In Part 1 of this series of posts, we shared some insight, ideas and opinions on the first of six topics shared in last week’s Health Information Technology Social Media (#HITsm) tweetchat Health System & Health Plan Innovation, Change & Growth During Uncertain Times.” A total of 72 participants tweeted over 650 times in the chat co-hosted by the Healthcare Executive Group, @_GWConnect and @_GuideWell.
In this second post, select insight, ideas, comments and opinions on Topic #2: What must health systems & health plans focus on over next 8 to 18 months regardless of health reform outcome? are shared. The remaining topics will be addressed in future posts.
Insight, Ideas and Opinions on Topic #2
— Healthcare Scene (@HealthcareScene) June 9, 2017
Connect with Members, Consumers & Patients
- Create a connection with the patient that goes beyond the office visit.
- Identify, understand & work with ‘impactable members’ to help them make good, cost-effective decisions about their healthcare.
- Health systems & plans need to engage w/ patients & members on a more meaningful & regular basis. Not just via EOB’s.
- Find out what’s going on in patients’ homes and determine the services they need to keep them healthy.
- Include the patient in everything – from the patient’s own care to the growth of the health plan/system. Act on what they hear.
- This’s the ‘Hatched, Matched & Dispatched’ cycle. Health plans only ‘engage’ at enrollment, w/ claim EOB’s & at termination.
Address Waste & Abuse
- At #AHIPInstitute, Eric Topol said ‘75% of top 10 high cost drugs are prescribed to non-responding patients.” STOP the waste!
- Waste and overtreatment, heard from @DocLazris #ErikRifkin are on a mission against it. Video here: https://t.co/OvfS9zjFAW
- IMHO it’s important to educate people about how to use their insurance effectively to control their costs. Price Transparency too
Help Consumers Become Better Patients
- Focus must be on enable patients to take control of their own care and to be more involved through easy integration of tech.
- Universal language – like, “Do you accept my health plan?” Simple question but so often answered wrong.
- When these languages are translated into HIT, all those stakeholders interpret associated rules & allowances differently
- If you adopt universal languages, IMHO, you will see some of these issues disappear or at least some clarity enter
- Smaller, more often, more meaningful. I have to write stuff that’s specific, timely, and actionable – why does H/C bury me in dross?
- Anthem has a monthly health plan summary to members that contains ‘personalized and actionable’ health & wellness insights.
- “Self-Care Shows Promise In Keeping Individuals w/ Behavioral Health Needs Out of the ER” – Video here: https://t.co/y4As4wkwkY
Don’t Ignore the Masses – Invest in Preventive Services
- Insurance! Invest now to save later is a motto that not many want to hear but need to have more faith in.
- Need to focus on treating the largely ignored ‘healthy people’ to prevent them from becoming the 5% of patients consuming 22%
- I am going 2 go there. Inclusion. No high risk pools. The One-Plan Plan. With a focus on prevention and wellness to mitigate risk
- We need to start providing preventive treatments to the masses vs. spending lion’s share of resources on the few sick.
- Such a good question. I think prevention costs are minimal compared to the other side of heart surgeries or chemo…
- I know a plan that’s feeding care gaps to physicians, so they can stay ahead of the gaps. Also helps scheduling.
Focus on Core Mission & Quality
- Shedding/outsourcing operations not core to their mission – like moving data centers to the cloud are long overdue.
- All #healthcare needs to focus on quality of care, especially since value-based care and payments look like they will stay
Smartphones – Everyone Has One – Leverage Them!
- IMO, health systems & plans must enable consumers and patients to use those things they’re always staring at: Smartphones.
- Our President Dr Rene Lerer suggests smartphones will be the “most important part of your body” for health
- No matter the #ACA result, plans and providers must get along, and have systems/infrastructure to enable real-time data exchange.
- Also interoperability among healthcare tech platforms to provide better utilization of collected patient data
More on the Remaining Four Topics Coming Soon
One More Time!
Thanks again to our co-hosts @_GWConnect and @_GuideWell, John Lynn (aka. @TechGuy) of Healthcare Scene and to all those who participated in the chat. A complete transcript of the chat can be found here.