Healthcare
Highlights:
Fee-for-service payment models are evolving to value-based, integrated care Transformation to accountable care models will blur the lines between payers and providers Hospitals, physicians, and other caregivers will be financially motivated to collaborate, and reduce waste and redundancy Implementing and utilizing new technologies that increase access and transform data into useful information will improve and customize care
Healthcare
Healthcare
The transformation to accountable care wont happen overnight. It will occur in phases. To be ahead of the game, payers and providers should already be proactively planning and executing changes that address new requirements.
Recent advancements are enabling the use of smarter, connected mobile technologies to supply or monitor crucial information for patients with specific illnesses. These technologies can significantly improve diagnosis, treatment and condition management while reducing costs. Potential uses include reporting the time and place that asthmatics use inhalers, or enabling automatic submission of blood and weight readings of diabetics, and informing patients to take medication or seek treatment when certain conditions exist.
5. Expand patient communication methods
To realize operational excellence and a successful transformation, organizations need to determine now how they want to evolve to meet the changing model and which internal changes they need to make and what partnerships they need to form to ensure success. Once an organization decides where it wants to play in the future, it should be fairly obvious what actions will be required to get there.
2. Form new partnerships
The adoption of social media, text messaging and other new communication methods will help organizations more easily reach and interact with younger patients. For example, if a patient under 30 is trying to quit smoking and has said that the hardest time of the day to deal with their craving is right after dinner, then you might send them a text at that time to wish them good luck with their program.
6. Incorporate new technologies and utilize more data
Payers and providers will organize in new ways and will collaborate to improve the health of the population in many different ways. Organizations that group together to prevent errors, improve outcomes and reduce costs will increase their effectiveness and emerge as winners. Those who refuse to change and insist on protecting old structures will be left behind.
3. Embrace ICD-10
Implementing and utilizing new technologies that increase access and transform data into useful information will improve and customize care. These technologies may include electronic medical records, predictive analytics, data modeling, health information exchanges, health benefits exchanges, remote monitoring, mobile monitoring and reporting, social media and alternative communications.
The new disease classification codes introduced in ICD-10 mark the biggest change in healthcare coding in decades. An important building block to enable many future changes, ICD-10 includes many new diagnoses and treatment codes and will be the basis for care moving forward. Organizations that build an understanding of ICD-10 now, and implement care models based on it, will benefit, as will their patients.
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