New Report on Customer Success
The most effective way to improve health outcomes for members and reduce unnecessary utilization is to stop health problems from escalating, or better yet, from occurring in the first place. While it sounds simple, this is one of the biggest challenges facing plans, providers, employers, and members.
“Delivering high quality care, engaging members effectively, and helping them meet their health goals would be a lot easier if we could see into the future for each of our members,” said Kia Dunbar-Harris, Vice President of Clinical Care Services at Optima Health, a Virginia-based plan serving more than 580,000 individuals.i “We are constantly seeking new ways to identify and meet their needs earlier.”
Several factors—including the shift to value-based reimbursement, growing concerns about the pandemic’s impact on behavioral health, and projected health spending increases due to care deferrals—are pushing the healthcare industry to ramp up efforts to identify and engage at-risk individuals sooner, according to Lee Sacks, MD, former CMO of Advocate Aurora Health, the largest health system in Illinois.
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