A Winning Strategy for Health Plans and Providers in a Shared Risk Environment
The emerging shared-risk payment models central to health reform require tight collaboration among payers, providers, and members if they are to succeed. To support shared risk agreements, payers and providers need to make critical decisions about technology that will enable more effective communication and collaboration, and that actively engages, supports, and empowers members.
A technology foundation that makes this possible includes information exchange through a secure health informatics platform. The platform provides analytics and comprehensive claims-based and clinical information for better clinical and business decision-making. Accurate and timely information presented simply to members will help them better understand and manage their own health.
Information exchange builds sustainable value through enhanced care management, risk mitigation, and optimized engagement. Ultimately, health plans that invest in information exchange are able to deliver the right information in the right amount, to the right person at the right time, to drive the right actions by everyone involved. They can deliver better health through connected care.