In our first blog post in this series on better patient information management, we covered the overarching benefits for adopting a unified approach to patient data. Now, we would like to turn our attention to the specific role of health plans in driving the industry toward this new standardized approach, helping stakeholders galvanize around scalable solutions for unified patient information management, or UPIM.
Health plans have been at the forefront of healthcare IT and have helped drive a lot of the innovation in the industry. Their position in the ecosystem is unique as plans have access to comprehensive patient information – from detailed records to medication adherence. This data has the potential to impact quality of care delivery while driving overall healthcare costs down. We agree with Perficient Healthcare’s recap of the AHIP conference: health plans can drive change in the cost and quality of care by having a standard way of managing information, analyzing its significance and establishing actionable steps to improve the experience of both members and physicians.
With roughly 5% of the population making up for 50% of overall healthcare expenditures, health plans can play a key role in helping to target high-risk patients and effectively monitor their progress. This includes medication adherence, follow-up appointment coordination and healthy behavior promotion. Health plans can then empower their providers with timely updates to ultimately help drive behavior change.
By harnessing patient data and turning that data into actionable insights, health plans can help impact provider-patient relations. John Moore of Chilmark Research expands on this idea in a recent blog series. He stresses the need for health plans to establish trust to drive consumer engagement and collaboration. Payment transparency among patients and physicians is crucial to controlling healthcare costs and increasing patient satisfaction. In fact, a recent study showed that the more physicians knew about the cost of their services—from daily tests to surgery — the more successful they were in reducing costs in their practice. Patients also benefit from cost transparency as this information empowers their health decisions and builds a bridge between them and their payer. By equipping all stakeholders with health plan coverage information – such as patient eligibility, benefits and deductibles, before the care is delivered, health plans can build trust and drive consumer engagement – one area where health plans have had little success to date according to ATKearny.
Alongside health plans’ critical role in the clinical setting, health plans have been focused on driving down costs and adapting their approach to support new payment models like Accountable Care Organizations. As these models get more traction, we expect to see more health plans adopting systems for UPIM, where payers plan a central role in providing and sharing critical patient information to deliver better care and curtail healthcare expenditure.
Kimberly Labow is the chief marketing officer, overseeing all marketing and product management responsibilities for NaviNet. She has over 19 years of technology marketing experience in a variety of industries, including healthcare, and brings to NaviNet an in-depth understanding of the healthcare connectivity marketplace.
Before joining NaviNet, Ms. Labow was vice president, marketing and product management for Medfusion, where she was responsible for all aspects of both marketing and product management. Her team was engaged not only with direct marketing activities for Medfusion, but in the overall efforts to aid Medfusion’s clients in the marketing of their practices to drive ultimate utilization of their Medfusion healthcare solutions from new and existing patients.
Prior to joining Medfusion, Ms. Labow was vice president, marketing and product management for Performix Technologies where she was an integral part of the management team that led Performix to a successful sale of the company to NICE Systems in 2007.
Prior to Performix, Ms. Labow spent four years at Progress Software where she built and managed teams for both services marketing and offering management and later product marketing. Ms. Labow’s healthcare experience includes several years as marketing manager for Kronos’ healthcare systems division, as well as owning product management for PCN’s EHR product HealthPoint (now Allscripts’ HealthMatics EHR).
Ms. Labow has a B.A from Colby College in Waterville, Maine, and an M.B.A from Northeastern University in Boston.
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