Health insurance companies and a healthcare provider may greatly benefit from systems integration. Healthcare payer and provider organizations have different goals but need to work together to generate efficiencies. How can we bridge the gap between the two parties?
The consolidation craze continues, but vertical integration has yet to demonstrate real progress toward the Triple Aim. Health care leaders would do well to consider innovative approaches that are working in other industries, including the tech-enabled full stack model.
Allegheny General Hospital created a comprehensive solution for patients with chronic obstructive pulmonary disease (COPD) that led to improved clinical outcomes, reduced hospital admissions and readmissions, and a resultant decrease in the total cost of care.
If envisioned and implemented properly, a partnership between clinical delivery systems and clinical research programs can get us closer to the goal of achieving learning within the care continuum and discovering evidence that is available when it is needed.
Providing home-based acute care improves patient satisfaction and care quality while reducing costs.
Five best practices that are replicable and scalable are facilitating improved clinical and financial outcomes today.
Care management should be payer-agnostic at its core.
Just throwing things together doesn’t make for integrated care. If we spent more time looking at what is good about each other’s health care systems rather than what we hate, that would help move forward a seamless care experience for patients.
Four points on improving value in health care via vertical integration and aggressive experimentation.
Examples of a public health and health system partnership, payer and provider partnership, and multi-hospital partnership that led to improved health care outcomes.
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
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