabling automatic information exchange between systems, interoperability streamlines processes and improves overall efficiency.

Discover five ways interoperability may save your health plan time and money.

6. Electronic Prior Authorization on the Rise

The healthcare industry has witnessed an increase in the use of electronic methods for submitting and processing prior authorizations. This shift brings efficiency and streamlined workflows, allowing for further adoption of technology to create prior authorization efficiencies.

Healthcare authorizations can be one of the costly and frustrating barriers to delayed care case, but we have tips that can help. Download our white paper Implementation Challenges for Electronic Prior Authorizations to increase your health plan's efficiency and effectiveness.

7. Price Transparency Demand Increases

As out-of-pocket spending and benefit costs continue to rise, patients are demanding better price transparency. They want simpler plan structures, improved insight into costs, and innovative ways to manage their healthcare. Technology plays a pivotal role in enabling price transparency for patients, providers, and payers, facilitating better decision-making.

Interested in learning more? Download our latest eBook to discover everything payers need to know about emerging technologies in the market.

With the advent of various emerging technologies in healthcare, the focus on patient-centric care has become paramount. By leveraging technology, we can deliver care that is respectful of individual patient preferences and needs. From artificial intelligence aiding diagnostic decisions to technology enabling interoperability and streamlined communication, emerging technologies empower healthcare organizations to put patients at the forefront of care.