There has been a lot of talk about transforming healthcare into an industry that leverages real-time analytics. Sadly, while the cost of a cup of coffee at Starbucks appears on your iPhone in seconds and your 401k reflects every change in holding and values at any given moment, healthcare has not made it easy for clinicians to leverage similar technology. In fact, patients and clinicians are often left in the dark for months after clinical events, greatly limiting the industry’s efforts to improve quality and efficiency. The infrastructure is there, and so is the technology. The only thing left is a company that will engineer the software itself.
There’s more than politics happening in Washington, D.C. October was the perfect time for hundreds of healthcare professionals to converge in our nation’s capital for the 7th annual Inovalon Client Congress to discuss the insights and trends transforming the industry. Representatives came from health plans, pharma, life sciences, government agencies, partners, academics, ACOs, health systems and research organizations. They shared industry strategies, best practices and technology innovations for improving clinical and quality outcomes, utilization efficiency, compliance and financial performance during this three-day conference.
Have you ever wondered how you can better engage your members? How do you get them to participate in preventive health measures? The easiest way to get answers to these questions is simply by asking the members themselves. In a recent Inovalon study, we went straight to the source for insight on member engagement. We learned a significant amount about motivating members to participate in preventive health programs.
Now that the data submissions for 2014 have come to an end and health plan issuers await responses from HHS on discrepancy reporting and final payments, it’s important to look back at the events of the last couple of months.
EDGE server submission began in December 2014, which was 11 months later than the expected start date. Software development had been in progress since 2013; yet there were limited and intermittent instructions, no proper data, and no EDGE server available for testing.
Ask providers what keeps them up at night, and many will say it’s a patient needing care and not getting it. But ensuring that every patient who needs care receives it— regardless of how busy the provider is and how difficult the patient is to reach—is no easy feat.
Consider the steps involved with providing precisely the right care for the right patient, in the right place, at exactly the right time. We can assume that providers manage their practices differently. Even if you had full-time staff focused exclusively on this task, a few patients would inevitably fall through the cracks.