Saturday, November 23, 2024

How Payers Use Tech to Support Healthcare Transformation – MedCity News

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At the ViVE event sponsored by HLTH, the Payer Insights program panel discussions highlighted the different ways tech can be harnessed to reduce friction in communication and data sharing between providers, payers and patients. Executives talked about how healthcare organizations and health tech vendors are working together to improve prior authorization wait times, implement value-based care, and streamline care delivery through AI tools that can be used to automate certain administrative functions.

Healthcare organizations such as Lyric, Workday and Hawaii Medical Services Administration, which works with InterSystems, shared insights on how tech can be applied to solve myriad healthcare challenges and to improve the clinician and patient experience. Looking ahead at CMS rule changes rolling out in the next few years, health tech will be critical to support policy compliance for transparency in coverage, interoperability, and changes to Medicare Advantage plans.

Access to care and health equity were also part of the conversation in the Payer Insights program. The push towards value-based care depends, in part, on obtaining data on race, ethnicity and gender to support health equity and quantify social determinants of health among plan members.

To download and read the eBook, How Payers Drive Healthcare Transformation Through Tech Collaboration, sponsored by HLTH, please fill in the form below:

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