Delivering Effective Digital Strategies for ACOs & Payers

Report | Region: North America | 60 Pages | Format: Digital PDF

 

Quick links: Description | Table of Contents | Sample | Companies | Format

Purchase & Download – Single User (PDF) $160 USD (£120 GBP)

Description

Healthcare providers are facing an increasing level of pressure from government authorities as well as payers to transition towards the value-based reimbursement structure with a population health approach, so that the best possible care can be delivered to patients at the lowest possible cost.

The next generation of ACOs are expected to not only change their mind-set and culture, but also make increasing use of digital technologies, EHRs, data and analytics tools in order to make this transition a reality.

Technology, including electronic health records; data acquisition, aggregation, and normalization; financial and clinical analytics; patient engagement applications; and care management software (collectively called population health management solutions), can help ACOs efficiently identify at-risk patients and proactively transition them into cost-effective care–activities that are essential to any well-performing operation. These solutions can also enable more accurate and streamlined quality and cost reporting. Without such automated tools, an ACO may miss opportunities, overlook potential risks and fail to manage the health and care costs of a designated population.

​Delivering Effective Digital Strategies for ACOs & Payers is a 60-page report that analyses many of these different digital technologies and outlines strategies for ACOs to effectively extend their service delivery through digital best practice.

​Featuring insight from leading industry professionals and technology suppliers, alongside case studies designed to showcase proven strategies for driving successful digital transformation projects.

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Table of Contents

1. Introduction

2. Adopting a Digital Strategy

3. Focus on Patients as Consumers

  • Insight: Consumers vs Patients

4. Opportunities for Digital Transformation

5. Medication Adherence

  • Case Study: Walgreens Digital Health Resources Prove Effective in Improving Medication Adherence Monitoring Patients with Chronic Conditions

  • Medication Apps Lacking Effective Adherence Functions

6. Implementing Home Healthcare

  • Case Study: Digital Health Platform Actively Engages Patients in the Home

  • Case Study: Philips Medido – 96 per cent of chronic disease patients stay on track with daily medication when using connected dispensing technology

  • Case Study: Liverpool (UK) Supported Self-Care Programme

  • Challenges of Patient Monitoring

7. Implementing Digital Clinical Pathways

  • Insight: How Care Pathway Management Can Connect Operational and Care Processes

  • Elements for Implementing a Digital Clinical Pathway

8. Reducing Hospital Readmissions

  • Case Study: Automate Patient Discharge Communications to Reduce Readmissions

  • Case Study: Implementing an Enhanced Recovery after Surgery (ERAS) Program

9. Improving Health Literacy

10. Building a Digital Care Community

11. Integrating Effective Clinical Decision Support

  • Insight: Realising the Promise of Clinical Decision Support

12. Information and Communication Technology (ICT) Infrastructure

  • Case Study: ACO Strategies for Success: Managing Populations through BYOD Technology

13. Population Health Management

  • Effective Population Management Strategies

  • Population Management Tools

  • Optimising Revenue using Population Health Tools

14. Care Management

  • Case Study: Wellframe and Blue Cross and Blue Shield of Nebraska (BCBSNE)

15. Utilizing Artificial Intelligence to Drive Digital Transformation

  • Comment: What AI in Healthcare Can and Can’t Deliver

  • Insight: Moving from Disease-Care to Empowered-Care

  • Why Health Plans Should Lead the Way in Adoption of Artificial Intelligence

16. IoT and Healthcare

  • How the Internet of Things and Digital Technologies Will Transform Home Healthcare

17. Claims & Payment Technology

  • Processes that Improve Patient/Consumer Experience

  • The Benefits of Effective Payment Technology

18. Form Management

19. Building Secure Digital Services

  • Insight: Preventing Data Security Breaches in the Healthcare Industry

  • Insight: Keeping Health Data Safe in the Cloud: Assessing Risks, Averting Breaches

Appendix 1 – Companies included in this report

Appendix 2 – Contributors

References

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Sample – Medication Adherence

The pursuit of cost savings among ACOs has sparked interest in management of high-cost and chronic diseases as well areas where care delivery somehow breaks down.

Medication adherence is a $337 billion problem in the US healthcare industry.[3] Patients failing to take their prescriptions or follow treatment plans result in more than $100 billion every year in hospitalizations alone, and healthcare spending on non-compliant patients is nearly double the cost of abiding patients.

By solving the issue of medication adherence, insurers could save money through the reduction of unnecessary costs and providers would have healthier patient populations and fewer accident procedures.

Two large, multi-year studies focused on chronic conditions that are highly prevalent, costly, or both found that patients with high medication adherence had significantly lower hospitalization rates. The studies, published in 2005 and 2011, found that higher medication costs were more than offset by lower overall healthcare use (e.g., hospitalization and ED use), yielding a material net reduction in healthcare costs [4, 5].

The 2005 study found that “a small increase in drug costs (associated with improved adherence) can produce a much larger reduction in medical costs. The authors therefore conclude that “greater attention should be devoted to educating patients on the value of their drug therapy and motivating behaviour changes that improve adherence” [4].

Thus, improved medication adherence constitutes an attractive area for pursuit of cost savings by ACOs.

Unfortunately, the causes for poor medication adherence are many and complex.  Patients forget to take their medicine, don’t fully understand their prescribed regiment, or decide the treatments are not needed or not to their liking. Physicians may contribute to the issue by failing to fully describe the regimen and side effects, disregarding the patient’s socio-economic status or lifestyle, or by simply having a poor relationship with the patient [6]….

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Companies & Contributors

Company’s included in this report

Anthem

Athena Health

Battelle

Blue Cross and Blue Shield of Nebraska (BCBSNE)

ClearDATA

Deloitte

ERT

Excellus Blue Cross Blue Shield

HAP Innovation

Health Payments Systems

Lumeon

Lumiata

McKesson

Medelinked

Medido

Orbita

Philips

Salesforce Einstein

SeamlessMD

Sollis

Saint Peter’s Healthcare System

The Advisory Board Company

Vivify Health

Walgreens

Wellframe

Welltok

West Corporation Healthcare Practice

Contributors

Ash Damle, CEO and Founder, Lumiata

Bill Rogers, Orbita, Inc.

Chris Bowen, ClearDATA

Chris Coloian, Chief Solutions Manager at Welltok

Dale Jessop, ERT

Dr. C. Anthony Jones, Lumiata

Dr. Darryl W. Roberts and Dr. David Friedenberg, Battelle

Fonda Narke, Vice President of Product Strategy, West Corporation Healthcare Practice

Jas Singh, CTO, Medelinked

Jay Fulkerson, Health Payments Systems

Larry Roshfeld, US General Manager, Lumeon

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Format

Electronic PDF: This report will be emailed to you following payment.

​The report will be sent in PDF.

​The report can be printed upon receipt

 

Purchase & Download – Single User (PDF) $160 USD (£120 GBP)

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Report developed by The Journal of mHealth. All rights reserved.