The healthcare ecosystem is changing.
What role will the health system play?
Health systems are moving beyond a community focus and serve regional populations offering both a health plan and a care delivery system within a single relationship. Service lines are being realigned to serve a new mission where collaboration between educational, early detection, prevention and behavior modification resources push the primary care perimeter closer to the consumer.
Consumer-centric, risk mitigation initiatives now form the new store front as the health system business model evolves to address the needs unique to employers adopting a self-funded plan design. Applied Health Analytics understands these new realities and our software technology and applications provide a competitive advantage for health systems choosing to embrace a growth strategy targeting commercial populations.
Data: Empowering or impeding?
Big data can be a big challenge. For data to be empowered, it must be actionable and measurable. Like a series of bridges that span individual islands, data must be interoperable and flow between health system partners to provide a 360-degree view of the consumer. HRA, biometric, claims and clinical information must be aggregated for providers to understand, impact and optimize care.
Applied Health Analytics recognizes the promise of big data. We enable the collection and distribution of data and integrate with EMRs, labs and information exchanges. We designed our software technology to provide an accessible and simplified view of complex information and place the power of big data in the right hands at the right time.
Self-Funded Employers: The new payer.
The ACA motivates more and more employers to adopt a self-funded plan design. According to a recent survey, 81 percent of employers with over 200 FTEs have chosen a self-funded plan design. The movement to self-funding increases employer desire to reduce utilization by enhancing employee health. Employer demand for risk reduction initiatives attracts disruptive competitors, deploying sophisticated business models designed to disintermediate health systems from the provision of workplace-based, preventive and primary care services. As this occurs, the commercial market’s loyalty becomes fragmented and challenging for health systems to influence.
In partnership with Applied Health Analytics, health systems benefit from a service line developed to align the interests of the commercial market with the education, early detection, prevention and primary care services they provide. Properly executed, this strategy lays the foundation for accelerated partnerships where growing interest in health risk and cost management aligns with service delivery.
Primary Care: Serving an important role.
The movement from fee-for-service to value-based reimbursement is a reality and, as federal legislation redefines these rules, commercial payers soon follow. With this movement, the role of primary care is heightened as demand for health enhancement and risk mitigation initiatives increase.
This will be especially apparent in the commercial market. Demand for onsite clinics, early detection, biometric screening initiatives, population health strategies encompassing quality analytics will all form the informational foundation that will drive demand for greater primary care integration.
Applied Health Analytics understands that the PCP serves as the arbiter of care and gatekeeper to the health system. As we embrace the movement from a sick-care to a well-care industry, we fill open practices by leveraging commercial market demand for a sustained relationship between the patient and the provider of primary care services.
In the new era of health care, former competitors collaborate to form a national network of health systems aligned to support the interests of multi-state employers committed to the provision of uniform population-health initiatives across the United States. Local becomes regional, and regional becomes national, as health leaders partner with Applied Health Analytics to provide a common data platform, analytics and an unrivaled level of community-based interventions to reduce risk, enhance health and better serve a valued commercial population.