Innovating for Impact: A Deep Dive in Healthcare Transformation
In this episode of Happy Hour, Happy Patients, join host Lisa Blue as she engages in an enlightening conversation with the dynamic Rick Bennett, an?expert in?designing and implementing?healthcare?solutions through a hospitality lens.
Rick, who leads population health solutions at Castel, dives deep into the transformative impact of value-based care and the importance of technology in enhancing patient communication and care coordination.
Gain insights into Rick's journey, his passion for utilizing CRM and AI in healthcare, and the profound influence of individual stories on shaping the patient experience. Explore the exciting intersection of hospitality and healthcare, and discover how technology plays a pivotal role in creating a more patient-centric approach to care.
Key Takeaways:
On the Blog
The Payer Approach to Population Health Management
There are roughly 900 health insurance companies in the United States. The five most popular payers — UnitedHealth Group, Anthem, Kaiser Permanente, Ambetter and Humana — comprise?50 percent of health insurance enrollment.?
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Although they vary by size and the number of members served, most payers face similar challenges, including managing costs while dealing with the rising cost of care, developing operational efficiencies, improving member satisfaction and aligning incentives with providers. They also encounter a growing demand for access to real-time data, uncertainty over healthcare reform, workforce shortages and outdated administrative systems.?
Many payers are now developing population health management (PHM) strategies to address chronic care management and meet the goals of value-based care. By driving strong PHM, health insurance companies have the?potential?to excel in this value-based care model that relies on quality measures and patient outcomes to define successful care.?
Essential Components of a Successful Population Health Management Program
The healthcare industry has introduced and implemented numerous initiatives aimed at reducing costs, from?transitioning from fee-for-service to VBC to?Meaningful Use programs designed to promote provider adoption of EHR systems. One of the most recent strategies, though, focuses on population health.
4?Ways to Use Predictive Analytics for Healthcare
There are tools that can be utilized to help forecast trends — as long as enough reliable data is available. Predictive analytics employs customized models to help businesses determine historical patterns and predict future outcomes. That’s why it’s so valuable in healthcare, an industry in which better outcomes can literally be life-changing.?