Every provider wants to innovate to drive transformation that helps reduce variability, improve efficiency, and support optimal patient care. The question is, how disruptive, in a positive sense, is your innovation?

The COVID-19 pandemic has made it clear that having the ability to communicate with patients anytime, anywhere, including outside clinical settings is essential. Unfortunately, many organizations don’t have the tools they need for effective digital patient outreach.

Healthcare organizations have shown interest in a model that could implement private sector approaches to risk-sharing arrangements and payments while minimizing administrative burden and downside risk. The payment model options available under Direct Contracting can be appealing to provider organizations since the model is expected to reduce burden, focus on beneficiaries with complex chronic conditions, and boost participation from organizations that have not yet engaged in Medicare FFS or CMS Innovation Center models.

Provider data is currently spread across various applications, and healthcare stakeholders are spending significant amounts of money to maintain and update their databases. However, fragmented databases and manual processes are decreasing efficiency for many organizations. Hence, a poorly managed provider directory can often prevent members from contacting in-network doctors for their health concerns. How can payer organizations navigate provider data challenges to improve provider network performance and simplify member experience?

Existing provider network management solutions are often developed for a single purpose, cobbled together with a disjointed combination of homegrown and legacy IT. They have been supporting evolving organizational needs such as credentialing portal, provider data analysis, and more. However, this approach is not a long-term solution to provider network management needs and prevents payers from gaining an unbiased, unified view of provider performance. Relying on claims data alone is insufficient.

Traditionally, the healthcare industry has underutilized technology to improve care delivery. As a result, healthcare data is now siloed between departments and applications, making access to a patient’s longitudinal record complex—if not impossible. And most recently, the COVID-19 pandemic exposed even more limitations of current healthcare IT infrastructure running on legacy technologies.

Today, data is at the center of healthcare. Providers, payers, and healthcare organizations are increasingly concerned about how to efficiently store large amounts of data and use it to extract value for members. Payers seeking to meet business goals and improve health outcomes for their members should consider investing in cloud technology as the healthcare industry continues to move toward value-based care. The cloud is the future of data storage and utilization, and selecting the right technology is the key to achieving optimal results. Data usage can be optimized with cloud-based solutions for data analytics, member engagement, and provider network management, enabling payers to improve plan performance. CXOs at these organizations must realize the true value addition of cloud technology.

Today, data is at the center of healthcare. Providers, payers, and healthcare organizations are increasingly concerned about how to efficiently store large amounts of data and use it to extract value for members. Payers seeking to meet business goals and improve health outcomes for their members should consider investing in cloud technology as the healthcare industry continues to move toward value-based care. The cloud is the future of data storage and utilization, and selecting the right technology is the key to achieving optimal results. Data usage can be optimized with cloud-based solutions for data analytics, member engagement, and provider network management, enabling payers to improve plan performance. CXOs at these organizations must realize the true value addition of cloud technology.

Today, data is at the center of healthcare. Providers, payers, and healthcare organizations are increasingly concerned about how to efficiently store large amounts of data and use it to extract value for members. Payers seeking to meet business goals and improve health outcomes for their members should consider investing in cloud technology as the healthcare industry continues to move toward value-based care. The cloud is the future of data storage and utilization, and selecting the right technology is the key to achieving optimal results. Data usage can be optimized with cloud-based solutions for data analytics, member engagement, and provider network management, enabling payers to improve plan performance. CXOs at these organizations must realize the true value addition of cloud technology.