Today, healthcare payers and providers endlessly wrestle with three alligators-rising costs, inconsistent quality, and the uninsured. These alligators seem to grow larger and stronger with every passing year.
Today, healthcare payers and providers endlessly wrestle with three alligators-rising costs, inconsistent quality, and the uninsured. These alligators seem to grow larger and stronger with every passing year.
Granted, consumers need far better information than they have today to make value-based decisions, but better information alone won't drain the swamp. That's because, in the context of reducing disease prevalence, information itself is only valuable to the extent that it enables sustainable behavior changes among consumers.
We need to first recognize that self-service portals must begin to adapt to consumers' daily life, their preferences, and their online interactions. Health plans and providers, instead of passively waiting for consumers to adapt their lifestyles to member service portals, need to exploit a new generation of direct-to-consumer channels and software agents that will, digitally, go where consumers go.
Second, health plans and providers will need to activate consumers to change their health habits by equipping consumers with personal health enablement software to promote incremental behavior changes in the direction of better self-management and better health habits. Personal health enablement software will need to:
Draining the healthcare swamp will require more than just providing consumers information, it will also require an industrywide effort to equip them with personal technologies that adapt to their daily digital experiences.
Dennis Schmuland, MD, MF, FAAFP, is National Director, Health Plan Industry Solutions, Microsoft Corporation.
In the Scope of Virtual Health and the Future of “Website” Manner, Per Ateev Mehrotra
August 10th 2023Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of catching up with MHE Editorial Advisory Board Member, Ateev Mehrotra, MD, MPH, who is a professor of healthcare policy at Harvard Medical School and an Associate Professor of Medicine and Hospitalist at Beth Israel Deaconess Medical Center.
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