Emerging market factors are requiring hospitals and outpatient practices to differentiate themselves to build preference among employers and patients/consumers. These factors are opening customer doors to Pharma to help them evolve patient care.
ONC TEFCA technical and legal requirements mean it’s no longer legal to prevent network leakage by hoarding patient data. If patient data are portable, patients can seek the best care provider without the current friction of a PHI transfer. This empowers digital and virtual care providers.
CMS transparency rules for payers and hospitals mean it’s easier for patients and employers to price shop. This also makes it easier for employers to narrow their networks and exclude providers who do not meet quality thresholds.
Consumerism means patients will vote with their feet if a provider does not deliver the quality of care or the supportive experience they believe can be found elsewhere.
At-risk PCPs and payers buying PCPs means PCPs take an active interest in the downstream costs and population-level outcomes of specialists in their referral networks. Specialists who lack processes to minimize inappropriate care and who do not deliver consistently high patient experience and outcomes may be excluded from referral flows.
What Do Employers and Consumers Care About? The Triple Aim.
Excellent patient experience with high-quality care and outcomes
Affordability
Overall health with population health support
4 Steps to Improve Patient Engagement in Pursuit of the Triple Aim That Are Ripe for Pharma/Customer Collaborations
Stratify patients using a validated model so the appropriate care pathway for every patient is clearly defined. It is ineffective to treat low-risk patients the same as high-risk patients, for example.
Standardize care. All team members follow consistent evidence-based care pathways.
Engage patients in their care so they feel empowered, supported, and informed. A team-based approach to patient engagement requires a standardized set of counseling and support materials.
Keep it simple and make it part of the clinical workflow. The fewer clicks in the EHR system, the better.
Now Is the Time
If every challenge is an opportunity, now is a time of great opportunity for Pharma and other stakeholders who wish to collaborate with providers and payers to improve patient outcomes.
Pharma holds a depth of therapeutic expertise and a bounty of exceptional provider and patient education resources. When folded into a proven technology platform, these assets can help clinical teams deliver better patient care more efficiently and effectively.
For more information about critical market factors that are creating opportunities or the proven technology platform available through Aventria, contact Dave Dierk, Co-President, at dave.dierk@aventriahealth.com.
Making a difference in patient care by helping patients, providers, and payers collaborate on shared priorities
CMS, Centers for Medicare & Medicaid Services; EHR, electronic health record; ONC TEFCA, The Office of the National Coordinator (for Health Information Technology) Trusted Exchange Framework and Common Agreement; PCP, primary care provider; PHI, protected health information.