Patients. Providers. Payers. In the U.S. healthcare market, all stakeholders want the same outcomes. Better quality. Lower costs. Higher consumer satisfaction.
Legislative initiatives, like the Affordable Care Act, are contributing to healthcare’s transformation. But there are significant challenges, especially for payers: growing margin pressure, increased competition, and the convergence of providers into the health insurance space. If only there were a clear path to high-quality, coordinated, patient-centered care delivery; achievement of mandated quality ratings; maximum financial returns.
There is. Our payers navigate change with advanced data management, analytics, and information sharing. Aggregate and combine comprehensive, timely data from clinical, claims, genomic, and consumer sources and get an unprecedented view of member health. Assess information, collaborate with in-network providers, share financial risk, and incentivize improved healthcare outcomes. Apply Precision Medicine by identifying targeted prevention strategies and treatments perfect for each individual member to keep them well.